The Course of Fatigue during the First 18 Months after First-Ever Stroke: A Longitudinal Study
Author(s) -
Anners Lerdal,
Kathryn A. Lee,
Linda Bakken,
Arnstein Finset,
Hesook Suzie Kim
Publication year - 2011
Publication title -
stroke research and treatment
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.939
H-Index - 34
eISSN - 2090-8105
pISSN - 2042-0056
DOI - 10.1155/2012/126275
Subject(s) - medicine , stroke (engine) , physical therapy , mental fatigue , longitudinal study , chronic fatigue , medical record , physical medicine and rehabilitation , clinical psychology , chronic fatigue syndrome , surgery , mechanical engineering , pathology , engineering
Background. Little is known about the course of poststroke fatigue. Objectives. To describe the course of poststroke fatigue in relation to the patient's level of physical functioning, depressive symptoms, and self-reported history of prestroke fatigue. Methods. A longitudinal study using structured face-to-face interviews, questionnaires, and patients' medical records. Data were collected from 95 patients in Norway with first-ever stroke. Fatigue was measured with the Fatigue Severity Scale 7 item version and assessed for change between the acute phase, six, 12, and 18 months after stroke using 2-way ANOVA repeated-measures analyses. Results. The patients' level of fatigue did not change over time. However, those who reported prestroke fatigue showed a relatively high level of fatigue over time in the poststroke period, while patients with no history of pre-stroke fatigue showed a stable course of relatively low fatigue over time. Conclusion. Studies on poststroke fatigue should control for the patient's pre-stroke fatigue level.
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