چکیده:
This paper reviews the current literature examining the pervasive symptom of fatigue experienced in three of the most common degenerative neurological conditions: multiple sclerosis (MS), Parkinson’s disease (PD) and post-polio syndrome (PPS). The existing literature can be considered under four headings definition and prevalence, type, cause, impact of fatigue. Fatigue is a common symptom in degenerative conditions and has physical, cognitive and psychosocial manifestations. Although the causes of fatigue seem to differ between conditions, its pattern, with few exceptions, is very similar regardless of diagnosis. The literature consistently shows that the impact of fatigue on the person’s physical and mental performance considerably increasing the risk of unemployment and reduced quality of life. Fatigue is one of the most disabling symptoms in degenerative neurological conditions. With few pharmacological solutions, non-pharmacological solutions for fatigue management should be considered when determining rehabilitation interventions for this group of people.
خلاصه ماشینی:
Packer School of Occupational Therapy, Dalhousie University, Halifax, Canada This paper reviews the current literature examining the pervasive symptom of fatigue experienced in three of the most common degenerative neurological conditions: multiple sclerosis (MS), Parkinson’s disease (PD) and post-polio syndrome (PPS).
Keywords: fatigue, neurological conditions, multiple sclerosis, Parkinson’s disease, post-polio syndrome Submitted: 20 September 2013 Accepted: 10 November 2013 Introduction Fatigue is a common symptom experienced by virtually everyone at some time during life.
There is a vast amount of research on fatigue in different conditions however studies on progressive neurological conditions report both similarities and differences with respect to prevalence rates, causes, types and impact on life.
Hence this paper is a review of the current literature with a focus on multiple sclerosis (MS), Parkinson’s disease (PD) and post-polio syndrome (PPS) as three of the most common progressive neurological conditions.
A prevalence study by Friedman & Friedman (21) using the modified version of the Fatigue Severity Scale (FSS) showed that 67% of 58 people with PD rated their fatigue as different to the fatigue experiences before the onset of the disease.
4- Impact of Fatigue on Daily Life There is evidence for reduced levels of activity participation and negative emotional consequences as a result of fatigue in chronic neurological conditions.
Packer, Sauriol and Brouwer (18) used the Fatigue Severity Scale and the Human Activity Profile (HAP) to assess fatigue and activity level in people with and without chronic neurological conditions in comparison with a control group.