The effect of energy conservation strategies on fatigue, function, and quality of life in adults with motor neuron disease: Randomized controlled trial
Current Journal of Neurology
; 21(2):83-90, 2022.
Artigo
em Inglês
| EMBASE | ID: covidwho-2033507
ABSTRACT
Background:
Fatigue is one of the most frequent complaints in patients with motor neuron diseases (MNDs), with a significant impact on the quality of life (QOL). There is lack of enough evidence for current pharmacological or non-pharmacological treatments of fatigue in this population to be applied in clinical setting. Energy conservation strategies are one of the key interventions for fatigue management in chronic diseases. We aimed to investigate the effect of applying these techniques in the fatigue management of patients with MND.Methods:
This randomized controlled trial (RCT) study was carried out on 28 patients with MND. Participants were randomly assigned to either the intervention or control group. In addition to routine treatment, patients in the intervention group participated in 3 weekly 1-hour energy conservation programs provided by an experienced occupational therapist. The Fatigue Severity Scale (FSS) score, 36-Item Short Form Survey (SF-36), and Canadian Occupational Performance Measure (COPM) were measured at baseline, immediately after the last intervention session, and one month later.Results:
FSS and COPM significantly changed after the course in the intervention group (P < 0.001 and P = 0.001, respectively). Both FSS and COPM improved significantly toward the final assessment only in the intervention group. The SF-36 changes were not significant in each of the groups.Conclusion:
According to the findings of the present study, using energy conservation strategies could lead to better mid-term fatigue management and occupational performance improvement, but it did not improve QOL in patients with MND.
IRCT20210505051194N1; adult; Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised; article; Beck Depression Inventory; clinical article; clinical trial; controlled study; coronavirus disease 2019; demographics; drug therapy; energy conservation; environmental change; fatigue; Fatigue Severity Scale; female; human; lower limb; male; middle aged; Mini Mental State Examination; motor neuron disease; occupational therapist; occupational therapy; outcome assessment; Pittsburgh Sleep Quality Index; psychoeducation; quality of life; randomization; randomized controlled trial; Short Form 36; teaching; training; upper limb
Texto completo:
Disponível
Coleções:
Bases de dados de organismos internacionais
Base de dados:
EMBASE
Tipo de estudo:
Estudo experimental
/
Ensaios controlados aleatorizados
Idioma:
Inglês
Revista:
Current Journal of Neurology
Ano de publicação:
2022
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS