Wikipedia:

fatigue

(medical)


Name of Symptom/Sign:
Fatigue
Classifications and external resources
ICD-10 R53.
ICD-9 780.7
DiseasesDB 30079
MedlinePlus 003088
MeSH D005221

The word fatigue is used in everyday living to describe a range of afflictions, varying from a general state of lethargy to a specific work-induced burning sensation within one's muscles. It can be both physical and mental. Physical fatigue is the inability to continue functioning at the level of one's normal abilities[1][2][3]. It is ubiquitous in everyday life, but usually becomes particularly noticeable during heavy exercise. Mental fatigue, on the other hand, rather manifests in somnolence.

Types

Physical fatigue

Main article: Muscle weakness

Physical fatigue or muscle weakness (or "lack of strength") is a direct term for the inability to exert force with ones muscles to the degree that would be expected given the individual's general physical fitness. A test of strength is often used during a diagnosis of a muscular disorder before the etiology can be identified. Such etiology depends on the type of muscle weakness, which can be true or perceived as well as central or peripheral. True weakness is substantial, while perceived rather is a sensation of having to put more effort to do the same task. On the other hand, central muscle weakness is an overall exhaustion of the whole body, while peripheral weakness is an exhaustion of individual muscles.

Mental fatigue

See also: Somnolence

In addition to physical, fatigue also includes mental fatigue, not necessarily including any muscle fatigue. Such a mental fatigue, in turn, can manifest itself both as somnolence (decreased wakefulness) or just as a general decrease of attention, not necessarily including sleepiness. In any case, this can be dangerous when performing tasks that require constant concentration, such as driving a vehicle. For instance, when a person is sufficiently somnolent, he or she may experience microsleeps. However, objective cognitive testing should be done to differentiate the neurocognitive deficits of brain disease from those attributable to tiredness.

Causes

Fatigue is typically the result of working, mental stress, jet lag or active recreation, depression, and also boredom, disease and lack of sleep. It may also have chemical causes, such as poisoning or mineral or vitamin deficiencies.

The sense of fatigue is believed to originate in the reticular activating system of the lower brain. Musculoskeletal structures may have co-evolved with appropriate brain structures so that the complete unit functions together in a constructive and adaptive fashion.[4] The entire systems of muscles, joints, and proprioceptive and kinesthetic functions plus parts of the brain evolve and function together in a unitary way.[5]

Diseases

Temporary fatigue is likely to be e.g. common cold. Chronic fatigue, on the other hand, meaning of six months or more duration, is a symptom of a large number of different diseases on conditions.

Medications

See also

References

  1. ^ Gandevia SC (1992). "Some central and peripheral factors affecting human motoneuronal output in neuromuscular fatigue". Sports medicine (Auckland, N.Z.) 13 (2): 93-8. PMID 1561512. 
  2. ^ Hagberg M (1981). "Muscular endurance and surface electromyogram in isometric and dynamic exercise". Journal of applied physiology: respiratory, environmental and exercise physiology 51 (1): 1-7. PMID 7263402. 
  3. ^ Hawley JA, Reilly T (1997). "Fatigue revisited". Journal of sports sciences 15 (3): 245-6. PMID 9232549. 
  4. ^ Edelman, Gerald Maurice (1989). The remembered present: a biological theory of consciousness. New York: Basic Books. ISBN 0-465-06910-X. 
  5. ^ Kelso, J. A. Scott (1995). Dynamic patterns: the self-organization of brain and behavior. Cambridge, Mass: MIT Press. ISBN 0-262-61131-7. 
  6. ^ Fatigue caused by medications.

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