Effectiveness of an Intervention Combining Adapted Physical Activity and Therapeutic Education in Patients With Chronic Symptoms Attributed to Lyme Borreliosis.

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.

Inclusion Criteria:Patient referred to the reference center for tick-borne diseases by his attending physicianDuration of symptoms >6 monthsAt the end of the initial assessment, the diagnosis of functional somatic disorders is retained after consensus between the physiciansPatient practicing less than 150 minutes of regular physical activity per week (WHO recommendations)Exclusion Criteria:Patients with cardiac or respiratory pathologies that contraindicate the practice of physical activity physical activityImportant 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