Caracterização do Sintoma Fadiga em Indivíduos após Acidente Vascular Encefálico: Revisão Sistemática

Abstract

Introduction: The fatigue symptom is one of the most common post stroke. Objective: To present evidence about the characterization of the fatigue symptom resulting from stroke. Methodology: A systematic review of observational studies was carried out by searching the Cinahl, Cochrane, Embase, Eric, Bireme (Lilacs, Medline, Ibecs, Scielo), Library and Information Science Abstracts – LISA (ProQuest), PEDro, PsychInfo, Pubmed, Web of Science. The subject descriptors 'stroke', 'fatigue' and 'perception' were used. The procedures for the selection of studies and data extraction were independently developed by two reviewers. The selected studies were analyzed in full text, contemplating designs, sample characterization, methodology, results and conclusion. Results: Twelve studies were found and four were selected. The total sample consisted of 76 individuals diagnosed with stroke. There is no specific instrument to assess stroke-associated fatigue. There is no clear definition of post-stroke fatigue or consensus among individuals about its description and difference before and after stroke. Regarding the characteristics, fatigue is experienced in physical and mental aspects and described as muscular or mental tiredness, causing a great impact on quality of life. As for relief factors, sleep, rest, and aerobic exercises were the most listed. Conclusion: The fatigue symptom is common after stroke with a multidimensional nature, without a clear definition with biopsychosocial impact.