Randomized controlled trial of cognitive behavioral therapy versus health education for sleep disturbance and fatigue following stroke and traumatic brain injury

Journal of Rehabilitation Medicine, Journal Year: 2025, Volume and Issue: 57, P. jrm41302 - jrm41302

Published: Jan. 3, 2025

Objective: Evaluate efficacy of cognitive behavioural therapy for sleep and fatigue adapted brain injury relative to health education control in alleviating disturbance after acquired injury. Design: Parallel groups randomized controlled trial. Subjects: 126 community dwelling adults with stroke or traumatic Methods: Participants were 2:1 receive 8-weeks (n = 86) 40). The Pittsburgh Sleep Quality Index was assessed pre- post-treatment, 2 4-months secondary measures insomnia, fatigue, sleepiness, mood, quality life, activity levels, self-efficacy, actigraphy. Results: Both showed improved by 4-month follow-up. However, had significantly larger more rapid improvements than immediately post-treatment (β –1.50, p < 0.001, 95% confidence interval –2.35 –0.64). There no significant between-groups differences fatigue; however, within-group gains on both over time –0.29, 0.047, –0.58 –0.01). Health delayed at follow-up 1 measure. Conclusions: led improvement effects post-treatment. This supports the but also highlights that may result symptoms. ANZCTR Trial registration numbers: 1261700087830; 12617000879369

Language: Английский

---

The role of nutritional supplement on post-stroke fatigue: a pilot randomized controlled trial

The journal of nutrition health & aging, Journal Year: 2024, Volume and Issue: 28(7), P. 100256 - 100256

Published: May 1, 2024

Post-stroke fatigue (PSF) is an experience characterized by early feeling of exhaustion with fatigue, a lack energy, and difficulty in exertion, both motor cognitive. To counteract limit its effects on activities daily living, the use vitamins minerals known addition to pharmacological approach. However, few studies have evaluated effect vitamin mineral supplementation management. SiderAL® Med food for special medical purposes complete formulation containing vitamins, sucrosomal minerals, copper algal calcium. The aim study evaluate whether nutritional improves symptom cognitive function stroke patients.

Language: Английский

---

Understanding neural mechanisms and the use of targeted non-invasive brain stimulation for treatment of post-stroke fatigue: A scoping review

Journal of the Neurological Sciences, Journal Year: 2025, Volume and Issue: 470, P. 123399 - 123399

Published: Jan. 21, 2025

Language: Английский

---

Evidence of physiological changes associated with single-session pre-frontal tDCS: a pilot study

Frontiers in Human Neuroscience, Journal Year: 2025, Volume and Issue: 19

Published: Feb. 25, 2025

Transcranial direct current stimulation (tDCS), a non-invasive, painless method of applying electrical to specific areas the brain, is an effective for enhancing attention and post-stroke fatigue, as shown by behavioral improvements in populations. While evidence supports this method, there paucity physiological data corroboration improvement. The study designed investigate if single session tDCS will improve fatigue relevant methods persons with aphasia. Ten participants (5 male; mean age: 62.8) engaged two identically structured collection sessions at least 3-day wash-out period between them. Sessions started sustained task simultaneous electroencephalography (EEG) pupillometry collection, followed training program active or sham tDCS. Following tDCS, repeated EEG collection. Participants received during one session, other, order randomized. No differences conditions were found either results from (i.e., reaction time correct responses; n = 9 p 0.39) measured state any four states: no (n 10, 0.83), distracted 0.20), moderate 0.95), high 0.62). Pupil dilation was significantly greater post-active condition than pre-training < 0.01). lessened increase task-based beginning end such that significant when 0.01) but change 0.12). Changes pupil diameter observed suggest activation locus coeruleus-norepinephrine (LC-NE) pathway within administration, lack changes response states indicate effect on behaviorally same timeframe. Responses terms subjective rating varied individual participants; overall, mitigated fatigue. More research needed relationship.

Language: Английский

---

Development of the Fatigue Interference and Severity Scale for Aphasia

American Journal of Speech-Language Pathology, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 14

Published: March 28, 2025

Purpose: Poststroke fatigue, which is characterized by an overwhelming feeling of exhaustion that affects daily life, prevalent among stroke survivors and can negatively affect cognition, motor function, employment, life participation, quality life. However, individuals with aphasia are often excluded from fatigue studies because communication barriers, leading to underdiagnosis inaccurate picture the occurrence impact poststroke in persons aphasia. Method: This study aimed develop a more aphasia-accessible tool would be similar Fatigue Severity Scale (FSS), self-reported measure commonly used identify significant fatigue. The Interference for Aphasia (FISS-A) was developed using modified nominal group technique involving two focus groups: speech-language pathologists. groups provided feedback on format, wording, administration, response methods FSS. Focus led several key recommendations, including simplifying language, increasing text spacing font size, incorporating images, enabling nonverbal responses. Results: FISS-A retains original nine items FSS but presents them lexical syntactic modifications enhance clarity comprehensibility Visual aids explicit instructions providers were added ensure accurate administration collection. An additional open-ended item included capture any fatigue-related symptoms not covered standard items, visual analog scales collect ratings general severity its language ability. Conclusions: highlights importance creating accessible assessment tools clinical research purposes. Future will validating across diverse populations exploring integration into practice.

Language: Английский

---

Changes in fatigue after first-ever ischemic stroke and their associations with changes in physical fitness, body composition, and physical activity

Journal of Stroke and Cerebrovascular Diseases, Journal Year: 2025, Volume and Issue: unknown, P. 108297 - 108297

Published: March 1, 2025

The objectives of the present study were 1) to describe changes in fatigue from 3 12 months post-stroke and compare different patterns with respect concurrent physical fitness, body composition, activity levels, 2) explore whether are associated levels patients recovering first-ever ischemic stroke. In this longitudinal observational study, we assessed 72 (mean age 62 years, 36% females) at after Fatigue was measured 7-item Severity Scale. Physical composition using cardiopulmonary exercise testing, function tests, Dual-energy X-ray Absorptiometry, accelerometers. stable between 44 (61%) patients, decreased 14 (19%), increased another (19%). Patients showed a greater decrease cardiorespiratory as directly by peak oxygen uptake, compared those fatigue. Robust regression analysis, adjusted for sex, indicated that each kilogram lean mass gained significantly 0.3-point reduction during same timeframe (B= -0.32; 95%CI [-0.51, -0.12]). There considerable individual variation fatigue, following Increased linked decline while decreases

Language: Английский

---

Early poststroke clinically significant fatigue predicts functional independence: a prospective longitudinal study

Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15

Published: June 11, 2024

Background Poststroke fatigue is a prevalent issue among stroke survivors, significantly impeding functional recovery and diminishing their quality of life. Aim This prospective cohort study aims to investigate the association between poststroke extent in survivors ischemic hemorrhagic strokes. Additionally, it seeks delineate temporal progression these two subtypes. Methods We assessed 79 patients recovering from acute or was quantified using Fatigue Severity Scale (FSS) Numeric Rating (NRS ). Patients’ condition evaluated National Institute Health Stroke (NIHSS), independence levels were determined Barthel Index for Activities Daily Living (BIADL) Modified Rankin (MRS). Depressive mood pain measured Beck Depression Inventory (BDI) (NRSpain), respectively. Results Our primary findings indicate that early manifestation clinically significant (CSF) predictive poorer trajectory during recovery. Furthermore, we observed differing patterns tends ameliorate over time cases, paralleling recovery, while remains stable cases. Conclusion results underscore detrimental impact on long-term outcomes. they highlight imperative managing fatigue, particularly subacute phase

Language: Английский

---

Effect of high-definition transcranial direct current stimulation among late-subacute and chronic stroke survivors with fatigue: A randomized-controlled crossover trial protocol

MethodsX, Journal Year: 2024, Volume and Issue: 12, P. 102629 - 102629

Published: Feb. 23, 2024

Language: Английский

---

Prevalence, Trajectory, and Predictors of Post-stroke Fatigue in Older Adults

Archives of Physical Medicine and Rehabilitation, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 1, 2024

Language: Английский

---

Clinical and neuroanatomical predictors of post-stroke fatigue

Journal of Stroke and Cerebrovascular Diseases, Journal Year: 2024, Volume and Issue: 33(6), P. 107708 - 107708

Published: April 4, 2024

Language: Английский

---