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01-06-2014 | Uitgave 5/2014

Fatigue in patients with spinal muscular atrophy type II and congenital myopathies: evaluation of the fatigue severity scale

Tijdschrift:: Quality of Life Research > Uitgave 5/2014

Auteurs:: Ulla Werlauff, A. Højberg, R. Firla-Holme, B. F. Steffensen, J. Vissing

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Abstract

Purpose

The aim of this study was to evaluate whether the fatigue severity scale (FSS) is an appropriate instrument to assess fatigue in patients with spinal muscular atrophy type II (SMA II) and congenital myopathies (CM).

Methods

FSS and visual analog scale (VAS) were administered to 33 SMA II- and 72 CM patients. The psychometric properties of the FSS were evaluated by means of classical test theories for each of the disease groups. If abnormal fatigue was present in the disease group, the construct of fatigue was evaluated by means of focus group interviews.

Results

Fatigue was rare in SMA II patients, but very frequent in patients with CM. The cut-off score designating abnormal fatigue (FSS score ≥ 4) was exceeded by 10 % of the SMA II patients in contrast to 76 % of the CM patients, of whom 52 % suffered from severe fatigue (FSS score ≥ 5). Focus group interviews demonstrated that fatigue had an adverse effect on motor function, level of energy, social relations, and identity, four themes that could be captured by the FSS. The FSS and VAS were strongly correlated in SMA II patients, but only moderately in CM patients. The psychometric properties indicated that the original FSS with nine items measures more than one construct of fatigue, eliminating the first two items improved scale properties.

Conclusion

This study demonstrates that fatigue is characteristic in patients with CM, but not in patients with SMA II, in whom fatigue does not seem to impact daily life. While fatigue in CM and SMA II can be captured by FSS, omitting the first two items of the scale will improve its properties and content validity, along with comprehension of the scale itself.

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Titel: Fatigue in patients with spinal muscular atrophy type II and congenital myopathies: evaluation of the fatigue severity scale
Auteurs:: Ulla Werlauff
A. Højberg
R. Firla-Holme
B. F. Steffensen
J. Vissing
Publicatiedatum: 01-06-2014
DOI: https://doi.org/10.1007/s11136-013-0565-8
Uitgeverij: Springer International Publishing
Tijdschrift: Quality of Life Research An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation - An Official Journal of the International Society of Quality of Life Research
Uitgave 5/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649

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Abstract

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