Abstract
Fatigue is highly prevalent in medical illness and injury and can have a significant negative effect on an individual’s ability to engage in, and benefit from, rehabilitation services. Fatigue can contribute to and exacerbate cognitive, physical, and mood concerns; interfere with successful completion of activities of daily living; and limit community reintegration. However, a patient’s fatigue experience is often overlooked for more visible signs of illness or injury, and clinicians may lack appropriate knowledge and tools for assessment or intervention. Therefore, this chapter will provide an overview of the construct and potential causes of fatigue to ensure understanding, briefly review select assessment methods, and explore both pharmacologic and nonpharmacologic intervention strategies. It will hopefully become evident that education, exercise, and health behavior interventions for fatigue should be first-line approaches, can be administered in a range of settings (and by varied professionals), require little specialized equipment, and yet are highly effective at helping patients to manage fatigue and thereby facilitate recovery and rehabilitation and promote optimal daily function.
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References
Aaronson LS, Teel CS, Cassmeyer V, et al. Defining and measuring fatigue. J Nurs Scholarsh. 1999;31(1):45–50.
Wijesuriya N, Tran Y, Middleton J, et al. Impact of fatigue on the health-related quality of life in persons with spinal cord injury. Arch Phys Med Rehabil. 2012;93(2):319–24.
de Groot MH, Phillips SJ, Eskes GA. Fatigue associated with stroke and other neurologic conditions: implications for stroke rehabilitation. Arch Phys Med Rehabil. 2003;84(11):1714–20.
Ponsford JL, Ziino C, Parcell DL, et al. Fatigue and sleep disturbance following traumatic brain injury-their nature, causes, and potential treatments. J Head Trauma Rehabil. 2012;27(3):224–33.
Chaudhuri A, Behan PO. Fatigue in neurological disorders. Lancet. 2004;363(9413):978–88.
Bakshi R, Shaikh ZA, Miletich RS, et al. Fatigue in multiple sclerosis and its relationship to depression and neurologic disability. Mult Scler. 2000;6(3):181–5.
Zgaljardic DJ, Durham WJ, Mossberg KA, et al. Neuropsychological and physiological correlates of fatigue following traumatic brain injury. Brain Inj. 2014;28(4):389–97.
Cella D. Factors influencing quality of life in cancer patients: anemia and fatigue. Semin Oncol. 1998;25(3 Suppl 7):43–6.
Fawkes-Kirby T, Wheeler M, Anton H, et al. Clinical correlates of fatigue in spinal cord injury. Spinal Cord. 2008;46(1):21–5.
Lerdal A, Bakken LN, Kouwenhoven SE, et al. Poststroke fatigue—a review. J Pain Symptom Manage. 2009;38(6):928–49.
Braley TJ, Chervin RD. Fatigue in multiple sclerosis: mechanisms, evaluation, and treatment. Sleep. 2010;33(8):1061–7.
Krupp LB, Serafin DJ, Christodoulou C. Multiple sclerosis-associated fatigue. Expert Rev Neurother. 2010;10(9):1437–47.
Lerdal A, Gulowsen Celius E, Krupp L, et al. A prospective study of patterns of fatigue in multiple sclerosis. Eur J Neurol. 2007;14(12):1338–43.
Walker EA, Katon WJ, Jemelka RP. Psychiatric disorders and medical care utilization among people in the general population who report fatigue. J Gen Intern Med. 1993;8(8):436–40.
Cantor JB, Bushnik T, Cicerone K, et al. Insomnia, fatigue, and sleepiness in the first 2 years after traumatic brain injury: an NIDRR TBI model system module study. J Head Trauma Rehabil. 2012;27(6):E1–14.
Wagner L, Cella D. Fatigue and cancer: causes, prevalence and treatment approaches. Br J Cancer. 2004;91(5):822–8.
Glader EL, Stegmayr B, Asplund K. Poststroke fatigue: a 2-year follow-up study of stroke patients in Sweden. Stroke. 2002;33(5):1327–33.
Bower JE, Bak K, Berger A, et al. Screening, assessment, and management of fatigue in adult survivors of cancer: an American Society of Clinical Oncology clinical practice guideline adaptation. J Clin Oncol. 2014;32(17):1840–50.
Whitehead L. The measurement of fatigue in chronic illness: a systematic review of unidimensional and multidimensional fatigue measures. J Pain Symptom Manage. 2009;37(1):107–28.
Grunstein R. Insomnia: diagnosis and management. Aust Fam Physician. 2002;31(11):995.
Latimer-Cheung AE, Pilutti LA, Hicks AL, et al. Effects of exercise training on fitness, mobility, fatigue, and health-related quality of life among adults with multiple sclerosis: a systematic review to inform guideline development. Archiv Phys Med Rehabil. 2013;94(9):1800–28. e3.
Asano M, Finlayson ML. Meta-analysis of three different types of fatigue management interventions for people with multiple sclerosis: exercise, education, and medication. Mult Scler Int. 2014;2014:798285.
Bowman GL, Silbert LC, Howieson D, et al. Nutrient biomarker patterns, cognitive function, and MRI measures of brain aging. Neurology. 2012;78(4):241–9.
de Boer A, Ter Horst GJ, Lorist MM. Physiological and psychosocial age-related changes associated with reduced food intake in older persons. Ageing Res Rev. 2013;12(1):316–28.
D’Anci KE, Constant F, Rosenberg IH. Hydration and cognitive function in children. Nutr Rev. 2006;64(10):457–64.
Armstrong LE, Ganio MS, Casa DJ, et al. Mild dehydration affects mood in healthy young women. J Nutr. 2012;142(2):382–8.
Adan A. Cognitive performance and dehydration. J Am Coll Nutr. 2012;31(2):71–8.
Kempton MJ, Ettinger U, Foster R, et al. Dehydration affects brain structure and function in healthy adolescents. Hum Brain Mapp. 2011;32(1):71–9.
Suhr JA, Hall J, Patterson SM, et al. The relation of hydration status to cognitive performance in healthy older adults. Int J Psychophysiol. 2004;53(2):121–5.
Blikman LJ, Huisstede BM, Kooijmans H, et al. Effectiveness of energy conservation treatment in reducing fatigue in multiple sclerosis: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2013;94(7):1360–76.
Multiple Sclerosis Council for Clinical Practice Guideline. Fatigue and multiple sclerosis: evidence-based management strategies for fatigue in multiple sclerosis. Washington, DC: Paralyzed Veterans of America; 1998.
Prvu Bettger JA, Stineman MG. Effectiveness of multidisciplinary rehabilitation services in postacute care: state-of-the-science. A review. Arch Phys Med Rehabil. 2007;88(11):1526–34.
Cicerone KD, Langenbahn DM, Braden C, et al. Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Arch Phys Med Rehabil. 2011;92(4):519–30.
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Jacocks, C. (2017). Fatigue. In: Budd, M., Hough, S., Wegener, S., Stiers, W. (eds) Practical Psychology in Medical Rehabilitation. Springer, Cham. https://doi.org/10.1007/978-3-319-34034-0_33
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DOI: https://doi.org/10.1007/978-3-319-34034-0_33
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