In this post, I link to and embed the YouTube video from the Bateman Horne Center, Upright Activity and Exercise Intolerance: Critical Concepts in the Evaluation of Chronic Fatigue [in ME/CFS], 56:12, Oct 19, 2019.
And here is a link to all of the slides (69) in Dr. Bateman’s excellent lecture on YouTube. Reviewing the slides is the best way to quickly review this excellent resource.
At 11:00
Dr. Bateman lists some of the forms the center uses when evaluating patients for ME/CFS.
- Mental Health Screen
- We use the HADS* screen plus interview
- *Hospital Anxiety And Depression Scale
- Ideally SF-36 (RAND-36) but complex scoring
- Revised Fibromyalgia Impact Questionnaire (FIQ-R)
- The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties [PubMed Abstract] [Full-Text HTML] [Full-Text PDF]. Arthritis Res Ther. 2009; 11(4): R120.
- HUA (Hours of Upright Activity In 24Hours)
- Dr. Bateman states it is the best tool to estimate impaired function
- The number of hours with feet-on-floor in 24 hours (sitting, standing, walking
- Must ask the question clearly to be sure time spent sitting is considered in the total.
- Dr. Bateman’s data on HUA in 24 hours
- Normal folks: 14-17
- Chronic Illness/FM: 10-12
- ME/CFS: 0-7
- Good Day/Bad Day Questionnaire
- Take a good history about the consequences of physical, cognitive, and emotional and upright activity (Post Excertional Malaise [PEM])
- Orthostatic testing—in clinic: 10 min NASA Lean Test
- Consider Cardiopulmonary Exercise Stress Test (CPET)
- Assess cognitive impairment if indicated
