Salomè Angela, Sasso D'Elia Tullia, Franchini Giorgia, Santilli Valter, Paolucci Teresa
Complex Unit of Physical Medicine and Rehabilitation, Policlinico Umberto I Hospital, Sapienza University of Rome, Italy.
Mult Scler Int. 2019 Mar 21;2019:2027947. doi: 10.1155/2019/2027947. eCollection 2019.
Fatigue is one of the most invalidant symptoms of Multiple Sclerosis (MS) that negatively affects occupational and work performance and social participation. Occupational therapy (OT) assessment and treatment of impairments related to fatigue can have a significant and positive impact on the quality of life. An umbrella review has been carried out to provide rehabilitative decision makers in healthcare with insight into the role of OT in fatigue management in Multiple Sclerosis. The question is, what type of treatment provided by occupational therapist is more effective in reducing fatigue in Multiple Sclerosis? A search of literature published until June 2018 was undertaken by three independent reviewers using PubMed, PEDro, and Cochrane Library database including systematic reviews and meta-analyses of the last 10 years. . 10 studies were selected (5 systematic reviews, 1 meta-analysis, 3 reviews, and 1 guideline). Fatigue management programs have moderate evidence; other strategies such as OT strategies and telerehabilitation show low evidence.
疲劳是多发性硬化症（MS）最具致残性的症状之一，会对职业和工作表现以及社会参与产生负面影响。职业治疗（OT）对与疲劳相关的损伤进行评估和治疗，可对生活质量产生重大积极影响。已进行了一项综合评价，以便为医疗保健领域的康复决策者提供关于职业治疗在多发性硬化症疲劳管理中作用的见解。问题在于，职业治疗师提供的哪种治疗方式在减轻多发性硬化症患者的疲劳方面更有效？三位独立评审人员利用PubMed、PEDro和Cochrane图书馆数据库，检索了截至2018年6月发表的文献，包括过去10年的系统评价和荟萃分析。共筛选出10项研究（5项系统评价、1项荟萃分析、3项综述和1项指南）。疲劳管理方案有中等证据支持；其他策略，如职业治疗策略和远程康复，证据较少。
