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ME/CFS Science @mecfsscience.org · 30/06/2026

6) So what happened? The authors write that patients found the management strategies helpful but that most "reported a temporary worsening either due to the travel to the rehabilitation facility or due to participation in the rehabilitation program itself."

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ME/CFS Science @mecfsscience.org · 30/06/2026

7) The paper concludes that: "Given the risk of PEM which may be triggered already by travel to the rehabilitation clinic and the general exertion involved, the value of rehabilitation for patients with ME/CFS should be critically re-evaluated."

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ME/CFS Science @mecfsscience.org · 30/06/2026

8) They also stated that severe patients (Bell score < 30) "should not be required to undergo rehabilitation. This is especially relevant given that participation in a rehabilitation program is often a prerequisite for eligibility for disability pension in Germany."

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