The objective of the study was to treat fatigue in MS’ers by a neurocognitive rehabilitation program aimed at improving motor planning by using motor imagery (MI). 20 MS’ers complaining of fatigue were treated for 5 weeks with exercises of neurocognitive rehabilitation twice a week. MS’ers were evaluated by Fatigue Severity Scale (FSS), Modified Fatigue Impact Scale (MFIS), MSQoL54, Expanded Disability Status Scale (EDSS), and MS Functional Composite (MSFC).
Catalan et al. Treatment of Fatigue in Multiple Sclerosis Patients: A Neurocognitive Approach. Rehabil Res Pract. 2011;2011:670537. Epub 2011 Sep 8.
After treatment, a decrease in fatigue was detected with both FSS (P = 0.0001) and MFIS (P = 0.0001). MSFC (P = 0.035) and MSQoL54 (P = 0.002) scores improved compared to baseline. At six-month followup, the improvement was confirmed for fatigue (FSS, P = 0.0001; MFIS P = 0.01) and for the physical subscale of MSQoL54 (P = 0.049). No differences in disability scales were found. These results show that neurocognitive rehabilitation, based on MI, could be a strategy to treat fatigue in MS patients.
“This study is too small to draw any conclusions, but it does suggest that fatigue may respond to some interventions. I don’t have any experience with motor imagery. Do any of you?”
“This study will need to be reproduced; it is too small.”