Abstract
INTRODUCTION: Post stroke Fatigue (PSF) has detrimental effects on functional recovery, ADL, quality of life and emotional status of the patient. Fatigue management is generally overlooked in patients with stroke. Suggestions and recommendations exist for fatigue management however there is no evidence to prove the effect of these interventions on post stroke fatigue.
OBJECTIVE: To determine the effect of fatigue management protocol on fatigue and activities of daily living (ADL) in patients with stroke.
METHODS: Twenty stroke survivors who were medically stable, able to sit independently and with fatigue severity score ≥4, were randomly allocated into control and experimental group. Control group participants received standard hospital protocol for stroke management while experimental group participants received fatigue management protocol in addition to the standard exercises. Fatigue management protocol consisted of education about fatigue, its management strategies and specific exercises to improve muscular strength and cardiovascular endurance. Treatment was given for 30 minutes per day with adequate rest periods for 5 days a week for 4 weeks. Baseline and post treatment assessment was done using fatigue severity scale and fatigue assessment scale and Barthel index for all the participants. Statistical analysis was done for the data using non parametric tests.
RESULTS:
Fatigue severity scale scores showed statistically significant change in the experimental group over control group (p=0.001) whereas fatigue assessment scale and Barthel index scores improved equally in both groups (p=0.067)
CONCLUSION: Fatigue management protocol was more effective than standard treatment in alleviating subjective fatigue of stroke patients. However, it is equally effective as standard treatment in improving independence of activities of daily living in stroke patients with fatigue.
OBJECTIVE: To determine the effect of fatigue management protocol on fatigue and activities of daily living (ADL) in patients with stroke.
METHODS: Twenty stroke survivors who were medically stable, able to sit independently and with fatigue severity score ≥4, were randomly allocated into control and experimental group. Control group participants received standard hospital protocol for stroke management while experimental group participants received fatigue management protocol in addition to the standard exercises. Fatigue management protocol consisted of education about fatigue, its management strategies and specific exercises to improve muscular strength and cardiovascular endurance. Treatment was given for 30 minutes per day with adequate rest periods for 5 days a week for 4 weeks. Baseline and post treatment assessment was done using fatigue severity scale and fatigue assessment scale and Barthel index for all the participants. Statistical analysis was done for the data using non parametric tests.
RESULTS:
Fatigue severity scale scores showed statistically significant change in the experimental group over control group (p=0.001) whereas fatigue assessment scale and Barthel index scores improved equally in both groups (p=0.067)
CONCLUSION: Fatigue management protocol was more effective than standard treatment in alleviating subjective fatigue of stroke patients. However, it is equally effective as standard treatment in improving independence of activities of daily living in stroke patients with fatigue.
| Original language | English |
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| Pages | 398-398 |
| Number of pages | 1 |
| DOIs | |
| Publication status | Published - 2018 |
| Event | World Congress of Neuro Rehabilitation - Mumbai, Mumbai, India Duration: 08-02-2018 → 10-02-2018 |
Conference
| Conference | World Congress of Neuro Rehabilitation |
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| Abbreviated title | WCNR |
| Country/Territory | India |
| City | Mumbai |
| Period | 08-02-18 → 10-02-18 |