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Managing Poststroke Fatigue Using Telehealth: A Case Report.

Nicole Boehm1, Hannah Muehlberg2, Jan E Stube3

  • 1Nicole Boehm, MOT, OTR/L, is Occupational Therapist, Asante Health System, Medford, OR.

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Summary
This summary is machine-generated.

Telehealth delivery of an energy conservation course effectively reduced poststroke fatigue (PSF) and improved occupational performance in a single patient. This pilot study suggests telehealth is a viable option for managing fatigue after stroke.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Poststroke fatigue (PSF) is a common and disabling condition affecting survivors' quality of life.
  • Energy conservation techniques are crucial for managing PSF, but access to interventions can be limited.
  • Telehealth offers a potential solution to broaden access to rehabilitation services.

Observation:

  • A 70-year-old male participant with PSF underwent an 8-week teleconference-delivered energy conservation program.
  • Screening utilized a custom questionnaire and the Patient-Reported Outcomes Measurement Information System Fatigue Short Form 7a.
  • Pretest and posttest data were collected using the Fatigue Impact Scale (FIS) and Canadian Occupational Performance Measure (COPM).

Findings:

  • The participant reported decreased fatigue impact on the FIS post-intervention.
  • Occupational performance and satisfaction, measured by the COPM, showed modest improvements.
  • The results indicate a positive response to the telehealth-delivered energy conservation course.

Implications:

  • Telehealth delivery of energy conservation interventions shows promise for managing PSF.
  • This approach may improve accessibility and outcomes for individuals with poststroke fatigue.
  • Further research with larger sample sizes is warranted to confirm these findings and explore broader applicability.