Pacing for PEM/PESE

Patients who have post-exertional malaise (PEM/PESE) generally benefit more from pacing and energy conservation than exercise-focused treatments. Pacing for PEM/PESE involves managing exertion to stay under the threshold that causes increased symptoms or post-exertional malaise. While pacing is not a cure for PEM/PESE, it is an effective management strategy. Pacing and energy conservation approaches need to be individualized for each patient. This video covers how therapy providers can use biofeedback pacing, task analysis, activity logs, and heart rate variability tracking to assist patients with pacing to reduce their symptoms. Note to community members: We advise viewers to always speak with their medical care team prior to making any adjustments or changes to their current regimen. This video was made possible by the OMF-funded Medical Education Resource Center (MERC) at BHC, our generous donors, and viewers like you.