Post-stroke fatigue: a treatment protocol that is being evaluated
When I found this I rejoiced, but after reading the abstract I realized they only are talking about compensation which for me is a total waste of time. I can't get any more cardiovascularily fit. I don't want the fatigue managed, I want it cured.
http://www.ncbi.nlm.nih.gov/pubmed/21402652 When is someone going to look at the chemical changes in the brain and see if those are causing the fatigue?
Purpose: Post-stroke fatigue is a common and debilitating
complaint, which has only recently received attention in
clinical rehabilitation. Until now, no evidence-based
treatments have been available for the condition. Therefore,
a new treatment was designed to reduce post-stroke fatigue
complaints: Cognitive and Graded Activity Training (COGRAT).
Rationale: Following the premise that post-stroke fatigue is
primarily caused by brain damage, the treatment aims to
prevent fatigue and to manage existing fatigue symptoms. The
purpose of the added graded activity programme is to reduce
fatigue by changing cognitions and enhancing physical
fitness. Theory into practice: COGRAT consists of a
cognitive treatment and graded activity programme in small
groups over 12 weeks. In the cognitive treatment, patients
receive education on post-stroke fatigue and register their
activities and fatigue to gain insight into their daily
agenda and fatigability. Patients are then taught several
compensation strategies. Cognitive behavioural therapy is
used to diminish anxiety, facilitate behavioural change and
manage fatigue symptoms. The graded activity programme
consists of walking on a treadmill, strength training and
home work assignments. Maximum heart rate and strength are
increased from 40% at the beginning of the training to a
maximum of 70%. Considerations for future improvements:
COGRAT is currently being evaluated in outpatients with
severe post-stroke fatigue in a multicentre randomized
controlled trial. Preliminary data suggest both positive
short- and long-term effects. Adaptations for other
neurological patient groups suffering from fatigue are
Sorry, but you are totally on your own to find out what to do about it.