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Poststroke Fatigue at Admission is Associated With Independence Levels of Activities of Daily Living at Discharge From Subacute Rehabilitation Wards.

Authors
  • Oyake, Kazuaki1
  • Otaka, Yohei2
  • Matsuura, Daisuke3
  • Honaga, Kaoru3
  • Mori, Naoki3
  • Kondo, Kunitsugu3
  • 1 Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba, Japan; Department of Physical Therapy, School of Health Sciences, Shinshu University, Nagano, Japan. , (Japan)
  • 2 Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba, Japan; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Aichi, Japan. Electronic address: [email protected] , (Japan)
  • 3 Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba, Japan. , (Japan)
Type
Published Article
Journal
Archives of physical medicine and rehabilitation
Publication Date
May 01, 2021
Volume
102
Issue
5
Pages
849–855
Identifiers
DOI: 10.1016/j.apmr.2020.10.117
PMID: 33161009
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To determine whether poststroke fatigue at admission is associated with the degree of independence in activities of daily living in patients with stroke at discharge from subacute rehabilitation wards. Retrospective cohort study. Subacute rehabilitation hospital. A consecutive sample of patients (N=156) with stroke who were admitted to a subacute rehabilitation ward between December 2012 and November 2013 were enrolled in the study. Not applicable. Poststroke fatigue was assessed using the Fatigue Severity Scale within 2 weeks of admission. Poststroke fatigue was defined as the mean score of 4 points or more from among 9 items in the Fatigue Severity Scale. Functional outcome was assessed by using FIM motor items. Fifty-six (35.9%) of the 156 participants had poststroke fatigue at admission. The scores of the FIM motor items at admission and discharge were significantly lower in the fatigue group than in the nonfatigue group (P<.05). Multiple regression analysis with potentially confounding variables revealed that poststroke fatigue was a significant independent factor for discharge FIM motor items score (P<.05). Poststroke fatigue at admission was significantly associated with functional outcome at discharge from subacute rehabilitation wards. Our findings emphasize that rehabilitation professionals need to manage poststroke fatigue in addition to providing the interventions to improve daily activities in patients with subacute stroke. Copyright © 2020 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

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