A qualitative comparison of healthcare practitioners' perceptions regarding fatigue as a symptom in neurological conditions: insights from a tertiary care center in Saudi Arabia.
Madawi Alotaibi, Murali P Subramanian, Wafa Alahmari and 3 others
PMID 40458124WHAT IT FOUND
Saudi rehabilitation practitioners described fatigue as a neurological symptom that varies by condition, not just tiredness.
They tailored management to endurance, environment, education, and rest, and saw MS fatigue as chronic and progressive, stroke fatigue as often less severe.
Key findings
01Practitioners described fatigue as a neurological symptom that can affect cognitive functioning, not only physical exhaustion.
02For fatigue stemming from other neurological conditions, practitioners advocated education, task modification, and planned rest.
03They saw MS fatigue as chronic and progressive, and post-stroke fatigue as often less severe than fatigue in other neurological diseases.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
All participants worked in a single tertiary rehabilitation center in Saudi Arabia, so their views may not apply to other settings or levels of care. Participants were selected because they already managed fatigue in neurological conditions, so they may not represent practitioners with different experience. The study reports practitioner perceptions, not patient outcomes or tested effects, so it cannot show that a fatigue strategy works. Cultural factors were mentioned as important but were not explored, so the findings do not explain how culture shaped these views. The integrated team at the study site may have made views more similar than they would be in other settings.
Declared interests
The authors declared financial support from Princess Nourah bint Abdulrahman University Researchers Supporting Project number PNURSP2025R535.
The easy way to misread this
Do not read these themes as proof that endurance work, environmental changes, education, or rest reduce fatigue. The study reports practitioner perceptions from a single center, not patient outcomes or tested effects.