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Muscle Recovery and Fatigue01:24

Muscle Recovery and Fatigue

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Muscle fatigue refers to the decline in a muscle's ability to maintain the force of contraction after prolonged activity. It primarily stems from changes within muscle fibers. Even before experiencing muscle fatigue, one may feel tired and have the urge to stop the activity. This response, known as central fatigue, occurs due to changes in the central nervous system, namely the brain and spinal cord. While there is no single mechanism that induces fatigue, it may serve as a protective...
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Functional Recovery in Acute and Subacute Stroke Patients With or Without Post-stroke Fatigue.

Juwon Lee1, Gowun Kim1

  • 1Department of Rehabilitation Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea.

Brain & Neurorehabilitation
|December 9, 2024
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Summary

Post-stroke fatigue (PSF) affects daily living recovery in stroke survivors. Managing early fatigue positively impacts functional outcomes during rehabilitation.

Keywords:
Activities of Daily LivingFatigueProspective StudyStroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Psychology

Background:

  • Post-stroke fatigue (PSF) is a common and debilitating symptom affecting stroke survivors.
  • Understanding the impact of PSF on functional recovery is crucial for optimizing rehabilitation strategies.

Purpose of the Study:

  • To investigate the influence of post-stroke fatigue (PSF) on functional recovery in acute and subacute stroke patients undergoing inpatient rehabilitation.
  • To identify the relationship between PSF and various functional outcome measures.

Main Methods:

  • Retrospective review of medical records for 177 stroke patients.
  • Assessment of PSF using the Fatigue Severity Scale (FSS)-9, categorizing patients into PSF and non-PSF groups.
  • Evaluation of functional recovery using the Functional Ambulation Category (FAC), Berg Balance Test, Korean version of the Modified Barthel Index (K-MBI), and Mini-Mental State Examination-Korean version (MMSE-K).

Main Results:

  • The prevalence of PSF was 52.5% among the studied patients.
  • Significant time effects were observed on FAC and K-MBI, indicating overall functional improvement.
  • A significant time × group interaction on K-MBI suggested that PSF influenced the recovery of activities of daily living (ADL).

Conclusions:

  • Post-stroke fatigue significantly impacts the recovery of activities of daily living (ADL) in stroke patients.
  • Early management and regulation of fatigue are recommended to positively influence functional recovery during stroke rehabilitation.