2012, Number 2
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Rev Cub de Med Fis y Rehab 2012; 4 (2)
Cognitive fatigue in multiple sclerosis. Relationship with subjective fatigue and working memory
Macías-Delgado Y, Jiménez-Morales RM, Fundora DR, Gómez GAO, Sebrango RCR, Baldomir GRR
Language: Spanish
References: 15
Page:
PDF size: 135.39 Kb.
ABSTRACT
Introduction: cognitive fatigue in multiple sclerosis is addressed from different perspectives. In this study, it is defined as a decrease in performance during a cognitive task that requires a sustained mental effort.
Objective: assessing the association of cognitive fatigue with working memory and subjective fatigue in patients with multiple sclerosis.
Methods: the study included 20 patients with multiple sclerosis and healthy controls. The tools applied included the
Paced Auditory Serial Addition Test,
Wais-III subtest of inverted digits, Verbal Learning of 10 word sand, the Modified Scale of Fatigue Impact.
Results: patients showed a significant decline manifested in a 17%. The decline pattern in the control group corresponded to an 8,8%. Moderately significant differences were seen between both groups in regard to cognitive fatigue. Inpatients with multiple sclerosis, cognitive fatigue was associated with PASAT, but not with the Modified Scale of Fatigue Impact.
Conclusions: the study group showed objective measurements of cognitive fatigue. Cognitive fatigue was correlated with working memory, but not with subjective fatigue.
REFERENCES
García-Burguillo MP, Águila-Maturana AM. Estrategias de conservación de la energía en el tratamiento de la fatiga en pacientes con esclerosis múltiple: Estudio piloto. Rev neurol. 2009; 49:181-185.
Forwell SJ, Brunham S, Helen T, Morrison W, Oger J. Primary and Nonprimary Fatigue in Multiple Sclerosis. Int J MS Care. 2008; 10: 14-20.
Calabrese M, Rinaldi F, Grossi P, Mattisi I, Bernardi V, Favaretto A, et al. Basal ganglia and frontal/parietal cortical atrophy is associated with fatigue in relapsingremitting multiple sclerosis. Multiple Sclerosis. 2010; 16: 1220-8.
Kos D. Kerckhofs E. Nagels G. D'hooghe MB. Ilsbroukx S. Origin of Fatigue in Multiple Sclerosis: Review of the Literature. Neurorehabil Neural Repair. 2008; 22:91- 100.
Bryant D, Chiaravalloti ND, DeLuca J. Objective Measurement of Cognitive Fatigue in Multiple Sclerosis. Rehabilitation Psychology. 2004; 49: 114-122.
DeLuca J, Genova HM, Hillary FG, Wylie G. Neural correlates of cognitive fatigue in multiple sclerosis using functional MRI. J Neurol Sci. 2008; 270:28-39
Diamond BJ, Johnson SK, Kaufman M, Graves L. Relationships between information processing, depression, fatigue and cognition in multiple sclerosis. Arch Clin Neuropsychol. 2008; 23: 189_199.
Holtzer R, Foley F. The relationship between subjective reports of fatigue and executive control in Multiple Sclerosis. Journal of the Neurological Sciences. 2009; 15; 281:46-50.
Bailey A, Channon S, Beaumont JG.The relationship between subjective fatigue and cognitive fatigue in advanced multiple sclerosis. Multiple Sclerosis. 2007; 13:73-80.
Morrow SA, Weinstock-Guttman B, Munschauer FE, Hojnacki D, Benedict RHB. Subjective fatigue is not associated with cognitive impairment in multiple sclerosis: cross-sectional. Multiple Sclerosis. 2009; 15: 998_1005.
Schwid SR, Tyler CM, Scheid EA, Weinstein A, Goodman AD, McDermott MP. Cognitive fatigue during a test requiring sustained attention: a pilot study. Multiple Sclerosis. 2003; 9: 503-8.
Hernández E. Atención psicológica en el trasplante de órganos: trasplante de corazón. La Habana: Editorial ciencias médicas; 2007.
Arnett P, Forn C. Evaluación neuropsicológica en la esclerosis multiple. Rev Neurol. 2007; 44: 166-72
Johnson SK, Lange G, De Luca J, Korn LR, Natelson BH. Effects of fatigue on neuropsychological performance on patients with chronic fatigue syndrome, multiple sclerosis and depression. Applied Neuropsychology. 1997; 4: 145-153.
Middleton LS, Denney DR, Lynch SG, Parmenter B. The relationship between perceived and objective cognitive functioning in multiple sclerosis. Arch Clin Neuropsychol. 2006; 21: 487-94.