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Fig. 1 | Trials

Fig. 1

From: Cognitive behaviour therapy plus aerobic exercise training to increase activity in patients with myotonic dystrophy type 1 (DM1) compared to usual care (OPTIMISTIC): study protocol for randomised controlled trial

Fig. 1

Determinants of health status in DM1. Exercise therapy is intended to improve physical activity whereas cognitive behavioural therapy is intended to stimulate an active life-style by addressing perpetuating factors of fatigue such as lack of physical activity, motivation, pain and sleep disturbances and also by teaching patients to compensate for a lack of initiative (motivation)

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