Chronic fatigue syndrome is rare in children with estimates of approximately 0.05% have this diagnosis. The day to day lives of children with this diagnosis are greatly affected. Pediatric therapists should be aware of this disorder and how it effects the activities of daily living of children. Chronic fatigue syndrome (CFS) is characterized by: debilitating fatigue, exhaustion, symptoms present for 50% of the time for more than 3 months, flu like symptoms, muscle/ joint pain, inability to concentrate, sleep disturbances and changes in mental and physical functioning. The average age of onset is between 11-15 years of age with girls more affected than boys. Based on these symptoms, children may have a high rate of absenteeism from school. Due to inactivity, the children with CFS can lose muscle mass, muscle strength, lower basal metabolic rate and more. These are areas that an occupational and physical therapist can address. Once a diagnosis is made of CFS, the next step is to manage the symptoms. A good rapport should be established between the child, the family and the school in order to address all issues. Explain the disorder and how many of the symptoms are a result of a spiraling effect of inactivity and rest. When an exercise program is warranted, here are several tips: 1. Educate the child, family and school on the importance of exercise and how it can help combat the symptoms of chronic fatigue syndrome. 2. Get the child involved in establishing the exercise program. What type of exercises do they enjoy? 3

Original Source of Chronic Fatigue Syndrome and Children