Post Stroke Fatigue

Authors

  • R. Deepa Ph.D Scholar, Vinayaka Missions’ Research Foundation (DU), Salem, Tamil Nadu, India
  • S. Parimala Research Supervisor, Vinayaka Missions’ Research Foundation (DU), Salem, Tamil Nadu, India

Abstract

Post stroke fatigue affects sensorimotor, cognitive, emotional domains characterized by extreme tiredness, weakness of limbs during daily activities and usually not ameliorated by rest. It is the feeling of lack of energy and weariness and an aversion of effort. Cardiovascular exercise is an important tool and highly recommended intervention. Exercise offers one of the most effective interventions to enhance neurocognitive functioning. It also may decrease depression and improve sleep. By proper life time modification and planning and practicing important tasks may be helpful.

References

Acciarresi M, Bogousslavsky J, Paciaroni M. Post–stroke fatigue: epidemiology, Clinical characteristics and Treatment. Eur Neurol. 2014;72(5–6):255–61. doi: 10.1159/000363763, PMID 25277765.

Lerdal A, Bakken LN, Kouwenhoven SE, Pedersen G, Kirkevold M, Finset A, Kim HS. Poststroke fatigue: a review. J Pain Symptom Manage. 2009;38(6):928–49. doi:10.1016/j.jpainsymman.2009.04.028, PMID 19811888.

Ouellet M, Morin CM. Fatigue following traumatic brain injury: frequency, characteristics, and associated factors. Rehabil Psychol. 2006;51(2):140–9. doi: 10.1037/0090–5550.51.2.140.

Barritt AW, Smithhard DG. Review Article: targeting fatigue in stroke patients. International Scholarly Research Network [online]; 2011. Available from:

https://downloads.hindawi.com/archive/2011/805646.pdf.

Levine J, Greenwald BD. Fatigue in Parkinson disease, stroke and TBI. Phys Med Rehabil Clin N Am. 2009;20(2):347–61. doi: 10.1016/j.pmr.2008.12.006, PMID 19389616.

Rothwell NJ. Cytokines–killers in the brain? J Physiol. 1999;514(1):3–17. doi: 10.1111/j.1469–7793.1999.003af.x.

Zedlitz AMEE, Rietveld TCM, Geurts AC, Fasotti L. Cognitive and graded activity training can alleviate persistent fatigue after stroke: a randomized, controlled trial. Stroke. 2012;43(4):1046–

doi: 10.1161/STROKEAHA.111.632117, PMID 22308241.

Mathiowetz V, Matuska KM, Murphy ME. Efficacy of an energy conservation course for patients with multiple sclerosis. Arch Phys Med Rehabil. 2001;82(4):449–56. doi:

1053/apmr.2001.22192, PMID 11295003.

Harbison JA, Walsh S, et al. Hypertension and day time hypotension found on ambulatory blood pressure is associated with fatigue following stroke and TIA. QJ Med. 2009;102:109–15.

Barker-Collo S, Feigin VL, et al. Pst-stroke fatigue-where is the evidence to guide practice? J New Zealand Medical Association. 2007;120(1264):U2780

Published

2021-05-12

Issue

Section

Articles