Latest Developments in Physical Fatigue Evaluation Methods in Patients with Stroke

doi:10.12114/j.issn.1007-9572.2021.02.012

Abstract

Abstract: Physical fatigue is common in stroke patients，which adversely affects the functional recovery and longˇterm quality of life. Currently available studies about post-stroke fatigue，especially physical fatigue，are limited，and show a large degree of heterogeneity，with controversial results. We reviewed the latest developments in physical fatigue evaluation methods in stroke patients，with a view to assisting clinical selection of an appropriate physical fatigue evaluation method for such patients.

Key words: Fatigue, Stroke, Physical functional performance, Physical fatigue, Evaluation studies, Review

摘要： 躯体疲劳是脑卒中患者常见症状之一，不仅会影响患者功能恢复，还会对患者长期生活质量造成不良影响。目前，关于卒中后疲劳尤其是躯体疲劳的研究有限且各研究间异质性较大，研究结果也存在较大争议。本文就脑卒中患者躯体疲劳评价方法进行了综述，以期为临床合理选用有效评价脑卒中患者躯体疲劳的方法提供参考。

关键词: 疲劳, 卒中, 身体功能, 躯体疲劳, 评价研究, 综述

REN Siqiang, ZHANG Qian, DAI Yuxi, ZHEN Xicheng. Latest Developments in Physical Fatigue Evaluation Methods in Patients with Stroke　[J]. Chinese General Practice, 2021, 24(36): 4661-4664.

任思强,张茜,代玉玺等. 脑卒中患者躯体疲劳评价方法的研究进展[J]. 中国全科医学, 2021, 24(36): 4661-4664. DOI: 10.12114/j.issn.1007-9572.2021.02.012.

References 43

[1]	贾建平，陈生弟，崔丽英，等. 神经病学[M]. 8版.北京：人民卫生出版社，2018：186.
[2]	MARK V W. Stroke and behavior[J]. Neurol Clin，2016，34(1):205-234. DOI：10.1016/j.ncl.2015.08.009.
[3]	ACCIARRESI M, BOGOUSSLAVSKY J, PACIARONI M. Post-stroke fatigue：epidemiology，clinical characteristics and treatment[J]. Eur Neurol，2014，72(5/6):255-261. DOI：10.1159/000363763.
[4]	DE GROOT M H, PHILLIPS S J, ESKES G A. Fatigue associated with stroke and other neurologic conditions：implications for stroke rehabilitation[J]. Arch Phys Med Rehabil，2003，84(11):1714-1720. DOI：10.1053/s0003-9993(03)00346-0.
[5]	DUNCAN F, LEWIS S J, GREIG C A，et al. Exploratory longitudinal cohort study of associations of fatigue after stroke[J]. Stroke，2015，46(4):1052-1058. DOI：10.1161/STROKEAHA.114.008079.
[6]	KRUPP L B, LAROCCA N G, MUIR-NASH J，et al. The fatigue severity scale.Application to patients with multiple sclerosis and systemic lupus erythematosus[J]. Arch Neurol，1989，46(10):1121-1123. DOI：10.1001/archneur.1989.00520460115022.
[7]	吴春薇，刘占东，张拥波，等. 3种疲劳量表对脑梗死患者疲劳状况的综合评价[J]. 中国康复理论与实践，2009，15(5):458-460. DOI：10.3969/j.issn.1006-9771.2009.05.022.
[8]	VERCOULEN J H, SWANINK C M, FENNIS J F，et al. Dimensional assessment of chronic fatigue syndrome[J]. J Psychosom Res，1994，38(5):383-392. DOI：10.1016/0022-3999(94)90099-x.
[9]	吴春薇，刘占东，张拥波，等. 个人疲劳强度问卷中译本在脑梗死患者中的临床应用与评价[J]. 中国康复理论与实践，2008，14(2):116-118. DOI：10.3969/j.issn.1006-9771.2008.02.006.
[10]	RIETBERG M B, VAN WEGEN E E, KWAKKEL G.Measuring fatigue in patients with multiple sclerosis：reproducibility，responsiveness and concurrent validity of three Dutch self-report questionnaires[J]. Disabil Rehabil，2010，32(22):1870-1876. DOI：10.3109/09638281003734458.
[11]	FISK J D, RITVO P G, ROSS L，et al. Measuring the functional impact of fatigue：initial validation of the fatigue impact scale[J]. Clin Infect Dis，1994，18():S79-83. DOI：10.1093/clinids/18.Supplement_1.S79.
[12]	WU C, LIU Z, ZHANG Y，et al. Validity and reliability of Chinese version of Fatigue Impact Scale in cerebral infarction patients[J]. Neural Regeneration Research，2008，3(2):177-181.
[13]	BUCHHEIT M, RACINAIS S, BILSBOROUGH J C，et al. Monitoring fitness，fatigue and running performance during a pre-season training camp in elite football players[J]. J Sci Med Sport，2013，16(6):550-555. DOI：10.1016/j.jsams.2012.12.003.
[14]	SCHMITT L, REGNARD J, MILLET G P. Monitoring fatigue status with HRV measures in elite athletes：an avenue beyond RMSSD？[J]. Front Physiol，2015，6:343. DOI：10.3389/fphys.2015.00343.
[15]	GUIDI A, GRECO A, FELICI F，et al. Heart rate variability analysis during muscle fatigue due to prolonged isometric contraction[J]. Annu Int Conf IEEE Eng Med Biol Soc，2017，2017:1324-1327. DOI：10.1109/EMBC.2017.8037076.
[16]	MORALES J, ALAMO J M, GARCÍA-MASSÓ X，et al. Use of heart rate variability in monitoring stress and recovery in judo athletes[J]. J Strength Cond Res，2014，28(7):1896-1905. DOI：10.1519/JSC.0000000000000328.
[17]	TU Y, ZHANG Z, GU X，et al. Surface electromyography based muscle fatigue analysis for stroke patients at different Brunnstrom stages[J]. Annu Int Conf IEEE Eng Med Biol Soc，2016，2016:3781-3784. DOI：10.1109/EMBC.2016.7591551.
[18]	UCHIDA M C, CARVALHO R, TESSUTTI V D，et al. Identification of muscle fatigue by tracking facial expressions[J]. PLoS One，2018，13(12):e0208834. DOI：10.1371/journal.pone.0208834.
[19]	HUSSAIN J, SUNDARAJ K, SUBRAMANIAM I D，et al. Analysis of fatigue in the three heads of the triceps brachii during isometric contractions at various effort levels[J]. J Musculoskelet Neuronal Interact，2019，19(3):276-285. DOI：PMC6737551.
[20]	TAELMAN J, VANDERHAEGEN J, ROBIJNS M，et al. Estimation of muscle fatigue using surface electromyography and near-infrared spectroscopy[J]. Adv Exp Med Biol，2011，701:353-359. DOI：10.1007/978-1-4419-7756-4_48.
[21]	MOHAMAD SAADON N S, HAMZAID N A, HASNAN N，et al. Electrically evoked wrist extensor muscle fatigue throughout repetitive motion as measured by mechanomyography and near-infrared spectroscopy[J]. Biomed Tech（Berl），2019，64(4):439-448. DOI：10.1515/bmt-2018-0058.
[22]	MORI D，SUMIIL H，SHIOKAWA M，et al. Measurement of low back muscle fatigue and recovery time during and after isometric endurance test[M]//GOONETILLEKE R，KARWOWSKI W. Advances in Intelligent Systems and Computing. Cham：Springer，2016：297-308.
[23]	ZAMPELLA C, CALANNI L, BARBERO M，et al. Correlations between myoelectric and hemodynamic parameters changes in biceps brachii during sustained isometric contraction in healthy elderly[J]. J Sci Sport Exercise，2019，1(2):116-123. DOI：10.1007/s42978-019-0023-6.
[24]	WU D, WANG L, TENG W，et al. Correlation of post-stroke fatigue with glucose，homocysteine and functional disability[J]. Acta Neurol Scand，2015，131(6):400-404. DOI：10.1111/ane.12300.
[25]	于学涛，徐海. 老年缺血性脑卒中后疲劳与缺血性脑卒中血清白细胞介素1β、C反应蛋白、同型半胱氨酸水平的相关性分析[J]. 国际检验医学杂志，2018，39(13):1590-1592,1596. DOI：10.3969/j.issn.1673-4130.2018.13.015.
[26]	李欣，张彦红，聂拴锁，等. 脑卒中后疲劳与缺血性脑卒中患者血清白介素1β、C反应蛋白、同型半胱氨酸水平及预后的相关性研究[J]. 实用心脑肺血管病杂志，2017，25(8):15-19. DOI：10.3969/j.issn.1008-5971.2017.08.004.
[27]	ORMSTAD H, AASS H C D, AMTHOR K F，et al. Serum cytokine and glucose levels as predictors of poststroke fatigue in acute ischemic stroke patients[J]. J Neurol，2011，258(4):670-676. DOI：10.1007/s00415-011-5962-8.
[28]	SARFO F S, BERCHIE P, SINGH A，et al. Prevalence，trajectory，and predictors of poststroke fatigue among Ghanaians[J]. J Stroke Cerebrovasc Dis，2019，28(5):1353-1361. DOI：10.1016/j.jstrokecerebrovasdis.2019.02.002.
[29]	WU D, WANG L, TENG W，et al. Correlation of fatigue during the acute stage of stroke with serum uric acid and glucose levels，depression，and disability[J]. Eur Neurol，2014，72(3/4):223-227. DOI：10.1159/000364902.
[30]	ORMSTAD H, VERKERK R, AMTHOR K F，et al. Activation of the kynurenine pathway in the acute phase of stroke and its role in fatigue and depression following stroke[J]. J Mol Neurosci，2014，54(2):181-187. DOI：10.1007/s12031-014-0272-0.
[31]	HUGHES A, KUMARI M. Age modification of the relationship between C-reactive protein and fatigue：findings from Understanding Society（UKHLS）[J]. Psychol Med，2018，48(8):1341-1349. DOI：10.1017/S0033291717002872.
[32]	宋征宇，刘星亮，高琳，等. 缺血性脑卒中后疲劳患者血清白介素-1β、C反应蛋白水平变化及与预后的相关性分析[J]. 中国医刊，2020，55(7):737-740. DOI：10.3969/j.issn.1008-1070.2020.07.014.
[33]	孙瑞，李洁，李祖虹，等. 经颅磁刺激联合运动疗法对脑卒中后疲劳患者疲劳程度及炎性细胞因子的影响[J]. 中华物理医学与康复杂志，2019，41(1):23-27. DOI：10.3760/cma.j.issn.0254-1424.2019.01.005.
[34]	陈治林，李成栋，张书华，等. 自拟涤痰通络方对卒中后疲劳患者C反应蛋白的影响[J]. 中医临床研究，2019，11(4):84-86. DOI：CNKI:SUN:ZYLY.0.2019-04-036.
[35]	SEYED HOSEINPOOR T, KAHRIZI S, MOBINI B，et al. A comparison of abdominal muscle thickness changes after a lifting task in subjects with and without chronic low-back pain[J]. Human Factors，2015，57(2):208-217. DOI：10.1177/0018720814544213.
[36]	温慧莹，陈昕，王君，等. 基于超声图像的运动肌肉疲劳研究？[J]. 北京师范大学学报（自然科学版），2015，51(5):545-550. DOI：10.16360/j.cnki.jbnuns.2015.05.019.
[37]	NIJHOLT W, JAGER-WITTENAAR H, RAJ I S，et al. Reliability and validity of ultrasound to estimate muscles：a comparison between different transducers and parameters[J]. Clin Nutr ESPEN，2020，35:146-152. DOI：10.1016/j.clnesp.2019.10.009.
[38]	王前，曹霞，尹冠军，等. 超声图像熵特性的肌肉疲劳进程评估[J]. 中国生物医学工程学报，2015，34(1):30-36. DOI：10.3969/j.issn.0258-8021.2015.01.005.
[39]	FUJISAWA C, TAMAKI A, YAMADA E，et al. Influence of gender on muscle fatigue during dynamic knee contractions[J]. Phys Ther Res，2017，20(1):1-8. DOI：10.1298/ptr.E9889.
[40]	HADŽIĆV, ŠIROK B, MALNERŠIČA，et al. Can infrared thermography be used to monitor fatigue during exercise？A case study[J]. J Sport Health Sci，2019，8(1):89-92. DOI：10.1016/j.jshs.2015.08.002.
[41]	KUNISZYK-JÓŹKOWIAK W, JASZCZUK J, CZAPLICKI A. Changes in electromyographic signals and skin temperature during standardised effort in volleyball players[J]. Acta Bioeng Biomech，2018，20(4):115-122.
[42]	PRIEGO-QUESADA J I, OFICIAL-CASADO F, GANDIA-SORIANO A，et al. A preliminary investigation about the observation of regional skin temperatures following cumulative training loads in triathletes during training camp[J]. J Therm Biol，2019，84:431-438. DOI：10.1016/j.jtherbio.2019.07.035.
[43]	GARCÍA-MANSO J M, RODRÍGUEZ-MATOSO D, SARMIENTO S，et al. Effect of high-load and high-volume resistance exercise on the tensiomyographic twitch response of biceps brachii[J]. J Electromyogr Kinesiol，2012，22(4):612-619. DOI：10.1016/j.jelekin.2012.01.005.