The fatigue descriptive scale (FDS): a useful tool to evaluate fatigue in multiple sclerosis

Abstract

Although fatigue is common among multiple sclerosis (MS) patients, evaluation of this symptom is difficult due to the subjectivity and variability of the complaint. We proposed the Fatigue Descriptive Scale (FDS) as a tool to evaluate the severity and quality of fatigue in a group of patients suffering from MS. As a way to demonstrate the usefulness of this scale we applied the FDS in a group of 155 patients (105 women and 50 men) with clinically-definite multiple sclerosis, as outlined according to Poser's criteria. Age was 36.2 +/- 11.1 years (range 12-62) and time of evolution was 8.3 +/- 9.4 years (range 1-44). The Fatigue Severity Scale (FSS) was also used. Descriptive statistics techniques and techniques for nonparametric distribution (Spearman Rank, Kruskal-Wallis ANOVA) were used. One hundred and eighteen patients reported fatigue (73 spontaneously, 45 when questioned). All descriptions of fatigue were ranked according to FDS categories. Eighty-five patients defined the symptom as fatigue with exercise, 26 as asthenia and seven as the worsening of other symptoms. Fatigue by itself produced limited or disrupted activity in 78 patients; work-related functions were limited in 48 patients; social relations were limited in 29 patients; and self-care difficult for one patient. Fifty-six patients suffered fatigue daily. FDS score was 4.9 +/- 3.9 (range 0-13). FSS was 3.1 +/- 1.7 (range 0.2-6.6). FDS and FSS of Krupp were highly correlated (R = 0.87, p < 0.001). Therefore, in comparison with other scales, the FDS shows remarkable usefulness in classifying, periodicity, and severity of fatigue in MS patients. The high correlation with the FSS implies that it is a valid method to measure the severity of fatigue, as was demonstrated in our paper proposing the FDS. The importance of this new scale is its ability to inform the clinicians in a very quick, easy, and at the same time complete way, how severe the fatigue really is and how it affects the patient.

Poststroke Fatigue

“…Some scales are applicable for several types of fatigue, and some scales measure fatigue caused by a specific disease. [11][12][13][14][15] No scale has yet been developed specifically for poststroke fatigue. Most studies use multidimensional self-estimation questionnaires to measure poststroke fatigue.…”

Multiple Sclerosis Fatigue is Associated with Reduced Psychomotor Vigilance

“…The subjective experience of fatigue is multifactorial and has been correlated with factors such as disability, depression, and pain. [5][6][7] Interestingly, no clear association has been established between MS fatigue and demographic factors, such as age and gender; lesion burden; or the clinical form of MS. 1,[7][8][9] ABSTRACT: Background: Fatigue is common and disabling in multiple sclerosis, yet its physiologic substrates remain poorly defined. The aim of this study was to determine the relationship between fatigue and an objective measure of alertness in MS patients.…”

Review of Common Management Strategies for Fatigue in Multiple Sclerosis

“…The Fatigue Descriptive Scale (FDS) 8 is a tool developed to evaluate the periodicity, severity, and quality of fatigue caused by MS. Based on the subject's responses, a score of 0 to 3 is assigned to each of the categories of initiative, modality, frequency, severity, and fatigue associated with heat. The FDS has been shown to be highly correlated with the FSS.…”

“…The room should be kept cool, because it has been shown that an increase in environmental temperature increases fatigue. 3,6,8,17 The use of air conditioning is highly recommended for individuals with MS and has been approved by some health insurance plans as a funded medical requirement. In Canada, the purchase of an air conditioner for individuals with MS has been accepted as a medical requirement and is therefore a taxdeductible item.…”