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Assessment of Post-Stroke Fatigue: The Fatigue Scale for Motor and Cognitive Functions

机译：脑卒中后疲劳的评估：运动和认知功能的疲劳量表

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Background/Aims: Post-stroke fatigue (PSF) is an important but still controversial issue since knowledge on its nature is still humble. The aim of the present study was to characterize PSF beyond the subacute phase. Methods: Thirty-one stroke patients (gender: 6 female, 25 male; age range: 35-76 years; 28 patients with ischemic stroke, 3 patients with hemorrhagic stroke; mean delay after stroke: 50.65 ± 31.57 days) were recruited and assessed by measures of fatigue (Fatigue Scale for Motor and Cognitive Functions [FSMC], Fatigue Severity Scale, and Modified Fatigue Impact Scale), depression (Beck Depression Inventory Fast Screen), cognition (Brief Repeatable Battery of Neuropsychological Tests) and upper and lower extremity functions (Nine-Hole Peg Test and 25-foot walk). Results: Depending on the different scales, PSF prevalence ranged from 16.1 to 58.1%. Depression measures correlated significantly (r(29) ≥ 0.46; p < 0.01) with the results of all fatigue scales. Seventy-one percent of patients showed cognitive deficits in at least one cognitive domain. Cognitive fatigue measured by one subscale of the FSMC correlated most significantly with mental speed, working memory, and verbal short-term memory, while the motor subscale was associated with upper and lower extremity functions, mental speed, visual short-term memory, and working memory. A differentiation between lesion localization and fatigue severity in the motor or cognitive domain was only possible when applying the FSMC. Patients with cortical lesions scored higher on the cognitive subscale, while patients with subcortical lesions showed higher physical subscale scores. Conclusion: The present pilot study revealed differences between lesion localization and subdomains of fatigue after stroke by applying a new fatigue scale (FSMC). The results underline the necessity for separate assessment of motor and cognitive fatigue in stroke patients.
机译：背景/目的：脑卒中后疲劳（PSF）是一个重要但仍存在争议的问题，因为其本质知识仍然很薄弱。本研究的目的是表征亚急性期后的PSF。方法：招募并评估了31名中风患者（性别：6名女性，25名男性;年龄范围：35-76岁; 28例缺血性中风，3例出血性中风;中风后平均延迟：50.65±31.57天）通过疲劳（运动和认知功能的疲劳量表[FSMC]，疲劳严重度量表和修正的疲劳影响量表），抑郁症（贝克抑郁量表快速筛查），认知（神经心理测验的简述可重复电池）以及上肢和下肢的测量功能（九孔钉测试和25英尺步行）。结果：根据不同的规模，PSF的患病率在16.1％至58.1％之间。抑郁测量与所有疲劳量表的结果均具有显着相关性（r（29）≥0.46; p <0.01）。 71％的患者在至少一个认知领域表现出认知缺陷。由FSMC的一个子量表测量的认知疲劳与精神速度，工作记忆和言语短期记忆最相关，而运动子量表与上下肢功能，心理速度，视觉短期记忆和工作相关记忆。仅在应用FSMC时才可能在运动或认知领域区分病变部位和疲劳严重程度。皮质病变患者在认知子量表上得分较高，而皮质病变患者在物理子量表上得分较高。结论：当前的初步研究通过应用新的疲劳量表（FSMC）揭示了卒中后病变部位与疲劳子域之间的差异。结果强调了对卒中患者运动和认知疲劳进行单独评估的必要性。

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