Ch 7: Fatigue & Sleep Disturbance

Question 1

What percent of people with brain injury report fatigue?

Answer 1

32-73%

One of the most common post concussion symptoms across the severity spectrum

Question 2

Fatigue

Answer 2

The awareness of a decrease capacity for physical and/or mental activity due to an imbalance in the availability, utilization, and/or restoration of resources needed to perform activity

Resources may be physiological or psychological

Question 3

What is the cycle of fatigue?

Answer 3

Fatigue
Reduced activity
Increased home confinement

The cycle of fatigue leading to reduced activity and increased home confinement may further exacerbate fatigue, and contribute to social isolation

Question 4

Physical fatigue

Answer 4

May be associated with muscle weakness or other changes/injuries in the PNS

Question 5

Physiological fatigue

Answer 5

Depletion of energy, hormones, neurotransmitters, or a reduced number of neuronal connections, 2’ brain injury

Question 6

Primary fatigue

Answer 6

Directly from injury or disease

Question 7

Secondary fatigue

Answer 7

Relates to factors that may exacerbate fatigue, such as pain, sleep disturbance or stress

Question 8

Fatigue assessments

Answer 8

Quantify fatigue levels, so subjective distress caused by fatigue, and measure the impact of fatigue on performance of daily activities, it’s association with secondary factors such as sleep or depression, and identify biological parameters

Question 9

What percent of TBIs report sleep disturbance?

Answer 9

30-80%

Question 10

What are the contributing factors that should be assessed in pts who report fatigue post brain injury?

Answer 10

Attention
Processing speed
Meds
Pain
Mood
Sleep changes