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Visual Problems are Associated with Long-Term Fatigue after Stroke.
Synne Garder Pedersen1, Mari Løkholm2, Oddgeir Friborg3
1Department of Rehabilitation, University Hospital of North Norway. synnegp@hotmail.com.
Journal of Rehabilitation Medicine
|January 30, 2023
Summary
Severe fatigue impacts many stroke survivors long after their stroke. This study found that issues with energy, mood, and vision independently contribute to this persistent fatigue, guiding potential rehabilitation strategies.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Psychology
Background:
- Post-stroke fatigue is a common and debilitating symptom affecting patient functioning, even after mild strokes.
- Understanding the factors contributing to long-term fatigue is crucial for developing effective rehabilitation interventions.
Purpose of the Study:
- To identify the independent contribution of 12 function-related domains to severe long-term fatigue in stroke survivors.
- To guide rehabilitation efforts by pinpointing specific areas associated with persistent fatigue.
Main Methods:
- An observational follow-up study included 144 stroke survivors (mean age 67.3 years).
- Fatigue was assessed 3-4 years post-stroke using the Fatigue Severity Scale (cut-off ≥5).
- The Stroke-Specific Quality of Life scale (12 domains), demographics, and baseline stroke characteristics were analyzed as independent variables.
Main Results:
- Thirty-five percent of participants reported severe fatigue 3-4 years post-stroke.
- All 12 domains of the Stroke-Specific Quality of Life scale were significantly associated with fatigue.
- Independently associated with severe fatigue were the domains of "energy", "mood", and "vision" after adjusting for demographic and stroke characteristics.
Conclusions:
- Self-reported visual problems are linked to increased fatigue in stroke survivors.
- Further research is needed to confirm the association between visual issues and post-stroke fatigue.
- Visual assessment and rehabilitation may offer a potential strategy to alleviate fatigue in specific stroke patient populations.
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