OTCATS: Occupational Therapy Critically Appraised Topics
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There is evidence from one RCT that an energy conservation course run by an occupational therapist decreased the impact of fatigue by 7% in persons with multiple sclerosis

Prepared by:

Tammy Filby
4th year undergraduate occupational therapy student,
University of Western Sydney
Email: tammybeverlyfilby@hotmail.com)


 May 2006

Review Date:

May 2008

Clinical Question:

 Is energy conservation effective in decreasing fatigue impact in persons with multiple sclerosis?

Clinical Scenario:

 Fatigue is reportedly one of the most common problems amongst persons with multiple sclerosis (MS). Research has shown that MS related fatigue can have a negative impact on an individualís ability to engage in their desired occupational performance roles. Energy conservation is a non-pharmacological intervention commonly used by occupational therapists which aims to educate persons on how they can manage their fatigue effectively. Energy conservation strategies are a well established practice but there is no scientific evidence to support their effectiveness. So how effective is energy conservation in decreasing fatigue levels in persons with MS?

Clinical Bottom Line:


An energy conservation course run for six weeks by occupational therapists resulted in a statistically significant reduction in fatigue, in persons with multiple sclerosis: 14.1 points on a 200-point scale (95% CI, 5.7 to 25.2).


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