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      Prevalence of Fatigue and Associated Factors in a Spinal Cord Injury Population: Data from an Internet-Based and Face-to-Face Surveys.

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          Abstract

          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.

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          Author and article information

          Journal
          J Neurotrauma
          Journal of neurotrauma
          Mary Ann Liebert Inc
          1557-9042
          0897-7151
          August 01 2017
          : 34
          : 15
          Affiliations
          [1 ] 1 FENNSI Group, Hospital Nacional de Parapléjicos , SESCAM, Toledo, Spain .
          [2 ] 2 GIFTO Group, E.U. de Enfermia y Fisioterapia de Toledo, Universidad de Castilla La Mancha , Toledo, Spain .
          [3 ] 3 Rehabilitation Department, Hospital Nacional de Parapléjicos , SESCAM, Toledo, Spain .
          [4 ] 4 Unit of Internal Medicine and Endocrinology, ICS-Maugeri I.R.C.C.S., Laboratory for Endocrine Disruptors and University of Pavia , Pavia, Italy .
          [5 ] 5 Experimental Neurophysiology Group, Hospital Nacional de Parapléjicos , SESCAM, Toledo, Spain .
          [6 ] 6 NEUROcom. Neuroscience and Motor Control Group, Department of Medicine-INEF-INIBIC, University of Coruña , Coruña, Spain .
          Article
          10.1089/neu.2016.4950
          28569601
          a9ff146e-f31a-46ef-910f-ff39ccf7b273
          History

          ASIA,SCI,fatigue,tetraplegia
          ASIA, SCI, fatigue, tetraplegia

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