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中风后疲劳——一个多维问题还是一组紊乱?中风后疲劳的表型分析案例。

Post-stroke fatigue - a multidimensional problem or a cluster of disorders? A case for phenotyping post-stroke fatigue.

作者信息

Kuppuswamy Annapoorna

机构信息

School of Biomedical Sciences, University of Leeds, Leeds, UK.

出版信息

J Physiol. 2025 Feb;603(3):759-772. doi: 10.1113/JP285900. Epub 2024 Nov 2.

DOI:10.1113/JP285900
PMID:39487999
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11782906/
Abstract

Post-stroke fatigue is a chronic problem with significant impact on morbidity and mortality, which urgently needs effective treatments. The last decade has seen a considerable increase in interest in understanding the pathophysiology of fatigue and developing treatments. In this review, following a summary of theoretical frameworks to understand chronic fatigue, I make a case for why phenotyping fatigue is a necessary step to fully understand pathophysiology, which in turn is essential for the development of robust treatments. I then appraise current post-stroke fatigue literature with the view of identifying post-stroke fatigue phenotypes.

摘要

中风后疲劳是一个对发病率和死亡率有重大影响的慢性问题,迫切需要有效的治疗方法。在过去十年中,人们对了解疲劳的病理生理学和开发治疗方法的兴趣显著增加。在这篇综述中,在总结了理解慢性疲劳的理论框架之后,我阐述了为什么对疲劳进行表型分析是充分理解病理生理学的必要步骤,而这反过来对于开发强有力的治疗方法至关重要。然后,我评估了当前关于中风后疲劳的文献,以期确定中风后疲劳的表型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b04/11782906/3c947feac7c1/TJP-603-759-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b04/11782906/3c947feac7c1/TJP-603-759-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b04/11782906/3c947feac7c1/TJP-603-759-g003.jpg

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Post-stroke fatigue - a multidimensional problem or a cluster of disorders? A case for phenotyping post-stroke fatigue.中风后疲劳——一个多维问题还是一组紊乱?中风后疲劳的表型分析案例。
J Physiol. 2025 Feb;603(3):759-772. doi: 10.1113/JP285900. Epub 2024 Nov 2.
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本文引用的文献

1
Are central and systemic inflammation associated with fatigue in cerebral small vessel disease?中枢性和全身性炎症与脑小血管病中的疲劳有关吗?
Int J Stroke. 2024 Jul;19(6):705-713. doi: 10.1177/17474930241245613. Epub 2024 Apr 12.
2
Influence of Perceptual Load on Attentional Orienting in Post-Stroke Fatigue: A Study of Auditory Evoked Potentials.脑卒中后疲劳患者注意定向的知觉负载影响:听觉诱发电位研究。
Neurorehabil Neural Repair. 2024 Apr;38(4):257-267. doi: 10.1177/15459683241230030. Epub 2024 Feb 10.
3
The role of clinical neurophysiology in the definition and assessment of fatigue and fatigability.
临床神经生理学在疲劳及疲劳易感性的定义与评估中的作用。
Clin Neurophysiol Pract. 2023 Dec 18;9:39-50. doi: 10.1016/j.cnp.2023.12.004. eCollection 2024.
4
Altered functional connectivity in patients with post-stroke fatigue: A resting-state fMRI study.中风后疲劳患者的功能连接改变:一项静息态功能磁共振成像研究。
J Affect Disord. 2024 Apr 1;350:468-475. doi: 10.1016/j.jad.2024.01.129. Epub 2024 Jan 13.
5
Functional connectome hierarchy of thalamus impacts fatigue in acute stroke patients.丘脑功能连接组学层级影响急性脑卒中患者的疲劳。
Cereb Cortex. 2024 Jan 31;34(2). doi: 10.1093/cercor/bhad534.
6
Mechanisms of Post-Stroke Fatigue: A Follow-Up From the Third Stroke Recovery and Rehabilitation Roundtable.卒中后疲劳的发病机制:第三届卒中康复与康复圆桌会议的后续研究。
Neurorehabil Neural Repair. 2024 Jan;38(1):52-61. doi: 10.1177/15459683231219266. Epub 2023 Dec 29.
7
Lesioned hemisphere-specific phenotypes of post-stroke fatigue emerge from motor and mood characteristics in chronic stroke.慢性卒中患者的运动和情绪特征出现脑卒中后疲劳的半球特定表型。
Eur J Neurol. 2024 Mar;31(3):e16170. doi: 10.1111/ene.16170. Epub 2023 Dec 9.
8
Neuroimaging correlates of post-stroke fatigue: A systematic review and meta-analysis.卒中后疲劳的神经影像学相关性:系统评价和荟萃分析。
Int J Stroke. 2023 Oct;18(9):1051-1062. doi: 10.1177/17474930231192214. Epub 2023 Aug 12.
9
A roadmap for research in post-stroke fatigue: Consensus-based core recommendations from the third Stroke Recovery and Rehabilitation Roundtable.卒中后疲劳研究路线图:第三届卒中康复与康复圆桌会议基于共识的核心建议。
Int J Stroke. 2024 Feb;19(2):133-144. doi: 10.1177/17474930231189135. Epub 2023 Oct 12.
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