Fatigue and activity after stroke. Secondary results from the Life After Stroke study

Braaten, Ragnhild Sunde; Askim, Torunn; Gunnes, Mari; Indredavik, Bent

doi:10.1002/pri.1851

Cited by 9 publications

(5 citation statements)

References 39 publications

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“…Fatigue is a common experience in patients recovering from stroke. About 25%–85% of patients with stroke experience fatigue (Braaten et al, 2020; Michael & Macko, 2007). Chronic fatigue after stroke is a major concern; however, fatigue is subjective in nature and therefore requires input from those who are experiencing it.…”

Section: Literature Reviewmentioning

confidence: 99%

Are Symptoms of Spasticity, Pain, and Fatigue Related in People With Stroke?

Bhimani

Horowitz

Mathiason

et al. 2021

Rehabilitation Nursing

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Purpose: The purpose of this study was to determine whether symptoms of spasticity, pain, and fatigue are correlated in people with stroke. Design: A longitudinal-correlation, mixed-method design was used. Methods: Spasticity, pain, and fatigue symptoms were explored in 22 patients with stroke admitted to three different rehabilitation units certified by the Commission on Accreditation of Rehabilitation Facilities. Data were obtained upon admission, postdischarge, and 1 month after discharge. Demographics, numeric ratings, and a semistructured interview were used to determine associations over time.Results: Symptoms of spasticity, pain, and fatigue were quite variable. Fatigue was more likely to impair recovery. Spasticity appears to contain pain experiences. Pain does not appear to be a major factor over time. Conclusions: In this sample of patients with stroke, symptoms of spasticity, pain, and fatigue were correlated. Clinical Relevance: In managing poststroke spasticity, pain, and fatigue, nurses should recognize that these symptoms are correlated.

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Section: Literature Reviewmentioning

confidence: 99%

Are Symptoms of Spasticity, Pain, and Fatigue Related in People With Stroke?

Bhimani

Horowitz

Mathiason

et al. 2021

Rehabilitation Nursing

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“…Additional measures (such as less time-consuming balance tests) may have led to more clinically feasible predictors. Factors known to be associated with PA such as motivation 46 or fatigue 56 were not examined in the LEAPS trial, nor were qualitative components such as outcomes expectations or social support. 57 In addition, daily steps was the only measure of PA, which does not encompass other forms of PA nor participant-reported PA. Our findings only apply to participants who adhered to wearing the activity monitor at both timepoints.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Daily Steps at 1-Year Poststroke

Handlery¹,

Regan

Stewart

et al. 2021

Stroke

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Background and Purpose: Walking has the potential to improve endurance and community participation after stroke. Obtaining ≥6000 daily steps can decrease subsequent stroke risk. Early identification of those prone to low daily steps could facilitate interventions that lead to increased walking and improved health. The purpose of this study was to (1) determine which factors at 2 months poststroke can predict daily step counts at 1 year and (2) determine what step count at 2 months corresponds to obtaining ≥6000 daily steps at 1-year poststroke. Methods: This was a secondary analysis of data from the Locomotor Experience Applied Post Stroke trial, which enrolled participants with walking speeds <0.80 m/second at 2 months poststroke. Daily steps were assessed at 2 months and 1-year poststroke. Linear regression was used to predict daily step counts at 1 year based on factors including age, sex, race and/or ethnicity, stroke severity, walking speed, endurance, fitness, motor function, balance, and balance confidence. A receiver operating characteristic curve determined which step count corresponded to reaching ≥6000 steps at 1 year. Results: Data from 206 participants, mean age=63 (13) years, 43% female, mean baseline daily step count=2922 (2749) steps, were analyzed. The final model to predict daily steps at 1 year poststroke contained daily steps at 2 months and balance (Berg Balance Scale score); these factors explained 38% of the variability in daily steps at 1 year ( P ≤0.001). Participants obtaining ≥1632 daily steps at 2 months were 1.86 (95% CI, 1.52–2.27) times more likely to reach ≥6000 daily steps at 1-year poststroke. Conclusions: Daily steps and balance at 2 months poststroke were the strongest predictors of future daily steps. Improving daily physical activity and targeting balance early after stroke may be necessary to increase physical activity at 1-year poststroke.

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“…High interstudy heterogeneity was reported, with the rates tending to be low in the Asian countries that were surveyed [1]. Causes of post-stroke fatigue include anatomical and physiological changes such as stroke onset [5] as well as multiple other factors, including personality characteristics and physical factors [6,7], psychological factors [8], behavioral factors [9][10][11], and social factors [12,13]. In other words, occurrence of post-stroke fatigue involves multiple factors, the prevalence of which varies by country [1].…”

Section: Introductionmentioning

confidence: 99%

Awareness and support for post-stroke fatigue among medical professionals in the recovery phase rehabilitation ward

Sato

Hyakuta

2023

Jpn J Compr Rehabil Sci

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Objective: To clarify the level of awareness of and support for post-stroke fatigue among medical professionals working in recovery phase rehabilitation wards. Methods: We conducted a questionnaire survey targeting all medical professionals (physicians, nurses, physical therapists, occupational therapists, and speech therapists) working in recovery phase rehabilitation wards of three facilities to evaluate their awareness of post-stroke fatigue and the support they were offering to address this. Quantitative data were subjected to statistical analysis and free description data were subjected to content analysis. Results: Of the 130 participants, we obtained responses from 94 (collection rate, 72.3%; valid response rate, 100%). Those who felt that post-stroke patients are always tired or tire easily comprised 63.8%. Those who acknowledged the importance of post-stroke fatigue as a problem and that it is an issue that must be addressed comprised 70.2% and 73.4%, respectively. Issues emerging due to post-stroke fatigue were extracted as follows: "Difficulty continuing with rehabilitation," "Decreased drive," "Difficulty with emotional control/ depression," "Fewer interactions with others," and "Loss of goals." Support for post-stroke fatigue was offered by 57.4% of medical professionals, most commonly as individual support such as "Ensure rest." The effects of support were described as "Cannot say either way" (44.4%), with 3.7% noting that they were not very effective. Awareness and support rates among therapists were significantly higher than those among nurses. Conclusions: Post-stroke fatigue is acknowledged by medical professionals as a critical issue that negatively influences the patient's physical, emotional, and daily living functions. Unfortunately, effective support is not currently being offered, demonstrating the need for the development of appropriate interventions.

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Fatigue and activity after stroke. Secondary results from the Life After Stroke study

Cited by 9 publications

References 39 publications

Are Symptoms of Spasticity, Pain, and Fatigue Related in People With Stroke?

Are Symptoms of Spasticity, Pain, and Fatigue Related in People With Stroke?

Predictors of Daily Steps at 1-Year Poststroke

Awareness and support for post-stroke fatigue among medical professionals in the recovery phase rehabilitation ward

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