Abstract
Study design:
Cross-sectional study.
Objectives:
The objective of our study was to determine the level of fatigue in ASIA impairment scale (AIS) D spinal cord injury (SCI) in community ambulatory subjects and correlate fatigue with other clinical symptoms.
Setting:
Outpatient Rehabilitation Unit, FLENI Institute, Escobar. Buenos Aires, Argentina.
Methods:
We included twenty-six patients with AIS D SCI that attended therapies at FLENI Institute between 2002 and 2009. We measured the demographic and clinical characteristics of the subjects. All patients were administered the fatigue severity scale (FSS). A cut-score for over four was indicative of significant fatigue. We used the Spearman's coefficient correlation to analyze associations among the FSS with pain (Visual analog scale), depression (Beck depression inventory), and physical activity (hours per week).
Results:
The median score of the FSS scale was 2.82 (1–5). Fatigue was found in 5 individuals (19.2%). There was a significant correlation between FSS scale and the Beck questionnaire. No association was found between FSS and pain or physical activity.
Conclusion:
The findings of this study suggest that fatigue is a relevant problem for people with SCI AIS D, and is a disabling symptom when present. There is a significant relationship between fatigue and depression.
Sponsorship:
FLENI Rehabilitation Institute.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Fawkes-Kirby TM, Wheeler MA, Anton HA, Miller WC, Townson AF, Weeks CA . Clinical correlates of fatigue in spinal cord injury. Spinal Cord 2008; 46: 21–25.
Jensen MP, Kuehn CM, Amtmann D, Cardenas DD . Symptom burden in persons with spinal cord injury. Arch Phys Med Rehabil 2007; 88: 638–645.
Levine J, Greenwald BD . Fatigue in Parkinson disease, stroke, and traumatic brain injury. Phys Med Rehabil Clin N Am 2009; 20: 347–361. Review.
McGeough E, Pollock A, Smith LN, Dennis M, Sharpe M, Lewis S et al. Interventions for post-stroke fatigue. Cochrane Database Syst Rev 2009, CD007030. Review.
Hadjimichael O, Vollmer T, Oleen-Burkey M . Fatigue characteristics in multiple sclerosis: the North American Research Committee on Multiple Sclerosis (NARCOMS) survey. Health Qual Life Outcomes 2008; 6: 100.
Herlofson K, Larsen JP . The influence of fatigue on health-related quality of life in patients with Parkinson's disease. Acta Neurol Scand 2003; 107: 1–6.
Anton HA, Miller WC, Townson AF . Measuring fatigue in persons with spinal cord injury. Arch Phys Med Rehabil 2008; 89: 538–542.
Hammell KW, Miller WC, Forwell SJ, Forman BE, Jacobsen BA . Managing fatigue following spinal cord injury: a qualitative exploration. Disabil Rehabil 2009; 31: 1437–1445.
Hammell KW, Miller WC, Forwell SJ, Forman BE, Jacobsen BA . Fatigue and spinal cord injury: a qualitative analysis. Spinal Cord 2009; 47: 44–49.
Lee AK, Miller WC, Townson AF, Anton HA . Medication use is associated with fatigue in a sample of community-living individuals who have a spinal cord injury: a chart review. Spinal Cord 2010; 48: 429–433.
Elliott TR, Frank RG . Depression following spinal cord injury. Arch Phys Med Rehabil 1996; 77: 816–823.
Tawashy AE, Eng JJ, Lin KH, Tang PF, Hung C . Physical activity is related to lower levels of pain, fatigue and depression in individuals with spinal-cord injury: a correlational study. Spinal Cord 2009; 47: 301–306.
Kemp B, Thompson L . Aging and spinal cord injury: medical, functional, and psychosocial changes. SCI Nurs 2002; 19: 51–60.
Burns SP, Golding DG, Rolle WA, Graziani V, Ditunno Jr JF . Recovery of ambulation in motor-incomplete tetraplegia. Arch Phys Med Rehabil 1997; 78: 1169–1172.
Waters RL, Adkins RH, Yakura JS, Sie I . Motor and sensory recovery following incomplete tetraplegia. Arch Phys Med Rehabil 1994b; 75: 306–311.
Maynard Jr FM, Bracken MB, Creasey G, Ditunno Jr JF, Donovan WH, Ducker TB et al. International standards for neurological and functional classification of spinal cord injury american spinal injury association. Spinal Cord 1997; 35: 266–274.
Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD . The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989; 46: 1121–1123.
Ginis KA, Arbour-Nicitopoulos KP, Latimer AE, Buchholz AC, Bray SR, Craven BC et al. Leisure time physical activity in a population-based sample of people with spinal cord injury part II: activity types, intensities, and durations. Arch Phys Med Rehabil 2010; 91: 729–733.
Caspersen CJ, Powell KE, Christenson GM . Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep 1985; 100: 126–131.
Bonicatto S, Dew AM, Soria JJ . Analysis of the psychometric properties of the Spanish version of the Beck Depression Inventory in Argentina. Psychiatry Res 1998; 79: 277–285.
Radnitz CL, McGrath RE, Tirch DD . Use of the beck depression inventory in veterans with spinal cord injury. Rehabili Psychol 1997; 42: 93–101.
Kennedy P, Rogers BA . Anxiety and depression after spinal cord injury: a longitudinal analysis. Arch Phys Med Rehabil 2000; 81: 932–937.
Paolinelli C, González P, Doniez ME, Donoso T, Salinas V . Instrument for the functional evaluation of disability rehabilitation. Study on the reliability and clinical experience with the use of functional independence measure. Rev Med Chil 2001; 129: 23–31.
Dodds TA, Matrin DP, Stolov WC, Deyo RA . A validation of the functional independence measurement and its performance among rehabilitation inpatients. Arch Phys Med Rehabil 1993; 74: 531–536.
Paralyzed Veterans of American Consortium for Spinal Cord Medicine. A clinical practice guideline for health-care professionals. J Spinal Cord Med 2005; 28: 259–293.
Widerstrom-Noga EG, Felipe-Cuervo E, Yezierski RP . Chronic pain after spinal cord injury: interference with sleep and daily activities. Arch Phys Med Rehabil 2001; 82: 1571–1577.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Freixes, O., Rivas, M., Agrati, P. et al. Fatigue level in spinal cord injury AIS D community ambulatory subjects. Spinal Cord 50, 422–425 (2012). https://doi.org/10.1038/sc.2011.175
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/sc.2011.175


