Writing in a linked Comment, Dr Daniel J Clauw, Chronic Pain and Fatigue
Research Centre, the University of Michigan, USA, says: «The finding that graded exercise therapy is effective even when exercise is not being witnessed and directly guided
by a physiotherapist is a substantial advance, since many patients with chronic fatigue syndrome and other functional impairment have difficulty getting to physiotherapy or
do not have access to appropriately trained physiotherapists... In summary, findings from this pragmatic randomised controlled trial add to the evidence that
straightforward, non-pharmacological therapies can be helpful in the management of symptoms such as fatigue in individuals with chronic fatigue syndrome.