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脊髓损伤 AIS D 社区活动受试者的疲劳水平。

Fatigue level in spinal cord injury AIS D community ambulatory subjects.

机构信息

Physical Therapy Unit, FLENI Rehabilitation Institute, Buenos Aires, Argentina.

出版信息

Spinal Cord. 2012 Jun;50(6):422-5. doi: 10.1038/sc.2011.175. Epub 2012 Jan 24.

DOI:10.1038/sc.2011.175
PMID:22270195
Abstract

STUDY DESIGN

Cross-sectional study.

OBJECTIVES

The objective of our study was to determine the level of fatigue in ASIA impairment scale (AIS) D spinal cord injury (SCI) in community ambulatory subjects and correlate fatigue with other clinical symptoms.

SETTING

Outpatient Rehabilitation Unit, FLENI Institute, Escobar. Buenos Aires, Argentina.

METHODS

We included twenty-six patients with AIS D SCI that attended therapies at FLENI Institute between 2002 and 2009. We measured the demographic and clinical characteristics of the subjects. All patients were administered the fatigue severity scale (FSS). A cut-score for over four was indicative of significant fatigue. We used the Spearman's coefficient correlation to analyze associations among the FSS with pain (Visual analog scale), depression (Beck depression inventory), and physical activity (hours per week).

RESULTS

The median score of the FSS scale was 2.82 (1-5). Fatigue was found in 5 individuals (19.2%). There was a significant correlation between FSS scale and the Beck questionnaire. No association was found between FSS and pain or physical activity.

CONCLUSION

The findings of this study suggest that fatigue is a relevant problem for people with SCI AIS D, and is a disabling symptom when present. There is a significant relationship between fatigue and depression.

SPONSORSHIP

FLENI Rehabilitation Institute.

摘要

研究设计

横断面研究。

目的

我们研究的目的是确定社区活动的 ASIA 损伤量表(AIS)D 脊髓损伤(SCI)患者的疲劳程度,并将疲劳与其他临床症状相关联。

地点

阿根廷布宜诺斯艾利斯省 Escobar 的 FLENI 研究所门诊康复科。

方法

我们纳入了 26 名在 2002 年至 2009 年间在 FLENI 研究所接受治疗的 AIS D SCI 患者。我们测量了受试者的人口统计学和临床特征。所有患者均进行了疲劳严重程度量表(FSS)评估。FSS 评分超过 4 分表示存在明显的疲劳。我们使用 Spearman 系数相关性分析 FSS 与疼痛(视觉模拟评分)、抑郁(贝克抑郁量表)和身体活动(每周小时数)之间的相关性。

结果

FSS 量表的中位数评分为 2.82(1-5)。5 名患者(19.2%)存在疲劳。FSS 量表与贝克问卷之间存在显著相关性。FSS 与疼痛或身体活动之间无相关性。

结论

本研究结果表明,疲劳是 AIS D 型 SCI 患者的一个重要问题,当出现时是一种致残症状。疲劳与抑郁之间存在显著关系。

资助

FLENI 康复研究所。

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