Lyme borreliosis, commonly known as Lyme disease, has been clinically described for more than a century, but has been officially recognized for 40 years, with the detection of the Borrelia bacterium by W. Burgdorfer, in ticks of the Ixodes ricinus complex, identified a few years before.
Patient referred to the reference center for tick-borne diseases by his attending physician
Duration of symptoms >6 months
At the end of the initial assessment, the diagnosis of functional somatic disorders is retained after consensus between the physicians
Patient practicing less than 150 minutes of regular physical activity per week (WHO recommendations)
Patients with cardiac or respiratory pathologies that contraindicate the practice of physical activity physical activity
Important comorbidities contraindicating the practice of physical activity: associated cardiac pathologies associated cardiac pathologies (severe rhythm disorders such as rapid atrial fibrillation), respiratory pathologies respiratory pathologies (obstructive or severe restrictive respiratory insufficiency), disabling joint pathologies joint pathologies (gonarthrosis or coxarthrosis limiting training on a treadmill or on a high-intensity bicycle). intensity cycling).
Patients under guardianship or curatorship
Parallel
physical activity program
Other intervention24 face-to-face APA sessions at the sport and health center for 3 months at a rate of 2 sessions per week near his home and 9 therapeutic patient education workshops for 3 months at a rate of 3 workshops per month (telecare).
Advice and recommendations of physical activity at home
Other interventionAdvice and recommendations of physical activity at home (= current clinical practice in autonomy for 3 months).
Average level of moderate to vigorous physical activity (PA) - MET-h/week
MET = metabolic equivalent This is measured with actimetry (Actigraph GT3x, Pensacola, Florida, USA).
average level of sedentary lifestyle (h/day)
This is measured with actimetry (Actigraph GT3x, Pensacola, Florida, USA). The average sedentary time measured in industrialized countries is about 4 hours per day (excluding time spent sitting at work and in transport)
Average level of moderate to vigorous physical activity (PA) - MET-h/week
This measured with Adult Physical Activity Questionnaire (APAQ) Score from 0 to 21 points, 0 = no difficulty, and 21= major difficulties.
Average level of sedentary lifestyle (h/day)
This measured with Adult Physical Activity Questionnaire (APAQ) Score from 0 to 21 points, 0 = no difficulty, and 21= major difficulties.
VO2max (in ml/min/kg)
This physical ability is measured with a cardiorespiratory test on a cycloergometer
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