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Medical Science Monitor Basic Research


eISSN: 1643-3750

Effect of Rehabilitation on Fatigue Level in Patients with Multiple Sclerosis

Wioletta Mikuľáková, Eleonóra Klímová, Lucia Kendrová, Miloslav Gajdoš, Marek Chmelík

Department of Physiotherapy , Faculty of Health Care, University of Prešov, Prešov, Slovakia

Med Sci Monit 2018; 24: CLR5761-5770

DOI: 10.12659/MSM.909183

Available online:

Published: 2018-08-18

BACKGROUND: The objective of this study was to evaluate the effect of a rehabilitation program in changing the perception of fatigue in patients with multiple sclerosis.
MATERIAL AND METHODS: The study involved 65 respondents/patients with clinically confirmed multiple sclerosis (54 women, 11 men, average age 46.49 years). The evaluation of the effects of fatigue on the physical, psychological, and psychosocial aspects of life was assessed using the Modified Fatigue Impact Scale (MFIS). To test the effectiveness of the neurorehabilitation program, we enrolled 2 groups: the experimental group (EG, n=32, 29 women, 3 men, Expanded Disability Status Scale (EDSS) 4.8 average, SD±1.77, min. 1.5 max 8.0) participated in the intervention and rehabilitation program over a period of 12 weeks and the control group (CG, n=33, 25 women, 8 men. EDSS average 5.12±1.74 SD, min. 2.0 max. 8.0). Each group of patients was divided into 3 sub-groups according to the severity of EDSS: a) 1–3.5, b) 4–6, and c) 6.5–8. For the statistical evaluation of the significance of the observed changes, the MANOVA/ANOVA model was used.
RESULTS: Between the input and output assessment of the MFIS individual areas questionnaire between the EG and the CG, there existed a statistically significant in the physical area (p<0.000), psychological area (p<0.000), and psychosocial area (p=0.002).
CONCLUSIONS: Our results support the importance of an active approach in patients with multiple sclerosis using individualized rehabilitation intervention programs.

Keywords: Fatigue, Multiple Sclerosis, Rehabilitation