Research Square (Research Square),
Journal Year:
2023,
Volume and Issue:
unknown
Published: May 31, 2023
Abstract
Background:
Fatigue
is
the
most
disabling
symptom
for
individuals
with
multiple
sclerosis
which
can
significantly
affect
postural
control
by
impairing
ability
of
central
nervous
system
to
modulate
sensory
inputs
and
coordinate
motor
responses.
This
systematic
review
aimed
accumulate
existing
evidence.
investigate
effect
fatigue
on
in
sclerosis.
Methods:
was
performed
compliance
Preferred
Reporting
Items
Systematic
Reviews
Meta-analyses
(PRISMA)
statement
registered
PROSPERO
ID
CRD42022376262.
Web
Science,
PubMed,
Scopus,
Google
Scholar
systematically
searched
until
January
2023,
a
manual
search
using
reference
lists
included
studies.
Two
authors
independently
selected
studies,
extracted
data,
evaluated
their
methodological
quality
Downs
Black
checklist.
The
process
later
discussed
with
third
author.
Results:
Five
studies
were
this
review,
consistent
evidence
investigating
direct
relationship
between
fatigue
postural
sclerosis.
All
reported
negative
effects
control.
Four
studies
executed
walking
tests
as
protocols,
one
study
used
strength
testing
protocol
both
legs,
served
fatigue-inducing
activity.
Conclusions:
available
suggests
that
may
experience
deficits
due
fatigue.
However,
present
body
literature
exhibits
limitations
terms
its
methodology.
Gender
differences,
balance,
task,
muscle
function
are
important
factors
need
be
taken
into
account
when
relationship
MS.
Further
high-quality
research
necessary
comprehend
complex
interplay
MS-related
after
physical
activity.
Brain Communications,
Journal Year:
2024,
Volume and Issue:
6(5)
Published: Jan. 1, 2024
Multiple
sclerosis
(MS)
is
a
neuroinflammatory
and
neurodegenerative
disease
affecting
the
brain
spinal
cord.
Fatigue
common
disabling
symptom
from
MS
onset,
however
mechanisms
by
which
underlying
processes
cause
fatigue
remain
unclear.
Improved
pathophysiological
understanding
offers
potential
for
improved
treatments
MS-related
fatigue.
MRI
provides
insights
into
NMR in Biomedicine,
Journal Year:
2024,
Volume and Issue:
37(6)
Published: Feb. 21, 2024
Abstract
Advanced
imaging
techniques
(tractography)
enable
the
mapping
of
white
matter
(WM)
pathways
and
understanding
brain
connectivity
patterns.
We
combined
tractography
with
a
network‐based
approach
to
examine
WM
microstructure
on
network
level
in
people
relapsing–remitting
multiple
sclerosis
(pw‐RRMS)
healthy
controls
(HCs)
over
2
years.
Seventy‐six
pw‐RRMS
matched
43
HCs
underwent
clinical
assessments
3T
MRI
scans
at
baseline
(BL)
2‐year
follow‐up
(2‐YFU).
Probabilistic
was
performed,
accounting
for
effect
lesions,
producing
connectomes
25
million
streamlines.
Network
differences
fibre
density
across
BL
2‐YFU
were
quantified
using
statistics
(NBS).
Longitudinal
NBS
pw‐RRMS,
tested
correlations
disability,
cognition
fatigue
scores.
Widespread
reductions
found
compared
cortical
regions,
more
detected
2‐YFU.
Pw‐RRMS
had
reduced
thalamocortical
This
appeared
after
correction
age,
robust
different
thresholds,
did
not
correlate
lesion
volume
or
disease
duration.
demonstrated
long‐distance
improvement
network,
regardless
burden,
duration
therapy,
suggesting
potential
locus
neuroplasticity
MS.
network's
role
disease's
lifespan
its
implications
prognosis
treatment
warrants
further
investigation.
Scientific Reports,
Journal Year:
2023,
Volume and Issue:
13(1)
Published: July 14, 2023
Fatigue
is
a
common
disabling
symptom
of
relapsing
remitting
multiple
sclerosis
(RRMS).
Many
studies
have
linked
grey
matter
atrophy
to
fatigue,
but
white
lesion
load
(WM-LL)
has
received
less
attention.
Here
we
assess
the
relation
between
fatigue
and
regional
WM-LL
volumetric
measures.
63
patients
with
RRMS
participated
in
this
study;
mean
age
was
31.9
±
8.1
years.
Each
patient
provided
demographic
details
scored
on
expanded
disability
status
scale
(EDSS)
severity
(FSS).
VolBrain,
fully
automated,
operator-independent
tool
used
whole
brain
volume.
The
were
classified
into
three
groups:
no
(FSS
<
4),
low
moderate
≥
4
≤
5)
high
>
5).
33.3%
had
significant
25.4%
mild-to-moderate
41.3%
fatigue.
Age,
disease
duration,
relapses,
EDSS
positively
correlated
(P
=
0.034,
0.002,
0.009
0.001
respectively).
Whole
volume,
total
(juxtacortical,
periventricular,
infratentorial)
also
severity.
Ordinal
regression
analysis
for
showed
infratentorial
volume
best
predictors.
In
conclusion,
(cerebellar
brainstem)
are
predictors
Neurobiology of Disease,
Journal Year:
2022,
Volume and Issue:
176, P. 105950 - 105950
Published: Dec. 6, 2022
Cognitive
fatigue
is
highly
prevalent
in
people
with
multiple
sclerosis
(pwMS)
and
significantly
limits
their
quality
of
life.
Fatigue
can
be
subdivided
into
a
subjective
feeling
constant
(trait)
or
current
(state)
exhaustion,
as
well
an
objective
performance
decline,
also
known
fatigability.
However,
the
diagnosis
pwMS
purely
subjective,
leaving
fatigability
mostly
unattended.
Sensorimotor
sensory
gating
deficits
have
recently
been
described
possible
markers
for
healthy
subjects.
Thus,
this
study
aimed
to
investigate
potential
prepulse
inhibition
(PPI)
ratios
P50
suppression
surrogate
cognitive
pwMS.PPI
were
assessed
before
after
30-min
fatigability-inducing
AX-
continuous
task.
Subjective
trait
was
operationalized
via
self-report
questionnaires,
state
visual
analog
scales
(VAS),
change
both
ratios.
The
data
analyzed
using
Linear
Mixed
Models
Pearson
correlations.We
included
18
20
controls
(HC)
final
analyses.
task-induced
more
pronounced
pwMS.
While
initial
PPI
similar
groups,
disrupted
induction
PPI,
on
other
hand,
decreased
groups.
Moreover,
negatively
associated
pwMS,
indicating
that
higher
gating.
Finally,
fatigability-related
changes
VAS
ratings,
but
only
HC.This
demonstrated
promising
parameter.
Importantly,
correlated
ratings.
Our
results
extend
broaden
understanding
pathophysiological
neuronal
mechanisms
MS-related
fatigue.
This
first
present
fatigue-related
disruption
Multiple Sclerosis and Related Disorders,
Journal Year:
2022,
Volume and Issue:
69, P. 104457 - 104457
Published: Dec. 6, 2022
Fatigue,
a
multidimensional
and
challenging
symptom
associated
with
various
underlying
conditions,
can
manifest
as
subjective
feeling
performance
fatigability.
The
latter
is
often
defined
an
objectively
measurable
decline
time
on
task.
Both
syndromes
are
highly
prevalent
in
people
multiple
sclerosis
(pwMS)
resistant
to
medical
therapy.
In
the
absence
of
valid
reliable
objective
parameters,
current
cognitive
fatigue
diagnosis
remains
purely
subjective.
Assessing
brain
wave
activity
changes
has
repeatedly
been
viable
strategy
for
monitoring
healthy
subjects.
this
study,
we
aimed
investigate
oscillatory
their
associations
pwMS.
We
enrolled
21
pwMS
controls
(HC)
study.
Subjects
performed
sustained
attention
task
divided
into
six
blocks
over
course
30
minutes,
underwent
resting
state
EEGs
before
after
During
task,
subjects
were
asked
rate
levels
mental
fitness,
exhaustion,
mind
wandering.
Using
Linear
Mixed
Models,
explored
fatigability-related
by
focusing
reaction
variability,
ratings
fatigability,
well
frontomedial
theta,
occipital
alpha
power.
further
investigated
initial
fatigability-induced
differences
between
HC
at
rest.
Finally,
Pearson
correlations
used
examine
relationship
fatigability
parameters.
Our
results
revealed
systematically
stronger
development
that
was
measurable.
PwMS
reported
lower
fitness
demonstrated
greater
variability
times
Occipital
power
significantly
increased
during
Especially
upper
power,
increase
more
prominent
compared
HC.
However,
time-on-task-induced
our
study
not
ratings.
expand
understanding
neural
mechanisms
underlining
may
complement
therapy
quantitative
methods.