Occupational Therapy in Fatigue Management in Multiple Sclerosis: An Umbrella Review

Salomè, Angela; d'Elia, Tullia Sasso; Franchini, G. H.; Santilli, Valter; Paolucci, Teresa

doi:10.1155/2019/2027947

Cited by 12 publications

(5 citation statements)

References 30 publications

(57 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This multidimensional view of fatigue is consistent with variability across, and even within, an individual with MS and the significant impact on daily life (Billones et al, 2021). A tailored approach to assessment and intervention planning, considering primary and secondary potential causes of fatigue, is needed to support the self-management of fatigue (Connolly et al, 2013; Labuc, 2021; Salomè et al, 2019). Participants expressed physical fatigue descriptors (e.g., feeling run down, low battery), cognitive fatigue descriptors (e.g., jumbled, mental fog), and fatigue’s impact on participation.…”

Section: Discussionmentioning

confidence: 99%

“…Self-management programs, such as the Managing Fatigue Programme, are efficacious and effective in minimizing the impact of fatigue for pwMS (Finlayson et al, 2011; Ghahari et al, 2010; Mathiowetz et al, 2005; Packer et al, 1995; Salomè et al, 2019). This substudy draws on participant data from a larger study titled RE ducing F atigue and R estoring E nergy to S upport H ealth [REFRESH Study], which was funded by Patient-Centered Outcomes Research Institute, and was a large non-inferiority randomized clinical control trial.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Appreciating the experience of multiple sclerosis fatigue

Denend

Gecht-Silver

Kish

et al. 2023

British Journal of Occupational Therapy

View full text Add to dashboard Cite

Introduction: Fatigue is one of the most common symptoms experienced by people with multiple sclerosis (MS) and can have a significant negative impact on participation in valued roles and activities. Understanding and supporting the management of MS fatigue is a priority to promote participation in life roles. This study explored how participants with MS who were enrolled in a fatigue management randomized clinical trial describe and explain their fatigue experience using a secondary qualitative analysis of interventionists’ treatment notes. Method: Clinical documentation including the subjective and objective portions of 85 treatment notes were collected and analyzed using a qualitative research design with multiphase coding. Results: Four major themes were identified including Fatigue Nature, Struggle, and Responding to the Reality of Fatigue with an overarching identified theme of Impact on Participation. Under the major themes, subthemes (11 total) were also identified and provided nuanced detail into each theme. Conclusion: People with MS fatigue describe their experience in a variety of ways. Findings will support occupational therapy practitioners to enhance empathy, understanding, and collaboration when working with clients with MS fatigue.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Appreciating the experience of multiple sclerosis fatigue

Denend

Gecht-Silver

Kish

et al. 2023

British Journal of Occupational Therapy

View full text Add to dashboard Cite

show abstract

“…During self-management interventions attention is focused on the ability to self-steer decision and actions, change behaviour and maintain emotional stability. 31,32 Based on a meta-analysis, the evidence of self-management programs in increasing quality of life (QoL) is however still limited. 33 demands.…”

Section: O N L I N E F I R S Tmentioning

confidence: 99%

Role of Rehabilitation in Promoting Engagement in Daily Life in Multiple Sclerosis

Peeters¹,

Loyning²,

Ferdinand³

et al. 2020

International Journal of MS Care

View full text Add to dashboard Cite

The purpose of this narrative review is to define the theoretical constructs of engagement, participation, and balance. Besides, the implementation of these in MS-rehabilitation will be described, as symptoms as fatigue and cognitive decline may impact engagement in daily life. When studying the constructs of engagement and participation, they can be considered to be different. The constructs related to balance are of interest when targeting engagement. Multidisciplinary rehabilitation programs may have beneficial effects to optimize engagement. Hereby the measurement of these constructs is primordial as they give a deeper understanding in the meaning of activity performance, reflecting engagement in daily life. Future research may focus on the description of engagement in both men and women with MS at all stages and explore variables influencing engagement in daily life in order to integrate engagement optimization in MS rehabilitation. Engagement may have beneficial effects as part of the multidisciplinary rehabilitation in multiple sclerosis (MS).

show abstract

“…Non-adherent to the treatment of MS may suggest being a major factor for the incidence of cognitive impairment and depression [16]. Depression is the main manifestation of the disease, which may be caused either by MS itself or its therapy as DMT [3,6]. On the contrary, a study reported that depressive symptoms occurrence are not likely to be associated with DMT but also some of them may decrease the incidence of depression [17].…”

Section: Introductionmentioning

confidence: 99%

“…It also can affect bowel and bladder function as well [ 5 ]. Additionally, the patient can present with physical and psychological symptoms, especially muscle weakness, balance problems, fatigue, and other depressive symptoms [ 3 , 6 ]. Depressive symptoms are common in patients with MS, and the pathogenesis is multifactorial.…”

Section: Introductionmentioning

confidence: 99%

Multiple Sclerosis in Saudi Arabia: Clinical, Social, and Psychological Aspects of the Disease

Algahtani¹,

Almarri²,

Alharbi³

et al. 2021

Cureus

View full text Add to dashboard Cite

IntroductionMultiple sclerosis (MS) is a chronic autoimmune disorder that affects the central nervous system characterized by demyelinating lesions that are disseminated in space and time. Depression is a common symptom in MS, and the pathogenesis is multifactorial. In Saudi Arabia, there is limited current literature about the incidence and relationship between depression and MS. This study is an attempt meant to address the point prevalence of depression, risk factors, and relationship to disease-modifying therapy. In addition, we describe several clinical, nutritional, and social aspects of MS. MethodsA descriptive cross-sectional study was conducted in Jeddah, Saudi Arabia. The target sample in this study consisted of patients in Saudi Arabia with MS. Data collected included a depression questionnaire based on PHQ9, compliance on therapy, the preferred therapy, and the impact of the disease on daily activity and economic state. ResultsA total of 341 Saudi MS patients were enrolled in the present study. The gender distribution showed that 65.4% (n=223) of the study population were females. The mean age of the patients was 34.80±9.907 years. Most of the patients who were included in this study (95.6%) had depressive symptoms in variant levels. Variable changes in depression levels were detected in both genders specifically moderate depression was most common in males (33%) while females had moderately severe depression (38%). Numbers of relapses, future vision, and changes in workout were associated with statistically significant depression levels. ConclusionDepressive symptoms are common in patients with MS. Although all disease-modifying therapies are available in Saudi Arabia, MS clinics with multidisciplinary care are not yet efficiently activated. Nonpharmacological interventions such as smoking cessation, exercise, and psychological health should be part of the management of any patient with MS.

show abstract

Occupational Therapy in Fatigue Management in Multiple Sclerosis: An Umbrella Review

Cited by 12 publications

References 30 publications

Appreciating the experience of multiple sclerosis fatigue

Appreciating the experience of multiple sclerosis fatigue

Role of Rehabilitation in Promoting Engagement in Daily Life in Multiple Sclerosis

Multiple Sclerosis in Saudi Arabia: Clinical, Social, and Psychological Aspects of the Disease

Contact Info

Product

Resources

About