A scoping review of rehabilitation interventions that reduce fatigue among adults with multiple sclerosis

Asano, Miho, Berg, Elizabeth, Johnson, Katherine, Turpin, Merrill and Finlayson, Marcia L. (2015) A scoping review of rehabilitation interventions that reduce fatigue among adults with multiple sclerosis. Disability and Rehabilitation, 37 9: 729-738. doi:10.3109/09638288.2014.944996


Author Asano, Miho
Berg, Elizabeth
Johnson, Katherine
Turpin, Merrill
Finlayson, Marcia L.
Title A scoping review of rehabilitation interventions that reduce fatigue among adults with multiple sclerosis
Journal name Disability and Rehabilitation   Check publisher's open access policy
ISSN 0963-8288
1464-5165
Publication date 2015-05
Year available 2015
Sub-type Critical review of research, literature review, critical commentary
DOI 10.3109/09638288.2014.944996
Open Access Status Not yet assessed
Volume 37
Issue 9
Start page 729
End page 738
Total pages 10
Place of publication London, United Kingdom
Publisher Informa Healthcare
Collection year 2016
Language eng
Formatted abstract
Objective: To identify and summarize available research literature about rehabilitation interventions for multiple sclerosis (MS) fatigue management. Methods: Database searches (PubMed, EMBASE, CINAHL and PsychINFO) were conducted in October 2011 and last updated in July 2013. To be included, studies must have been published in a peer-reviewed scientific journal, written in English and included an intervention to manage MS fatigue. Effect size (ES) were calculated for the quantitative studies to estimate intervention effects, and major themes were summarized for the qualitative studies. Results: Thirty-eight studies were included in this review. A variety of exercise and behavior change interventions were prescribed to adults with MS. The two most common interventions were progressive resistive training and fatigue management programs. Three exercise intervention studies and nine behavior change intervention studies with quantitative data presented significant ES. Four studies with qualitative data supported the positive impact of certain exercise and behavior change interventions. Conclusions: This review identified a variety of exercise and behavior change interventions for MS fatigue management. While the findings may provide helpful information to inform practice, future researchers need to develop and evaluate knowledge translation strategies to facilitate the application of this evidence to daily practice to advance MS rehabilitation care.

Implications for Rehabilitation
Both exercise and behavior change interventions demonstrate some degree of effectiveness for managing MS fatigue.

Effect sizes for exercise and behavior change interventions are similar, although the populations examined are different. Overall, evidence for exercise focuses on people who are less disabled, while evidence for behavior change interventions includes a broader population.

Future researchers need to develop and evaluate knowledge translation strategies that facilitate application of evidence in daily practice in order to advance MS rehabilitation.
Keyword Adults
Evidence-based practice
Fatigue
Intervention strategies
Multiple sclerosis
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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