Post-stroke fatigue: a review of development, prevalence, predisposing factors, measurements, and treatments

BackgroundPost-stroke fatigue (PSF) is a ubiquitous and overwhelming symptom for most stroke survivors. However, there are no effective management strategies for PSF, which is partly due to our limited understanding.ObjectiveIn this paper, we review the development, prevalence, predisposing factors,...

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Main Authors: Wanjie Chen, Tao Jiang, Huahai Huang, Jingting Zeng
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1298915/full
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author Wanjie Chen
Tao Jiang
Huahai Huang
Jingting Zeng
author_facet Wanjie Chen
Tao Jiang
Huahai Huang
Jingting Zeng
author_sort Wanjie Chen
collection DOAJ
description BackgroundPost-stroke fatigue (PSF) is a ubiquitous and overwhelming symptom for most stroke survivors. However, there are no effective management strategies for PSF, which is partly due to our limited understanding.ObjectiveIn this paper, we review the development, prevalence, predisposing factors, measurements, and treatments of PSF.ResultsPSF is an independent symptom after stroke, with a prevalence ranging from 42 to 53%, which depends on the selection of measurement tools and stroke characteristics. It is affected by biological, physical, and psychological factors, among which inflammation may play a key role.ConclusionNumerous but non-specific evaluation measurement tools limit the management of PSF. In clinical practice, it may be beneficial to identify PSF by combining scales and objective indexes, such as walking tests and electromyographic examinations. There are no evidence-based interventions to improve PSF. However, increasing evidence suggests that transcranial direct-current stimulation and mindfulness-based interventions may become promising treatments. Further studies are urgently needed to better understand the etiology of PSF, thereby providing the basis for developing new measurement tools and targeted treatments.
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spelling doaj.art-70152c26319c4eb2ac6ddaae1f260f872023-12-21T04:55:24ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-12-011410.3389/fneur.2023.12989151298915Post-stroke fatigue: a review of development, prevalence, predisposing factors, measurements, and treatmentsWanjie ChenTao JiangHuahai HuangJingting ZengBackgroundPost-stroke fatigue (PSF) is a ubiquitous and overwhelming symptom for most stroke survivors. However, there are no effective management strategies for PSF, which is partly due to our limited understanding.ObjectiveIn this paper, we review the development, prevalence, predisposing factors, measurements, and treatments of PSF.ResultsPSF is an independent symptom after stroke, with a prevalence ranging from 42 to 53%, which depends on the selection of measurement tools and stroke characteristics. It is affected by biological, physical, and psychological factors, among which inflammation may play a key role.ConclusionNumerous but non-specific evaluation measurement tools limit the management of PSF. In clinical practice, it may be beneficial to identify PSF by combining scales and objective indexes, such as walking tests and electromyographic examinations. There are no evidence-based interventions to improve PSF. However, increasing evidence suggests that transcranial direct-current stimulation and mindfulness-based interventions may become promising treatments. Further studies are urgently needed to better understand the etiology of PSF, thereby providing the basis for developing new measurement tools and targeted treatments.https://www.frontiersin.org/articles/10.3389/fneur.2023.1298915/fullcerebrovascular accidentinfarctionstrokefatiguereviewrehabilitation
spellingShingle Wanjie Chen
Tao Jiang
Huahai Huang
Jingting Zeng
Post-stroke fatigue: a review of development, prevalence, predisposing factors, measurements, and treatments
Frontiers in Neurology
cerebrovascular accident
infarction
stroke
fatigue
review
rehabilitation
title Post-stroke fatigue: a review of development, prevalence, predisposing factors, measurements, and treatments
title_full Post-stroke fatigue: a review of development, prevalence, predisposing factors, measurements, and treatments
title_fullStr Post-stroke fatigue: a review of development, prevalence, predisposing factors, measurements, and treatments
title_full_unstemmed Post-stroke fatigue: a review of development, prevalence, predisposing factors, measurements, and treatments
title_short Post-stroke fatigue: a review of development, prevalence, predisposing factors, measurements, and treatments
title_sort post stroke fatigue a review of development prevalence predisposing factors measurements and treatments
topic cerebrovascular accident
infarction
stroke
fatigue
review
rehabilitation
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1298915/full
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AT jingtingzeng poststrokefatigueareviewofdevelopmentprevalencepredisposingfactorsmeasurementsandtreatments