The Effects of Vestibular Rehabilitation on Poststroke Fatigue: A Randomized Controlled Trial Study
Background. A major complication caused by stroke is poststroke fatigue (PSF), and by causing limitations in doing activities of daily living (ADL), it can lower the quality of life. Objective. The present study is an attempt to examine the effects of vestibular rehabilitation on BADL (Basic Activit...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2022/3155437 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832561772605734912 |
|---|---|
| author | Amin Ghaffari Bahador Asadi Armin Zareian Malahat Akbarfahimi Gholam Reza Raissi Fahimeh Fathali Lavasani |
| author_facet | Amin Ghaffari Bahador Asadi Armin Zareian Malahat Akbarfahimi Gholam Reza Raissi Fahimeh Fathali Lavasani |
| author_sort | Amin Ghaffari |
| collection | DOAJ |
| description | Background. A major complication caused by stroke is poststroke fatigue (PSF), and by causing limitations in doing activities of daily living (ADL), it can lower the quality of life. Objective. The present study is an attempt to examine the effects of vestibular rehabilitation on BADL (Basic Activities of Daily Living), fatigue, depression, and Lawton Instrumental Activities of Daily Living (IADL) in patients with stroke. Method. Patients with a history of stroke took part voluntarily in a single-blind clinical trial. The participants were allocated to control and experimental groups randomly. The experimental group attended 24 sessions of vestibular rehabilitation protocol, while the control group received the standard rehabilitation (including three sessions per week each for around 60 min). To measure fatigue, the Fatigue Impact Scale (FIS) and the Fatigue Assessment Scale (FAS) were used. Depression, BADL, and IADL were measured using the Beck Depression Inventory-II (BDI-II), Barthel Index (BI), and Lawton Instrumental Activities of Daily Living, respectively. All changes were measured from the baseline after the intervention. Results. Significant improvement was found in the experimental group compared to the control group (p<0.05) in FIS (physical, cognition, and social subscales), FAS, BDI-II, BADL, and IADL. Moreover, the results showed small to medium and large effect sizes for the physical subscale of FIS and FAS scores based on Cohen’s d, respectively; however, no significant difference was found in terms of cognition and social subscales of FIS, BDI-II, BADL, and IADL scores. Conclusion. It is possible to improve fatigue, depression, and independence in BADL and IADL using vestibular rehabilitation. Thus, it is an effective intervention in case of stroke, which is also well tolerated. |
| format | Article |
| id | doaj-art-6e2fd978b9924209b0addfa65cc419b3 |
| institution | Kabale University |
| issn | 2042-0056 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-6e2fd978b9924209b0addfa65cc419b32025-02-03T01:24:10ZengWileyStroke Research and Treatment2042-00562022-01-01202210.1155/2022/3155437The Effects of Vestibular Rehabilitation on Poststroke Fatigue: A Randomized Controlled Trial StudyAmin Ghaffari0Bahador Asadi1Armin Zareian2Malahat Akbarfahimi3Gholam Reza Raissi4Fahimeh Fathali Lavasani5Department of NeurologyDepartment of NeurologyPublic Health DepartmentRehabilitation Research CenterNeuromusculoskeletal Research CenterClinical Psychology DepartmentBackground. A major complication caused by stroke is poststroke fatigue (PSF), and by causing limitations in doing activities of daily living (ADL), it can lower the quality of life. Objective. The present study is an attempt to examine the effects of vestibular rehabilitation on BADL (Basic Activities of Daily Living), fatigue, depression, and Lawton Instrumental Activities of Daily Living (IADL) in patients with stroke. Method. Patients with a history of stroke took part voluntarily in a single-blind clinical trial. The participants were allocated to control and experimental groups randomly. The experimental group attended 24 sessions of vestibular rehabilitation protocol, while the control group received the standard rehabilitation (including three sessions per week each for around 60 min). To measure fatigue, the Fatigue Impact Scale (FIS) and the Fatigue Assessment Scale (FAS) were used. Depression, BADL, and IADL were measured using the Beck Depression Inventory-II (BDI-II), Barthel Index (BI), and Lawton Instrumental Activities of Daily Living, respectively. All changes were measured from the baseline after the intervention. Results. Significant improvement was found in the experimental group compared to the control group (p<0.05) in FIS (physical, cognition, and social subscales), FAS, BDI-II, BADL, and IADL. Moreover, the results showed small to medium and large effect sizes for the physical subscale of FIS and FAS scores based on Cohen’s d, respectively; however, no significant difference was found in terms of cognition and social subscales of FIS, BDI-II, BADL, and IADL scores. Conclusion. It is possible to improve fatigue, depression, and independence in BADL and IADL using vestibular rehabilitation. Thus, it is an effective intervention in case of stroke, which is also well tolerated.http://dx.doi.org/10.1155/2022/3155437 |
| spellingShingle | Amin Ghaffari Bahador Asadi Armin Zareian Malahat Akbarfahimi Gholam Reza Raissi Fahimeh Fathali Lavasani The Effects of Vestibular Rehabilitation on Poststroke Fatigue: A Randomized Controlled Trial Study Stroke Research and Treatment |
| title | The Effects of Vestibular Rehabilitation on Poststroke Fatigue: A Randomized Controlled Trial Study |
| title_full | The Effects of Vestibular Rehabilitation on Poststroke Fatigue: A Randomized Controlled Trial Study |
| title_fullStr | The Effects of Vestibular Rehabilitation on Poststroke Fatigue: A Randomized Controlled Trial Study |
| title_full_unstemmed | The Effects of Vestibular Rehabilitation on Poststroke Fatigue: A Randomized Controlled Trial Study |
| title_short | The Effects of Vestibular Rehabilitation on Poststroke Fatigue: A Randomized Controlled Trial Study |
| title_sort | effects of vestibular rehabilitation on poststroke fatigue a randomized controlled trial study |
| url | http://dx.doi.org/10.1155/2022/3155437 |
| work_keys_str_mv | AT aminghaffari theeffectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT bahadorasadi theeffectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT arminzareian theeffectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT malahatakbarfahimi theeffectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT gholamrezaraissi theeffectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT fahimehfathalilavasani theeffectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT aminghaffari effectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT bahadorasadi effectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT arminzareian effectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT malahatakbarfahimi effectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT gholamrezaraissi effectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy AT fahimehfathalilavasani effectsofvestibularrehabilitationonpoststrokefatiguearandomizedcontrolledtrialstudy |