欣赏多发性硬化症疲劳的经验
Toni Van Denend1, Maureen Gecht-Silver2, Jacqueline Kish3
1Department of Occupational Therapy, University of Illinois Chicago, Chicago, IL, USA.
The British journal of occupational therapy
|May 8, 2025
概括
患有多发性硬化症 (MS) 的人以各种方式描述他们的疲劳,这会影响他们的日常参与. 了解这些经验是有效管理和支持的关键.
科学领域:
- 神经学 神经学
- 职业疗法 职业疗法 职业疗法
- 定性研究是指质量研究.
背景情况:
- 疲劳是多发性硬化症 (MS) 的普遍和衰弱症状之一.
- 多发性硬化症疲劳严重阻碍参与日常角色和活动.
- 有效地管理MS疲劳对于改善生活质量至关重要.
研究的目的:
- 探索MS患者如何描述和解释他们的疲劳经历.
- 为了更深入地了解MS疲劳的人生经验.
- 在临床实践中为疲劳管理策略提供信息.
主要方法:
- 从疲劳管理随机临床试验中对干预人员治疗笔记的二次定性分析.
- 分析了85名参与者的主观和客观临床文档.
- 使用了具有多相编码的定性研究设计.
主要成果:
- 确定了四个主要主题:疲劳的性质,斗争,应对疲劳的现实以及对参与的影响.
- 发现了11个子主题,在主要主题中提供了细微细节.
- 突出了MS患者表达疲劳的各种方式.
结论:
- 对MS疲劳的主观描述是多样化和复杂的.
- 这些发现可以增强职业治疗师对MS疲劳的同情心和理解.
- 更好的理解有助于更好的协作和支持的个人与MS疲劳.
相关概念视频
Muscle Recovery and Fatigue
1.8K
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...
1.8K
Fatigue
166
Fatigue occurs when materials rupture under repeated or fluctuating loads, even at stress levels far below their static breaking strength. It typically results in brittle failure, even for ductile materials. It is a critical consideration in designing machines and structural components subjected to repetitive or varying loads. The nature of these loadings can range from fluctuating loads like unbalanced pump impellers causing vibrations to repeatedly bending a thin steel rod wire back and forth...
166
Myasthenia Gravis: Overview and Treatment
977
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
977
Myasthenia Gravis: Diagnostic Tests
545
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
545
Disorders of the Skeletal Muscle
828
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
828
Fatigue Strength of Concrete
140
Fatigue, in the context of materials science and engineering, refers to the weakening or failure of a material caused by repeatedly applied loads, even if these loads are below the strength limit of the material. Fatigue strength in concrete is a critical property that influences its durability and longevity. Concrete can fail in two ways due to fatigue. Static fatigue or creep rupture occurs under a constant load or one that increases slowly. The other failure mode is due to cyclical or...
140


