Cudeiro-Blanco Javier, Onate-Figuérez Ana, Soto-León Vanesa, Avendaño-Coy Juan, Mordillo-Mateos Laura, Brocalero-Camacho Angela, Esclarin-Ruz Ana, Rotondi Mario, Aguilar Juan, Arias Pablo, Oliviero Antonio
1 FENNSI Group, Hospital Nacional de Parapléjicos , SESCAM, Toledo, Spain .
2 GIFTO Group, E.U. de Enfermia y Fisioterapia de Toledo, Universidad de Castilla La Mancha , Toledo, Spain .
J Neurotrauma. 2017 Aug 1;34(15):2335-2341. doi: 10.1089/neu.2016.4950. Epub 2017 Jun 28.
Fatigue has a profound impact on patients with spinal cord injury (SCI), but only limited treatments are available. The aim of this study was to determine the prevalence of fatigue in SCI and its association with clinical and demographic factors. We used an internet-based survey and a face-to-face interview to estimate the prevalence of fatigue in a SCI population. Fatigue was measured using the Fatigue Severity Scale (FSS). Clinically significant fatigue was defined as FSS scores greater than or equal to four. A total of 253 participants with SCI were included in the study. Clinically significant fatigue was present in one third of our sample. There was no relationship between fatigue and injury level or completeness. We found significant correlations between depression, pain, and level of injury. The relation of fatigue with completeness of injury and spasticity is less clear. Moreover, the online survey and the standard face-to-face interview showed similar results concerning fatigue evaluation. Several factors may contribute to fatigue, however. Future studies should be conducted to clarify which are the most relevant ones and, if possible, to determine which factors are modifiable.
疲劳对脊髓损伤（SCI）患者有深远影响，但可用的治疗方法有限。本研究的目的是确定SCI患者中疲劳的患病率及其与临床和人口统计学因素的关联。我们通过基于互联网的调查和面对面访谈来估计SCI人群中疲劳的患病率。使用疲劳严重程度量表（FSS）测量疲劳。具有临床意义的疲劳定义为FSS评分大于或等于4分。本研究共纳入253名SCI参与者。我们样本中有三分之一存在具有临床意义的疲劳。疲劳与损伤水平或损伤完整性之间没有关系。我们发现抑郁、疼痛和损伤水平之间存在显著相关性。疲劳与损伤完整性和痉挛之间的关系尚不清楚。此外，在线调查和标准的面对面访谈在疲劳评估方面显示出相似的结果。然而，有几个因素可能导致疲劳。未来应开展研究以明确哪些是最相关的因素，并在可能的情况下确定哪些因素是可改变的。
