NICE Guideline > Physical functioning and mobility
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Physical functioning and mobility
1.12.5 Include strategies to maintain and prevent deterioration of physical functioning and mobility in the care and support plans of people with ME/CFS. These strategies may need to be carried out in small amounts and spread out throughout the day. Think about including the following:
- joint mobility
- muscle flexibility
- balance
- postural and positional support
- muscle function
- bone health
- cardiovascular health.
1.12.6 Assess at every contact people with severe or very severe ME/CFS or those with prolonged periods of immobility for:
- areas at risk of pressure ulcers (see the NICE guideline on pressure ulcers)
- deep vein thrombosis (see the NICE guideline on venous thromboembolic diseases)
- risk of contractures.
1.12.7 Give people with ME/CFS and their family or carers (as appropriate) information, advice and support on how to recognise and prevent possible complications of long-term immobility.
1.12.8 Give families and carers information, advice and support on how to help people with ME/CFS follow their care and support plan in relation to physical functioning and mobility. This may include:
- bed mobility
- moving from lying to sitting to standing
- transferring from bed to chair
- using mobility aids
- walking
- joint mobility
- muscle stretching
- muscle strength
- balance
- going up and down stairs.
For training to provide care and support, see NICE's guideline on supporting adult carers.