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The development of a model of fatigue in neuromuscular disorders: A longitudinal study
Abstract
Background Severe fatigue is reported by the majority of patients with three relatively common types of neuromuscular disorders. Objective This study aimed to identify predictors of fatigue in a longitudinal study and to develop a model of fatigue in patients with three neuromuscular disorders. Methods One hundred ninety-eight patients [60 facioscapulohumeral muscular dystrophy (FSHD), 70 adult-onset myotonic dystrophy (MD), and 68 hereditary motor and sensory neuropathy type I (HMSN-I) patients] were studied twice during an 18-month period. Fatigue severity was assessed by the Checklist Individual Strength. A multidimensional assessment method was used, including self-report questionnaires, a daily Self-Observation List, and physical activity (actometer). Muscle strength was determined using the Medical Research Council scale. Structural equation modeling was used to develop and test a model of factors contributing to the persistence of experienced fatigue. Results Muscle strength, self-reported physical activity, sleep disturbances, and pain at baseline contributed directly or indirectly to fatigue and impairment at follow-up. Lower muscle strength contributed to lower levels of physical activity, which, in turn, contributed to fatigue severity. The model showed excellent fit for the whole group of neuromuscular disorders. In FSHD, pain also contributed to physical activity. A model with the actometer as measurement for actual physical activity instead of self-report showed…
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Sleep and employment status influence quality of life in muscle diseases.
“For example, mood is a consistent predictor of QoL (Graham et al., 2011), as is sleep (Kalkman, Schillings, Zwarts, van Engelen, & Bleijenberg, 2007) and employment status (Minis et al., 2010; Oksuz, Kilinc, & Yildirim, 2009).”
From A randomised controlled trial of acceptance and commitment therapy for improving quality of life in people with muscle diseases. (2023) · cites this paper as Kalkman, Schillings, Zwarts, van Engelen, & Bleijenberg, 2007
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Metadata
- Authors
- Kalkman, J. S., Schillings, M. L., Zwarts, M. J., van Engelen, B. G. M., & Bleijenberg, G.
- Affiliations
- Radboud University Medical Center (NL)
- Corresponding author
- Kalkman, Joke S.
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2007-05
- Volume
- 62
- Issue
- 5
- Pages
- 571-579
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2095326048
- Cited by
- 127
- References
- 2
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 7 · 2021: 11 · 2020: 4 · 2019: 11 · 2018: 6 · 2017: 12 · 2016: 9 · 2015: 6 · 2014: 6 · 2013: 12 · 2012: 9
- FWCI
- 3.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- Radboud Universiteit
- Fondation Charcot
- Topics
- Health Sciences › Medicine › Genetics (clinical) › Neurogenetic and Muscular Disorders Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- fatigue, neuromuscular disorders, facioscapulohumeral muscular dystrophy, adult-onset myotonic dystrophy, hereditary motor and sensory neuropathy type I, muscle strength, physical activity, sleep disorders, pain, predictors of fatigue, Checklist Individual Strength
- MeSH terms
- Activities of Daily Living, Adult, Charcot-Marie-Tooth Disease, Depressive Disorder, Fatigue, Female, Humans, Male, Middle Aged, Models, Psychological, Motor Activity, Myotonic Dystrophy, Neuropsychological Tests, Pain, Risk Factors, Sick Role, Sleep Wake Disorders, Statistics as Topic, Sickness Impact Profile, Muscular Dystrophy, Facioscapulohumeral, Muscle Strength
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