Impact of fatigue on the health-related quality of life in persons with spinal cord injury

Wijesuriya, N; Tran, Y; Middleton, J; Craig, A

Impact of fatigue on the health-related quality of life in persons with spinal cord injury

Wijesuriya, N Tran, Y

Middleton, J Craig, A

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Publication Type:: Journal Article
Citation:: Archives of Physical Medicine and Rehabilitation, 2012, 93 (2), pp. 319 - 324
Issue Date:: 2012-02-01

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Field	Value	Language
dc.contributor.author	Wijesuriya, N	en_US
dc.contributor.author	Tran, Y https://orcid.org/0000-0002-1741-4205	en_US
dc.contributor.author	Middleton, J	en_US
dc.contributor.author	Craig, A https://orcid.org/0000-0001-7647-7604	en_US
dc.date.available	2011-09-09	en_US
dc.date.issued	2012-02-01	en_US
dc.identifier.citation	Archives of Physical Medicine and Rehabilitation, 2012, 93 (2), pp. 319 - 324	en_US
dc.identifier.issn	0003-9993	en_US
dc.identifier.uri	http://hdl.handle.net/10453/114939
dc.description.abstract	Objective: To study the impact of fatigue on health-related quality of life (HR-QOL) associated with spinal cord injury (SCI). Design: Matched group design with several independent measures. Setting: University-based laboratory. Participants: Persons with SCI (n=41) and an average 16.5 years duration of community living with SCI and a group of able-bodied controls (n=41) with similar sex ratio, age, and level of education. Participants with SCI were enrolled through rehabilitation unit contacts and through advertising in newsletters. Interventions: Not applicable. Main Outcome Measures: The main independent measures reported in this article include the Iowa Fatigue Scale and the Medical Outcomes Study 36-Item Short-Form Health Survey. Results: As expected, persons with SCI were found to have significantly lower HR-QOL. Fatigue was found to be more prevalent in the SCI group, and was associated with lower HR-QOL in both groups. Factorial analysis of variance indicated significant interactions in which persons with SCI with low fatigue levels had similar HR-QOL to the able-bodied controls regardless of their fatigue level, while persons with SCI with elevated fatigue had significantly reduced HR-QOL. Factors such as age, education, completeness and level of lesion, and community integration were not associated with increased fatigue levels. However, a shorter time since injury was found to be significantly associated with higher levels of fatigue. Conclusions: The Iowa Fatigue Scale data suggest over 50% of the SCI group had elevated fatigue, which was associated with significantly reduced HR-QOL. Research is needed that identifies factors that raise vulnerability to fatigue, and strategies designed to address the negative impacts of fatigue need to be evaluated. © 2012 American Congress of Rehabilitation Medicine.	en_US
dc.relation.ispartof	Archives of Physical Medicine and Rehabilitation	en_US
dc.relation.isbasedon	10.1016/j.apmr.2011.09.008	en_US
dc.subject.classification	Rehabilitation	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Spinal Cord Injuries	en_US
dc.subject.mesh	Fatigue	en_US
dc.subject.mesh	Analysis of Variance	en_US
dc.subject.mesh	Case-Control Studies	en_US
dc.subject.mesh	Time Factors	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Impact of fatigue on the health-related quality of life in persons with spinal cord injury	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	93	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1106 Human Movement and Sports Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Engineering and Information Technology
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	93	en_US

Abstract:

Objective: To study the impact of fatigue on health-related quality of life (HR-QOL) associated with spinal cord injury (SCI). Design: Matched group design with several independent measures. Setting: University-based laboratory. Participants: Persons with SCI (n=41) and an average 16.5 years duration of community living with SCI and a group of able-bodied controls (n=41) with similar sex ratio, age, and level of education. Participants with SCI were enrolled through rehabilitation unit contacts and through advertising in newsletters. Interventions: Not applicable. Main Outcome Measures: The main independent measures reported in this article include the Iowa Fatigue Scale and the Medical Outcomes Study 36-Item Short-Form Health Survey. Results: As expected, persons with SCI were found to have significantly lower HR-QOL. Fatigue was found to be more prevalent in the SCI group, and was associated with lower HR-QOL in both groups. Factorial analysis of variance indicated significant interactions in which persons with SCI with low fatigue levels had similar HR-QOL to the able-bodied controls regardless of their fatigue level, while persons with SCI with elevated fatigue had significantly reduced HR-QOL. Factors such as age, education, completeness and level of lesion, and community integration were not associated with increased fatigue levels. However, a shorter time since injury was found to be significantly associated with higher levels of fatigue. Conclusions: The Iowa Fatigue Scale data suggest over 50% of the SCI group had elevated fatigue, which was associated with significantly reduced HR-QOL. Research is needed that identifies factors that raise vulnerability to fatigue, and strategies designed to address the negative impacts of fatigue need to be evaluated. © 2012 American Congress of Rehabilitation Medicine.

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http://hdl.handle.net/10453/114939