Using the fatigue severity scale to inform healthcare. The fatigue severity scale fss is an unidimensional questionnaire of 9 statements evaluating the severity but also the impact of fatigue in. A moderate negative correlation between the multiple sclerosisfatigue selfefficacy scale and the global fatigue severity. The validity and reliability of the fatigue severity scale. Fatigue profiles in patients with multiple sclerosis are. Captures the individuals experience of mental or psychological fatigue and how it. Fatigue is a common symptom experienced by people with ms.
The original version, the fatigue impact scale, was sensitive in discriminating the effects of fatigue among ms from those of patients with chronic fatigue syndrome and essential hypertension. Fatigue is a prominent disabling symptom in a variety of medical and neurologic disorders. The fatigue severity scale includes nine items that provide a measure of fatigue severity. Fatigue is common in chronic neurological disorders 1. Application to patients with multiple sclerosis and systemic lupus. Fatigue severity scale, is suggested for both screening and severity. Administration of the fatigue severity scale to 25 patients with multiple sclerosis, 29 patients with systemic lupus erythematosus, and 20 healthy adults revealed that the fatigue severity scale was internally consistent, correlated well with visual analogue measures, clearly differentiated controls from patients, and could detect clinically. The fatigue severity scale fss is a method of evaluating fatigue in multiple sclerosis and other conditions including chronic fatigue immune dysfunction syndrome cfids and systemic lupus erythmatosis sle. Multiple sclerosis progression varies from person to person. The items are scored on a 7 point scale with 1 strongly disagree and 7 strongly agree.
The fulllength version of the mfis has a cronbachs alpha of. Administration of the fatigue severity scale to 25 patients with multiple sclerosis, 29 patients with systemic lupus erythematosus, and 20 healthy adults revealed that the fatigue severity scale was internally consistent. Prevalence rates in conditions often seen in neurological rehabilitation, such as multiple sclerosis ms, parkinsons. Measures of physical and cognitive endurance often show a more rapid decline in motor. The implications of this case suggest multiple modes of exercise training can have a significant impact on quality of life, fatigue and strength in patients with mild to moderate relapsing remitting multiple.
The scale has been studied and evaluated for psychometrics in multiple sclerosis patients. Fatigue is a prominent disabling symptom in a variety of medical and neurologic. Rasch analysis of the fatigue severity scale in multiple. Validity and reliability of the fatigue severity scale in finnish. A 9item questionnaire with questions related to how fatigue interferes with certain activities and rates its severity according to a selfreport scale.
The fatigue severity scale is a frequently used patientreported measure of fatigue impact. The diagnosis of ms fatigue includes the presence of fatigue symptoms for at least 50% of days for more than 6 weeks multiple sclerosis clinical practice guideline. The fatigue severity scale fss is a method of evaluating fatigue in multiple sclerosis and other conditions including chronic fatigue immune dysfunction syndrome cfids and systemic lupus. Fatigue has a major influence on the quality of life of people with multiple sclerosis. Background the 21item modified fatigue impact scale mfis has been recommended as an outcome measure for use in multiple sclerosis and is commonly used to generate an overall. It can significantly interfere with a persons ability to function at home and work, and is one of the primary. Multiple sclerosisrelated fatigue is a disabling symptom that affects most patients during the neuroprogressive course of the disease 1 4. Prevalence rates in conditions often seen in neurological rehabilitation, such as multiple sclerosis ms, parkinsons disease pd and stroke, range from 58% 2 to 90% 3. Fatigue severity scale fss perelman school of medicine. Sle indicates systemic lupus erythematosus ms, multiple sclerosis. Modified fatigue impact scale mfis mos modified social support survey msss mos pain effects scale pes multiple sclerosis functional composite msfc multiple sclerosis quality of life54 msqol54 multiple sclerosis quality of life inventory msqli paced auditory serial addition test pasat.
Fatigue rating scales critique and recommendations by the task. Q why do my patients with multiple sclerosis experience so much fatigue, and what can i do to help them. The symptom is not related to the severity or to the duration of ms. Our data suggest an association between fatigue severity and volumetric changes of thalamus, pallidum, and scp. Validity and reliability of the fatigue severity scale in. A visual analogue scale is also included with the scale. The fatigue severity scale is a frequently used patientreported measure of fatigue impact, but does not. Application to patients with multiple sclerosis and systemic lupus erythematosus. Fatigue severity scale rehabmeasures database abilitylab. Keywords fatigue, fatigue severity scale, multiple sclerosis, reliability, selfreport, validity 1 introduction fatigue is. The fatigue severity scale fss is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. Fatigue severity scale the fatigue severity scale fss is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. Modern psychometric theory, in the form of the rasch measurement model, has set. This refers to your usual way of life within the last week.
References original publication krupp lb, larocca ng, muirnash j, steinberg ad. Amantadine has been studied in 5 smallscale, shortterm. The fss is a short questionnaire that requires you to rate your. Webmd explains how ms disability is measured with the use of tests and scales. Modified fatigue impact scale mfis fatigue is a feeling of physical tiredness and lack of energy that many people experience from time to time. Review article origin of fatigue in multiple sclerosis. Early neuronal injury in the rtc is implicated in the pathogenesis of msrelated fatigue. Fatigue is an extremely common symptom of multiple sclerosis ms and one of the most. An algorithm, the multiple sclerosis severity score msss, which relates scores on the expanded disability status scale edss to the distribution of disability in patients with comparable. Fatigue is common in chronic neurological disorders. Population for testing the scale was initially validated in a population of patients with multiple sclerosis and systemic lupus erythematosus. Originally developed for use among individuals with multiple sclerosis.
Validation of the fatigue severity scale in chronic hepatitis c. Multiple sclerosisfatigue selfefficacy scale and the sf36 pain subscale. Brief research report 81 the validity and reliability of the fatigue severity scale in turkish multiple sclerosis patients kadriye armutlua, nilufer cetisli korkmaza, ilke kesera, vildan sumbuloglub, derya. Fatigue severity scale multiple sclerosis encyclopaedia. Scales to assess multiple sclerosisrelated fatigue dimensions scale items score range dimensions of fatigue fatigue severity scale 9 17 likerttype modality, severity, frequency, impact on daily life. Administration of the fatigue severity scale to 25 patients with multiple sclerosis, 29 patients with systemic lupus erythematosus, and 20 healthy adults revealed that the fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus article pdf available in jama neurology 4610. Some studies indicate that fatigue affects approximately 85% of the ms population and nearly 66% of this population. Scott rooney, fiona moffat, les wood, and lorna paul 2019 effectiveness of fatigue management interventions in reducing severity and impact of fatigue in people with progressive multiple. Novel method for measurement of fatigue in multiple. Selfreport fatigue questionnaires in multiple sclerosis.
Using the fatigue severity scale to inform healthcare decision. To facilitate research in this area, we developed a fatigue severity scale, subjected it to tests. Thus, the fatigue severity scale, which is certainly the most frequently used fatigue scale, does not distinguish between motor and cognitive fatigue, whereas e. The 9item, fatigue severity scale fss9 has been widely used as an outcome measure in multiple sclerosis ms. Fatigue profiles in patients with multiple sclerosis are based on. Assessment of fatigue in multiple sclerosis thieme connect. Fatigue is one of the most debilitating symptoms in multiple sclerosis ms. Fatigue is one of the most common symptoms of ms, occurring in about 80 percent of people. At times, fatigue interferes with function and is an important symptom to manage. Higher scores on the scale are indicative of more severe fatigue. However, more recent studies of people with multiple sclerosis mainly use a cutoff of. Fatigue severity scale fss of sleep disorders the fatigue severity scale fss is a method of evaluating the impact of fatigue on you.
Effectiveness of fatigue management interventions in. Outcome measure fatigue severity scale fss sensitivity to change yes population adult domain tbirelated symptomsfatigue type of measure selfreport icfcodes b4 description the fss is a 9item. Ms in focus fatigue l 2011 2 multiple sclerosis international federation msif. No validation studies of the fss or other commonly used fatigue scales, like the fatigue scale for motor and cognitive fatigue fsmc penner et al.
248 1234 66 1219 98 1169 316 901 1156 877 778 1471 857 141 1033 634 978 1008 442 909 694 657 114 561 655 291 212 966 907 388 911 403