Fatigue Is Associated With Perceived Effort and 2-Dimensional Reach Performance After Stroke.
Background and Purpose: Poststroke fatigue (PSF) is prevalent and often manifests as high perceived effort during activities. Little is known about how PSF influences goal-directed reaching after stroke. The purpose of this study was 2-fold (1) to evaluate how perceived effort changed when individua...
| Publicado en: | Journal of Neurologic Physical Therapy Vol. 49; no. 2; pp. 90 - 99 |
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| Autores principales: | , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183978833&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183978833 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15570576 1FUT jtl: Journal of Neurologic Physical Therapy issn: 15570576 maglogo: N pubinfo: dt: Apr2025 vid: 49 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 183978833 183978833 183978833 10.1097/NPT.0000000000000483 183978833 ppf: 90 ppct: 9 formats: tig: atl: Fatigue Is Associated With Perceived Effort and 2-Dimensional Reach Performance After Stroke. aug: au: Goh, Hui-Ting Stewart, Jill Becker, Kevin affil: School of Physical Therapy, Texas Woman's University, Dallas, Texas (H.-T.G.) sug: subj: Stroke Rehabilitation Fatigue Physiopathology Psychomotor Performance Evaluation Task Performance and Analysis Evaluation Activities of Daily Living Evaluation Human Male Female Adult Middle Age Aged Stroke Patients Cross Sectional Studies Kinematics Comparative Studies Descriptive Statistics Severity of Illness Indices Scales Correlational Studies Exploratory Research Aged, 80 and Over Experimental Studies Clinical Assessment Tools Exercise Physical Activity Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background and Purpose: Poststroke fatigue (PSF) is prevalent and often manifests as high perceived effort during activities. Little is known about how PSF influences goal-directed reaching after stroke. The purpose of this study was 2-fold (1) to evaluate how perceived effort changed when individuals with stroke performed a reaching task with various demands and (2) to determine whether PSF was associated with perceived effort during reaching and reach performance. Methods: Thirty-six individuals with chronic stroke performed 2-dimensional reach actions under varied conditions with the more and less affected arms. Perceived effort during reaching was assessed using rating of perceived exertion (RPE) and Paas Mental Effort Rating Scale (MERS). Derived reach kinematics were used to quantify reach performance. The Fatigue Severity Scale (FSS) was administered to assess fatigue severity. Results: Perceived effort was higher when participants reached with the more affected arm, reached toward far and small targets, and performed memory-guided reaching. Both RPE and MERS significantly correlated with the FSS score (r = 0.50 and 0.35, respectively, P < 0.05). Further, FSS correlated with movement time during the more affected arm reaching (ρ = 0.40, p < 0.05) and reach performance discrepancy between the fast and self-selected speed conditions when participants performed with the less affected arm (ρ = 0.36, P < 0.05). Exploratory analysis revealed that the relationship between fatigue and reach control appeared to be modulated by task demand. Discussion and Conclusions: PSF is associated with perceived effort during reaching and reach performance after stroke. These relationships might offer insights into arm performance in the real world after stroke. for more insights from the authors Supplemental Digital Content available at http://links.lww.com/JNPT/A476 pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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