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Fatigue in patients with acquired brain damage
A Juárez-Belaúnde1, E Orcajo1, S Lejarreta1
1Unidad Avanzada de Neurorrehabilitación, Hospital Los Madroños, Madrid, España.
Neurologia
|September 20, 2021
Summary
Fatigue is common after brain injury, impacting neurorehabilitation. This review covers its causes and treatments like bright light therapy and neurofeedback to aid professionals.
Area of Science:
- Neuroscience and Rehabilitation Medicine
Background:
- Fatigue is a prevalent, complex syndrome following acquired brain damage (ABD).
- It significantly hinders neurorehabilitation, persisting long after initial injury.
- Prevalence varies widely: 29-77% post-stroke, 18-75% post-traumatic brain injury, 47-97% post-brain tumor.
Purpose of the Study:
- To guide neurorehabilitation professionals in identifying modifiable fatigue factors.
- To outline current treatment strategies for reducing fatigue's impact on patients.
Main Methods:
- Review of existing literature on fatigue in acquired brain injury.
- Discussion of assessment tools, including the Fatigue Severity Scale (FSS).
- Exploration of advanced diagnostic imaging, such as functional MRI.
- Summary of non-pharmacological treatment options.
Main Results:
- Fatigue is linked to factors like sex, age, comorbidities, mood, and prior functional status.
- No specific pharmacological treatments are currently established for post-ABD fatigue.
- Conventional neurorehabilitation therapies show promise in managing fatigue.
Conclusions:
- Understanding modifiable factors is crucial for effective fatigue management in neurorehabilitation.
- Therapies including bright light, neurofeedback, electrical stimulation, and TMS offer potential benefits.
- Further research into targeted fatigue interventions post-ABD is warranted.
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