Occupational Therapy in Fatigue Management in Multiple Sclerosis: An Umbrella Review.

IF 2.2 Q3 CLINICAL NEUROLOGY Multiple Sclerosis International Pub Date : 2019-03-21 eCollection Date: 2019-01-01 DOI:10.1155/2019/2027947

Angela Salomè, Tullia Sasso D'Elia, Giorgia Franchini, Valter Santilli, Teresa Paolucci

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引用次数: 19

Abstract

Background. Fatigue is one of the most invalidant symptoms of Multiple Sclerosis (MS) that negatively affects occupational and work performance and social participation. Occupational therapy (OT) assessment and treatment of impairments related to fatigue can have a significant and positive impact on the quality of life. Methods. An umbrella review has been carried out to provide rehabilitative decision makers in healthcare with insight into the role of OT in fatigue management in Multiple Sclerosis. The question is, what type of treatment provided by occupational therapist is more effective in reducing fatigue in Multiple Sclerosis? A search of literature published until June 2018 was undertaken by three independent reviewers using PubMed, PEDro, and Cochrane Library database including systematic reviews and meta-analyses of the last 10 years. Results. 10 studies were selected (5 systematic reviews, 1 meta-analysis, 3 reviews, and 1 guideline). Conclusions. Fatigue management programs have moderate evidence; other strategies such as OT strategies and telerehabilitation show low evidence.

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职业疗法在多发性硬化症疲劳管理中的应用:综述。

背景。疲劳是多发性硬化症(MS)最无效的症状之一，对职业和工作表现以及社会参与产生负面影响。职业疗法(OT)评估和治疗与疲劳相关的损伤可以对生活质量产生显著和积极的影响。方法。一个总括性的审查已经进行，以提供康复决策者在医疗保健与洞察的作用，OT在疲劳管理多发性硬化症。问题是，职业治疗师提供的哪种治疗对减轻多发性硬化症患者的疲劳更有效?三位独立审稿人使用PubMed、PEDro和Cochrane图书馆数据库对2018年6月之前发表的文献进行了检索，包括过去10年的系统评价和荟萃分析。结果:共纳入10项研究(5项系统综述，1项荟萃分析，3项综述，1项指南)。结论。疲劳管理方案有适度的证据;其他策略，如OT策略和远程康复显示低证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Multiple Sclerosis International CLINICAL NEUROLOGY-

自引率

0.00%

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审稿时长

15 weeks

期刊介绍： Multiple Sclerosis International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of multiple sclerosis, including clinical neurology, neuroimaging, neuropathology, therapeutics, genetics, neuroimmunology, biomarkers, psychology and neurorehabilitation.