MND-FATIGUE MANAGEMENT

SUMMARY

1. Patient education, mindfulness education.

2. Energy conservation/fatigue management strategy: planning, pacing, prioritising, positioning (4 Ps).

3. Decrease work hours and take leave regularly.

4. Modify home environment.

5. Organize workplace environment: desk near toilet and amenities, use lifts, work from home.

6. Exercises: low to moderate intensity aerobic, isokinetic, isometric, resistance and endurance training.

7. Hydrotherapy.

NB: cause of fatigue being depleted neurones resulting in muscles tiring more easily, metabolic changes, weight loss, respiratory dysfunction.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].