Meta-Analysis of Three Different Types of Fatigue Management Interventions for People with Multiple Sclerosis: Exercise, Education, and Medication

Fatigue is a common symptom of multiple sclerosis (MS) with negative impacts extending from general functioning to quality of life. Both the cause and consequences of MS fatigue are considered multidimensional and necessitate multidisciplinary treatment for successful symptom management. Clinical pr...

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Vydáno v:Multiple Sclerosis International Ročník 2014; číslo 2014; s. 231 - 242
Hlavní autoři: Asano, Miho, Finlayson, Marcia L.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Cairo, Egypt Hindawi Limiteds 01.01.2014
Hindawi Publishing Corporation
Hindawi Limited
John Wiley & Sons, Inc
Témata:
Amantadine
Analysis
Behavior modification
Bias
Care and treatment
Complications and side effects
Confidence intervals
Dosage and administration
Education
Exercise
Fatigue
Health aspects
Intervention
Meta-analysis
Multiple sclerosis
Patient outcomes
Psychotherapy
Quality of life
Rehabilitation
Review
Risk factors
Standard deviation
Therapy
Canada
ISSN:2090-2654, 2090-2662
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Shrnutí:Fatigue is a common symptom of multiple sclerosis (MS) with negative impacts extending from general functioning to quality of life. Both the cause and consequences of MS fatigue are considered multidimensional and necessitate multidisciplinary treatment for successful symptom management. Clinical practice guidelines suggest medication and rehabilitation for managing fatigue. This review summarized available research literature about three types of fatigue management interventions (exercise, education, and medication) to provide comprehensive perspective on treatment options and facilitate a comparison of their effectiveness. We researched PubMed, Embase, and CINAHL (August 2013). Search terms included multiple sclerosis, fatigue, energy conservation, Amantadine, Modafinil, and randomized controlled trial. The search identified 230 citations. After the full-text review, 18 rehabilitation and 7 pharmacological trials targeting fatigue were selected. Rehabilitation interventions appeared to have stronger and more significant effects on reducing the impact or severity of patient-reported fatigue compared to medication. Pharmacological agents, including fatigue medication, are important but often do not enable people with MS to cope with their existing disabilities. MS fatigue affects various components of one’s health and wellbeing. People with MS experiencing fatigue and their healthcare providers should consider a full spectrum of effective fatigue management interventions, from exercise to educational strategies in conjunction with medication.
Bibliografie:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ObjectType-Evidence Based Healthcare-1
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Academic Editor: Alessandra Solari
ISSN:2090-2654
2090-2662
DOI:10.1155/2014/798285