F Colle1, I Bonan, M-C Gellez Leman, N Bradai, A Yelnik. 1. Unité de Médecine Physique et Réadaptation, Centre Hospitalier Sainte-Anne, 1, rue Cabanis, 75674 Paris cedex 14, France. f.colle@ch-sainte-anne.fr
Abstract
OBJECTIVES: To examine the phenomenon of fatigue after stroke and to review the knowledge about frequency, consequences, associated factors, physiopathology and treatment. MATERIALS AND METHOD: Medline was systematically searched with the following keywords: stroke, fatigue, sleep disorders, exercise, and rehabilitation. All relevant articles found in the references were screened as well. RESULTS AND DISCUSSION: Fatigue is a common complaint after stroke and occurs in 39-72% of stroke survivors. Some studies show a severe functional impact of this symptom as well as a high mortality rate. Available evidence concerning associated factors is limited, but fatigue is clearly multifactorial. Some studies show that limited exercise capacity, increased gait energy cost, sleep-disordered breathing and sleep disorders can be related to physical fatigue. Other studies show a link between fatigue and depression. The existence of primary fatigue is still controversial. Treatment must follow a diagnostic approach. Treadmill training, among other treatments, improves fitness reserve and lowering of the energy cost of hemiparetic gait, which could be useful in relieving fatigue.
OBJECTIVES: To examine the phenomenon of fatigue after stroke and to review the knowledge about frequency, consequences, associated factors, physiopathology and treatment. MATERIALS AND METHOD: Medline was systematically searched with the following keywords: stroke, fatigue, sleep disorders, exercise, and rehabilitation. All relevant articles found in the references were screened as well. RESULTS AND DISCUSSION: Fatigue is a common complaint after stroke and occurs in 39-72% of stroke survivors. Some studies show a severe functional impact of this symptom as well as a high mortality rate. Available evidence concerning associated factors is limited, but fatigue is clearly multifactorial. Some studies show that limited exercise capacity, increased gait energy cost, sleep-disordered breathing and sleep disorders can be related to physical fatigue. Other studies show a link between fatigue and depression. The existence of primary fatigue is still controversial. Treatment must follow a diagnostic approach. Treadmill training, among other treatments, improves fitness reserve and lowering of the energy cost of hemiparetic gait, which could be useful in relieving fatigue.
Authors: Kathryn M Sibley; Ada Tang; Kara K Patterson; Dina Brooks; William E McIlroy Journal: J Neuroeng Rehabil Date: 2009-07-14 Impact factor: 4.262
Authors: Magloire Nkosi Mpembi; Samuel Mampunza Ma Miezi; Thierry Matonda Ma Nzuzi; Victoria Kubuta Massamba; Sévérine Henrard; Marie-Pierre De Partz; André Peeters; Jean Macq; Vincent Dubois; Eric Constant Journal: Pan Afr Med J Date: 2014-02-13