Reliability, Responsiveness, and Validity of the Visual Analog Fatigue Scale to Measure Exertion Fatigue in People with Chronic Stroke: A Preliminary Study

Background and Purpose. Post-Stroke Fatigue (PSF) is a prevalent yet commonly neglected issue that impacts daily functions and quality of life in people post-stroke. To date no studies have attempted to validate a clinically-feasible and reliable instrument to quantify PSF. We developed the Visual...

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Main Authors: Benjamin Y. Tseng, Byron J. Gajewski, Patricia M. Kluding
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Stroke Research and Treatment
Online Access:http://dx.doi.org/10.4061/2010/412964
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author Benjamin Y. Tseng
Byron J. Gajewski
Patricia M. Kluding
author_facet Benjamin Y. Tseng
Byron J. Gajewski
Patricia M. Kluding
author_sort Benjamin Y. Tseng
collection DOAJ
description Background and Purpose. Post-Stroke Fatigue (PSF) is a prevalent yet commonly neglected issue that impacts daily functions and quality of life in people post-stroke. To date no studies have attempted to validate a clinically-feasible and reliable instrument to quantify PSF. We developed the Visual Analog Fatigue Scale (VAFS) to eliminate difficulties and poor data validity in testing people post-stroke. The purpose of this study was to evaluate the reliability, responsiveness, and validity of the VAFS. Methods. Twenty-one people post-stroke (12 males, age =59.5±10.3 years; time post-stroke =4.1±3.5 years) participated. Subjects underwent a standardized fatigue-inducing exercise; fatigue level was assessed at rest, immediately after exercise, and after recovery. The same protocol was repeated after 14 days. Results. ICC values for the VAFS at rest was 0.851 (CI = 95%, 0.673 ∼ 0.936, P<.001), immediately after exercise was 0.846 (CI = 95%, 0.663 ∼ 0.934, P<.001), and 15 minutes after exercise was 0.888 (CI = 95%, 0.749 ∼ 0.953, P<.001). The ES values for at-rest to post-exercise and for post-exercise to post-recovery were 14.512 and 0.685, respectively. Using paired t-test, significant difference was found between VAFS scores at-rest and post-exercise (P<.001), and between post-exercise and post-recovery (P<.001). Conclusion. Our data suggests good reliability, responsiveness, and validity of the VAFS to assess exertion fatigue in people post-stroke.
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spelling doaj-art-4e3aecf178e64555af7741a7e92bdc072025-02-03T05:52:46ZengWileyStroke Research and Treatment2042-00562010-01-01201010.4061/2010/412964412964Reliability, Responsiveness, and Validity of the Visual Analog Fatigue Scale to Measure Exertion Fatigue in People with Chronic Stroke: A Preliminary StudyBenjamin Y. Tseng0Byron J. Gajewski1Patricia M. Kluding2Department of Physical Therapy, and Rehabilitation Science, The University of Kansas Medical Center, Mail Stop 1026, 3901 Rainbow Boulevard, Kansas City, KS 66160, USADepartment of Biostatistics, The University of Kansas Medical Center, Mail Stop 3051, 3901 Rainbow Boulevard, Kansas City, KS 66160, USADepartment of Physical Therapy, and Rehabilitation Science, The University of Kansas Medical Center, Mail Stop 1026, 3901 Rainbow Boulevard, Kansas City, KS 66160, USABackground and Purpose. Post-Stroke Fatigue (PSF) is a prevalent yet commonly neglected issue that impacts daily functions and quality of life in people post-stroke. To date no studies have attempted to validate a clinically-feasible and reliable instrument to quantify PSF. We developed the Visual Analog Fatigue Scale (VAFS) to eliminate difficulties and poor data validity in testing people post-stroke. The purpose of this study was to evaluate the reliability, responsiveness, and validity of the VAFS. Methods. Twenty-one people post-stroke (12 males, age =59.5±10.3 years; time post-stroke =4.1±3.5 years) participated. Subjects underwent a standardized fatigue-inducing exercise; fatigue level was assessed at rest, immediately after exercise, and after recovery. The same protocol was repeated after 14 days. Results. ICC values for the VAFS at rest was 0.851 (CI = 95%, 0.673 ∼ 0.936, P<.001), immediately after exercise was 0.846 (CI = 95%, 0.663 ∼ 0.934, P<.001), and 15 minutes after exercise was 0.888 (CI = 95%, 0.749 ∼ 0.953, P<.001). The ES values for at-rest to post-exercise and for post-exercise to post-recovery were 14.512 and 0.685, respectively. Using paired t-test, significant difference was found between VAFS scores at-rest and post-exercise (P<.001), and between post-exercise and post-recovery (P<.001). Conclusion. Our data suggests good reliability, responsiveness, and validity of the VAFS to assess exertion fatigue in people post-stroke.http://dx.doi.org/10.4061/2010/412964
spellingShingle Benjamin Y. Tseng
Byron J. Gajewski
Patricia M. Kluding
Reliability, Responsiveness, and Validity of the Visual Analog Fatigue Scale to Measure Exertion Fatigue in People with Chronic Stroke: A Preliminary Study
Stroke Research and Treatment
title Reliability, Responsiveness, and Validity of the Visual Analog Fatigue Scale to Measure Exertion Fatigue in People with Chronic Stroke: A Preliminary Study
title_full Reliability, Responsiveness, and Validity of the Visual Analog Fatigue Scale to Measure Exertion Fatigue in People with Chronic Stroke: A Preliminary Study
title_fullStr Reliability, Responsiveness, and Validity of the Visual Analog Fatigue Scale to Measure Exertion Fatigue in People with Chronic Stroke: A Preliminary Study
title_full_unstemmed Reliability, Responsiveness, and Validity of the Visual Analog Fatigue Scale to Measure Exertion Fatigue in People with Chronic Stroke: A Preliminary Study
title_short Reliability, Responsiveness, and Validity of the Visual Analog Fatigue Scale to Measure Exertion Fatigue in People with Chronic Stroke: A Preliminary Study
title_sort reliability responsiveness and validity of the visual analog fatigue scale to measure exertion fatigue in people with chronic stroke a preliminary study
url http://dx.doi.org/10.4061/2010/412964
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