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To the Editor:We read with interest the article by Tseng et al1 published in the December issue of Stroke . This study supports the concept that there are 2 types of fatigue after stroke—peripheral (neuromuscular) and central (cognitive).2,3 Authors demonstrated in chronic stroke patients that peak oxygen uptake was associated with exertional fatigue, whereas depression was associated with chronic fatigue. Exertion fatigue could be interpreted as a fatigue associated with neuromuscular impairment, whereas chronic …

Letter by Kutlubaev and Mead Regarding Article, “Exertion Fatigue and Chronic Fatigue Are Two Distinct Constructs in People Post-Stroke”