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Focus on fatigue amongst young adults with spastic cerebral palsy

BACKGROUND: This study aimed to assess fatigue amongst young adults with spastic cerebral palsy (CP), to determine subgroups at risk for fatigue and to explore the relationship between fatigue and cardiopulmonary fitness and daily physical activity level. PARTICIPANTS: Young adults with spastic CP,...

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Autores principales: Russchen, Heleen A, Slaman, Jorrit, Stam, Henk J, van Markus-Doornbosch, Frederike, van den Berg-Emons, Rita J, Roebroeck, Marij E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274699/
https://www.ncbi.nlm.nih.gov/pubmed/25495688
http://dx.doi.org/10.1186/1743-0003-11-161
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author Russchen, Heleen A
Slaman, Jorrit
Stam, Henk J
van Markus-Doornbosch, Frederike
van den Berg-Emons, Rita J
Roebroeck, Marij E
author_facet Russchen, Heleen A
Slaman, Jorrit
Stam, Henk J
van Markus-Doornbosch, Frederike
van den Berg-Emons, Rita J
Roebroeck, Marij E
author_sort Russchen, Heleen A
collection PubMed
description BACKGROUND: This study aimed to assess fatigue amongst young adults with spastic cerebral palsy (CP), to determine subgroups at risk for fatigue and to explore the relationship between fatigue and cardiopulmonary fitness and daily physical activity level. PARTICIPANTS: Young adults with spastic CP, Gross Motor Function Classification System (GMFCS) levels I to III, aged 16 to 24 years. METHODS: Fatigue (Fatigue Severity Scale) and self-reported daily physical activity (Physical Activity Scale for Individuals with Physical Disabilities) were assessed for 56 participants using questionnaires. Daily physical activity was objectively measured using accelerometry (Vitamove system) over 72 hours. Progressive maximal aerobic cycling was used to measure cardiopulmonary fitness. RESULTS: The mean Fatigue Severity Scale (FSS) score was 3.7 (SD 1.4). Forty percent of participants were fatigued, including 12.5% who were severely fatigued. Participants with bilateral CP (FSS = 4.2 (SD 1.4)) were more fatigued compared to those with unilateral CP (FSS = 3.1 (SD 1.3)) (p < 0.01). Levels of cardiopulmonary fitness (2.4 L/min (SD 0.8)) and daily physical activity (8.5% (SD 3.0)) were not significantly related to fatigue (respectively p = 0.10 and p = 0.55), although for cardiopulmonary fitness a trend was found. CONCLUSIONS: Fatigue is already present at a relatively young age amongst adults with CP, and CP subtype is a determinant of fatigue. We did not find significant evidence for a cross-sectional relation of fatigue with cardiopulmonary fitness or daily physical activity. TRIAL REGISTRATION: Nederland’s trial register: NTR1785.
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spelling pubmed-42746992014-12-24 Focus on fatigue amongst young adults with spastic cerebral palsy Russchen, Heleen A Slaman, Jorrit Stam, Henk J van Markus-Doornbosch, Frederike van den Berg-Emons, Rita J Roebroeck, Marij E J Neuroeng Rehabil Research BACKGROUND: This study aimed to assess fatigue amongst young adults with spastic cerebral palsy (CP), to determine subgroups at risk for fatigue and to explore the relationship between fatigue and cardiopulmonary fitness and daily physical activity level. PARTICIPANTS: Young adults with spastic CP, Gross Motor Function Classification System (GMFCS) levels I to III, aged 16 to 24 years. METHODS: Fatigue (Fatigue Severity Scale) and self-reported daily physical activity (Physical Activity Scale for Individuals with Physical Disabilities) were assessed for 56 participants using questionnaires. Daily physical activity was objectively measured using accelerometry (Vitamove system) over 72 hours. Progressive maximal aerobic cycling was used to measure cardiopulmonary fitness. RESULTS: The mean Fatigue Severity Scale (FSS) score was 3.7 (SD 1.4). Forty percent of participants were fatigued, including 12.5% who were severely fatigued. Participants with bilateral CP (FSS = 4.2 (SD 1.4)) were more fatigued compared to those with unilateral CP (FSS = 3.1 (SD 1.3)) (p < 0.01). Levels of cardiopulmonary fitness (2.4 L/min (SD 0.8)) and daily physical activity (8.5% (SD 3.0)) were not significantly related to fatigue (respectively p = 0.10 and p = 0.55), although for cardiopulmonary fitness a trend was found. CONCLUSIONS: Fatigue is already present at a relatively young age amongst adults with CP, and CP subtype is a determinant of fatigue. We did not find significant evidence for a cross-sectional relation of fatigue with cardiopulmonary fitness or daily physical activity. TRIAL REGISTRATION: Nederland’s trial register: NTR1785. BioMed Central 2014-12-11 /pmc/articles/PMC4274699/ /pubmed/25495688 http://dx.doi.org/10.1186/1743-0003-11-161 Text en © Russchen et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Russchen, Heleen A
Slaman, Jorrit
Stam, Henk J
van Markus-Doornbosch, Frederike
van den Berg-Emons, Rita J
Roebroeck, Marij E
Focus on fatigue amongst young adults with spastic cerebral palsy
title Focus on fatigue amongst young adults with spastic cerebral palsy
title_full Focus on fatigue amongst young adults with spastic cerebral palsy
title_fullStr Focus on fatigue amongst young adults with spastic cerebral palsy
title_full_unstemmed Focus on fatigue amongst young adults with spastic cerebral palsy
title_short Focus on fatigue amongst young adults with spastic cerebral palsy
title_sort focus on fatigue amongst young adults with spastic cerebral palsy
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274699/
https://www.ncbi.nlm.nih.gov/pubmed/25495688
http://dx.doi.org/10.1186/1743-0003-11-161
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