Oral Aydan, Yaliman Ayşe
Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Int J Rehabil Res. 2013 Jun;36(2):97-104. doi: 10.1097/MRR.0b013e32835fd9b2.
Fatigue is one of the most frequently reported symptoms of multiple sclerosis, interfering with functioning and resulting in activity limitations and participation restrictions. Therefore, it is important to manage fatigue in a rehabilitation context considering not only disability associated with impaired functioning but also all the problems relevant to environmental and personal factors as defined in the International Classification of Functioning, Disability and Health (ICF). In addition to pharmacological treatment, there are many rehabilitation interventions with evidence of effectiveness in reducing fatigue and thereby facilitating improvement, particularly in body functions and structures and activities and participation components of the ICF. However, more research is required to provide evidence for effective treatment strategies in overcoming fatigue and related problems, especially in the components of contextual factors of the ICF.
疲劳是多发性硬化症最常报告的症状之一，会干扰功能，导致活动受限和参与受限。因此，在康复环境中管理疲劳很重要，不仅要考虑与功能受损相关的残疾，还要考虑《国际功能、残疾和健康分类》（ICF）中定义的所有与环境和个人因素相关的问题。除了药物治疗外，还有许多康复干预措施被证明在减轻疲劳从而促进改善方面有效，特别是在ICF的身体功能和结构以及活动和参与部分。然而，需要更多的研究来为克服疲劳及相关问题的有效治疗策略提供证据，尤其是在ICF的背景因素部分。
