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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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Measuring the Motor Aspect of Cancer-Related Fatigue using a Handheld Dynamometer

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Managing post-stroke fatigue: A qualitative study to explore multifaceted clinical perspectives.

Avril Drummond¹, Fiona Nouri¹, Joanne Ablewhite¹

¹Faculty of Medicine and Health Sciences, University of Nottingham, Floor B, Medical School, Queen's Medical Centre, Nottingham, UK.

The British Journal of Occupational Therapy

|May 8, 2025

Summary

Clinicians managing post-stroke fatigue (PSF) use similar strategies across professions, often relying on personal clinical knowledge due to limited evidence-based guidance for this common condition.

Keywords:

clinicians fatigue management post-stroke fatigue self-management stroke

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Area of Science:

Neurology
Rehabilitation Medicine
Clinical Psychology

Background:

Post-stroke fatigue (PSF) is a prevalent and disabling condition affecting stroke survivors.
Effective management of PSF is crucial, yet current clinical practice lacks substantial evidence-based guidance.

Purpose of the Study:

To explore the experiences and perspectives of clinicians who routinely manage patients experiencing fatigue after a stroke.
To identify common themes and strategies employed in the management of PSF.

Main Methods:

A qualitative interview study was conducted with a purposeful sample of approximately 20 participants.
Maximum variation sampling ensured representation across different clinical settings.
Data were analyzed using an iteratively developed framework approach.

Main Results:

Twenty participants were recruited, including occupational therapists, physiotherapists, nurses, and psychologists, with some international 'fatigue experts'.
Core themes identified regarding management strategies were consistent across professional backgrounds, settings, and conditions.
Occupational therapists reported a significant responsibility for fatigue management, with all participants emphasizing multidisciplinary teamwork.

Conclusions:

Clinicians' experiences in managing PSF and fatigue show considerable overlap across various conditions and professional groups.
Current clinical practice for PSF management is predominantly informed by individual clinical expertise rather than established evidence.