Rehabilitation aimed at fatigue after subarachnoid haemorrhage: Determinants of physical behaviour.

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 91

Inclusion Criteria

- Admitted and treated/controlled at the neurology or neurosurgery departments of Erasmus MC or Elisabeth-TweeSteden Ziekenhuis and/or receiving rehabilitation at Rijndam Revalidatie or Libra Revalidatie and Audiologie;
- Between 3 and 12 months post A-SAH onset;
- At least 3 months post PM-SAH onset;
- Living at home;
- Only for patients with A-SAH; experience and report fatigue symptoms;
- SAH diagnosed by computed tomography and if negative, by a lumbar puncture followed by a computed tomography angiography or digital subtraction angiography to detect the aneurysm (A-SAH). PM-SAH diagnosed by accumulation of blood around the mesencephalon on computed tomography and a normal four vessel angiogram;
- At least 18 years of age.

Exclusion Criteria

- Previous stroke;
- Serious chronic disease (including neurological diseases);
- Insufficient mastery of the Dutch language.
- Inability to understand verbal instructions and/or fill in the questionnaires (clinical judgement by neurologist)
Extra exclusion criteria regarding the cardiopulmonary exercise test and muscle strength test in patients with PM-SAH:
- Aged >= 70 years;
- Not eligible for maximal exercise testing, as determined by the treating physician, the Physical Activity Readiness Questionnaire (PAR-Q) and a checklist for medical contra-indications based on the ACSM guidelines for Exercise Testing and Prescription.

Study & Design

Study Type: Observational non invasive

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>To examine determinants of physical behaviour, physical behaviour will be<br /><br>determined objectively and self-reported (accelerometry-based activity<br /><br>monitoring and electronic diary). As possible determinants the following<br /><br>outcomes will be assessed (questionnaires, semi-structured interview): fatigue<br /><br>(2 outcomes), sleep quality, activities, participation, health-related quality<br /><br>of life, social support, anxiety (2 outcomes), illness perception, depression,<br /><br>coping style, motivation (2 outcomes), self-efficacy and health condition (3<br /><br>outcomes).</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary, preferences of patients for therapy to reduce fatigue will be<br /><br>explored regarding time investment, location, type, frequency and duration of<br /><br>therapy (semi-structured interview). In addition, physical fitness in terms of<br /><br>cardiorespiratory fitness (cardiopulmonary exercise test) and muscle strength<br /><br>(muscle strength test) will be assessed.</p><br>