EFFECT OF FATIGUE MANAGEMENT PROTOCOL IN PATIENTS WITH STROKE: A RANDOMIZED CONTROLLED TRIAL

N Manikandan, Esha Goyal

Research output: Contribution to conferenceAbstract

Abstract

INTRODUCTION: Post stroke Fatigue (PSF) has detrimental effects on functional recovery, ADL, quality of life and emotional status of the patient. Fatigue management is generally overlooked in patients with stroke. Suggestions and recommendations exist for fatigue management however there is no evidence to prove the effect of these interventions on post stroke fatigue.

OBJECTIVE: To determine the effect of fatigue management protocol on fatigue and activities of daily living (ADL) in patients with stroke.
METHODS: Twenty stroke survivors who were medically stable, able to sit independently and with fatigue severity score ≥4, were randomly allocated into control and experimental group. Control group participants received standard hospital protocol for stroke management while experimental group participants received fatigue management protocol in addition to the standard exercises. Fatigue management protocol consisted of education about fatigue, its management strategies and specific exercises to improve muscular strength and cardiovascular endurance. Treatment was given for 30 minutes per day with adequate rest periods for 5 days a week for 4 weeks. Baseline and post treatment assessment was done using fatigue severity scale and fatigue assessment scale and Barthel index for all the participants. Statistical analysis was done for the data using non parametric tests.
RESULTS:
Fatigue severity scale scores showed statistically significant change in the experimental group over control group (p=0.001) whereas fatigue assessment scale and Barthel index scores improved equally in both groups (p=0.067)
CONCLUSION: Fatigue management protocol was more effective than standard treatment in alleviating subjective fatigue of stroke patients. However, it is equally effective as standard treatment in improving independence of activities of daily living in stroke patients with fatigue.
Original languageEnglish
Pages398-398
Number of pages1
DOIs
Publication statusPublished - 2018
EventWorld Congress of Neuro Rehabilitation - Mumbai, Mumbai, India
Duration: 08-02-201810-02-2018

Conference

ConferenceWorld Congress of Neuro Rehabilitation
Abbreviated titleWCNR
CountryIndia
CityMumbai
Period08-02-1810-02-18

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Fatigue
Randomized Controlled Trials
Stroke
Activities of Daily Living
Control Groups
Exercise
Therapeutics
Survivors

Cite this

Manikandan, N., & Goyal, E. (2018). EFFECT OF FATIGUE MANAGEMENT PROTOCOL IN PATIENTS WITH STROKE: A RANDOMIZED CONTROLLED TRIAL. 398-398. Abstract from World Congress of Neuro Rehabilitation, Mumbai, India. https://doi.org/10.1177/1545968318765498
Manikandan, N ; Goyal, Esha. / EFFECT OF FATIGUE MANAGEMENT PROTOCOL IN PATIENTS WITH STROKE: A RANDOMIZED CONTROLLED TRIAL. Abstract from World Congress of Neuro Rehabilitation, Mumbai, India.1 p.
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abstract = "INTRODUCTION: Post stroke Fatigue (PSF) has detrimental effects on functional recovery, ADL, quality of life and emotional status of the patient. Fatigue management is generally overlooked in patients with stroke. Suggestions and recommendations exist for fatigue management however there is no evidence to prove the effect of these interventions on post stroke fatigue.OBJECTIVE: To determine the effect of fatigue management protocol on fatigue and activities of daily living (ADL) in patients with stroke.METHODS: Twenty stroke survivors who were medically stable, able to sit independently and with fatigue severity score ≥4, were randomly allocated into control and experimental group. Control group participants received standard hospital protocol for stroke management while experimental group participants received fatigue management protocol in addition to the standard exercises. Fatigue management protocol consisted of education about fatigue, its management strategies and specific exercises to improve muscular strength and cardiovascular endurance. Treatment was given for 30 minutes per day with adequate rest periods for 5 days a week for 4 weeks. Baseline and post treatment assessment was done using fatigue severity scale and fatigue assessment scale and Barthel index for all the participants. Statistical analysis was done for the data using non parametric tests. RESULTS: Fatigue severity scale scores showed statistically significant change in the experimental group over control group (p=0.001) whereas fatigue assessment scale and Barthel index scores improved equally in both groups (p=0.067) CONCLUSION: Fatigue management protocol was more effective than standard treatment in alleviating subjective fatigue of stroke patients. However, it is equally effective as standard treatment in improving independence of activities of daily living in stroke patients with fatigue.",
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Manikandan, N & Goyal, E 2018, 'EFFECT OF FATIGUE MANAGEMENT PROTOCOL IN PATIENTS WITH STROKE: A RANDOMIZED CONTROLLED TRIAL' World Congress of Neuro Rehabilitation, Mumbai, India, 08-02-18 - 10-02-18, pp. 398-398. https://doi.org/10.1177/1545968318765498

EFFECT OF FATIGUE MANAGEMENT PROTOCOL IN PATIENTS WITH STROKE: A RANDOMIZED CONTROLLED TRIAL. / Manikandan, N; Goyal, Esha.

2018. 398-398 Abstract from World Congress of Neuro Rehabilitation, Mumbai, India.

Research output: Contribution to conferenceAbstract

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AU - Goyal, Esha

PY - 2018

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N2 - INTRODUCTION: Post stroke Fatigue (PSF) has detrimental effects on functional recovery, ADL, quality of life and emotional status of the patient. Fatigue management is generally overlooked in patients with stroke. Suggestions and recommendations exist for fatigue management however there is no evidence to prove the effect of these interventions on post stroke fatigue.OBJECTIVE: To determine the effect of fatigue management protocol on fatigue and activities of daily living (ADL) in patients with stroke.METHODS: Twenty stroke survivors who were medically stable, able to sit independently and with fatigue severity score ≥4, were randomly allocated into control and experimental group. Control group participants received standard hospital protocol for stroke management while experimental group participants received fatigue management protocol in addition to the standard exercises. Fatigue management protocol consisted of education about fatigue, its management strategies and specific exercises to improve muscular strength and cardiovascular endurance. Treatment was given for 30 minutes per day with adequate rest periods for 5 days a week for 4 weeks. Baseline and post treatment assessment was done using fatigue severity scale and fatigue assessment scale and Barthel index for all the participants. Statistical analysis was done for the data using non parametric tests. RESULTS: Fatigue severity scale scores showed statistically significant change in the experimental group over control group (p=0.001) whereas fatigue assessment scale and Barthel index scores improved equally in both groups (p=0.067) CONCLUSION: Fatigue management protocol was more effective than standard treatment in alleviating subjective fatigue of stroke patients. However, it is equally effective as standard treatment in improving independence of activities of daily living in stroke patients with fatigue.

AB - INTRODUCTION: Post stroke Fatigue (PSF) has detrimental effects on functional recovery, ADL, quality of life and emotional status of the patient. Fatigue management is generally overlooked in patients with stroke. Suggestions and recommendations exist for fatigue management however there is no evidence to prove the effect of these interventions on post stroke fatigue.OBJECTIVE: To determine the effect of fatigue management protocol on fatigue and activities of daily living (ADL) in patients with stroke.METHODS: Twenty stroke survivors who were medically stable, able to sit independently and with fatigue severity score ≥4, were randomly allocated into control and experimental group. Control group participants received standard hospital protocol for stroke management while experimental group participants received fatigue management protocol in addition to the standard exercises. Fatigue management protocol consisted of education about fatigue, its management strategies and specific exercises to improve muscular strength and cardiovascular endurance. Treatment was given for 30 minutes per day with adequate rest periods for 5 days a week for 4 weeks. Baseline and post treatment assessment was done using fatigue severity scale and fatigue assessment scale and Barthel index for all the participants. Statistical analysis was done for the data using non parametric tests. RESULTS: Fatigue severity scale scores showed statistically significant change in the experimental group over control group (p=0.001) whereas fatigue assessment scale and Barthel index scores improved equally in both groups (p=0.067) CONCLUSION: Fatigue management protocol was more effective than standard treatment in alleviating subjective fatigue of stroke patients. However, it is equally effective as standard treatment in improving independence of activities of daily living in stroke patients with fatigue.

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DO - 10.1177/1545968318765498

M3 - Abstract

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