Zebras | Chronic Fatigue Syndrome Treatment | Melbourne2019-06-16T03:13:08+00:00

Project Description



Chronic Fatigue Syndrome (CFS) / Myalgic Encephalomyelitis (ME) is considered to be one of the most controversial conditions regarding it’s nature, cause and treatment options. For many years, this area received insufficient attention in the scientific world but luckily advances are being made internationally with a variety of theories being explored such as mitochondrial dysfunction, calcium channel dysfunction, leaky gut, central sensitivity to name a few.

At this stage, there is clear evidence identifying neuroimmune changes within the system impacting on a variety of systems within the body. For this reason, patients may present with a variety of symptoms and certain subgroups of CFS/ME are identified in the clinical setting. A person’s presentation regarding severity and symptom type is influenced by predisposing, precipitating and perpetuating factors.


  • Post exertional malaise (PEM)

  • Physical and mental fatigue

  • Difficulty concentrating

  • Poor memory

  • Sleep disturbances 

  • Chronic pain

  • Gut disturbances and food intolerance

  • Noise and light sensitivity

  • Tender glands

  • Headaches

  • Brain fog

  • Sore throat

Whilst the biological changes present within the system play a significant role on the person’s symptoms and capacity, various other factors (which often develop as an effect of the condition) may perpetuate the symptoms e.g. insomnia, anxiety, depression, de-conditioning and boom/bust activity patterns. Through the identification of these factors and the application of a an individualised treatment plan which tackle these culprits, we can significantly reduce symptoms, prevent further domino effects and maximise outcomes.


Our program is based on a combination of safe treatments which are chosen to suit each individual depending on their history, symptoms, capacity and goals. There is no one size fits all with this population group. Each person is investigated as a whole and the appropriate evidence based program is developed as determined after a thorough assessment and consultation with our Complex Care Coordinator.


One-on-one therapeutic neuroscience education sessions will cover the following topics dependent on the patients’ needs assessed during the initial assessment and continuously monitored and discussed between the patient and therapist:

  • Sympathetic Overload & PEM Physiology

  • CFS/ME Education

  • Pacing

  • Home Based Movement

  • Relaxation Techniques

  • Goal Setting / Gradual Exposure Planning

  • Trigger identification & Prevention

  • Setback Management

  • Sleep Physiology / Hygiene

  • The Stress Response

  • Dietary Advice


  • Gradual Return to Work & School

  • Travel Planning

  • Graded Motor Imagery


We know the importance of a holistic program in the recovery from CFS/ME. Movement sessions will be introduced after an initial musculoskeletal assessment and movement screening has been conducted. Movement sessions are carefully constructed and monitored (during and after the completion of the session) to ensure that PEM is NOT triggered by the movement session. These sessions may consist of: one on one or small group Exercise Physiology sessions, Pilates, Physiotherapy, anti-gravity treadmill or yoga and will focus on:

  • Personalised Movement Prescription

  • Address Musculoskeletal Injuries

  • Supervised & Home Based Programs

  • Mindful Movement

  • Physical Load Monitoring

  • Postural Education

  • Breathing Through Movement 

  • Mindfulness

  • Breathing Focus

  • Re-conditioning


Psychology sessions involve education and psychological approaches to manage chronic health issues. These sessions also target any psychological challenges which may have developed due the chronic condition (eg. anxiety, depression) or unrelated factors which may affect mood and stress levels which are likely to impact on symptoms.

  • Emotional Awareness

  • The Impact of Fatigue

  • Neuropsych Education

  • Acceptance Commitment Therapy (ACT)

  • Addressing Barriers to Change

  • Cognitive Behavioural Therapy (CBT)


The goal of these sessions is to have an enjoyable, relaxing experience and to stimulate the parasympathetic (rest & relax) side of your autonomic nervous system to reduce sympathetic overload. These techniques will be implemented within the Zebras facility at also at the patients home.

  • Mindfullness

  • Breathing Focus

  • Restorative Yoga and Pranayama

  • Massage

Start your road to recovery with Australia’s most collaborative and holistic chronic fatigue syndrome / myalgic encephalomyelitis  program.