Background and Aims: Effective treatment strategies for post-stroke fatigue and its complications remains elusive. This study determined and compared the effectiveness of individualized therapy and task-oriented circuit training on post-stroke fatigue and sleep-pattern, functional performance and societal re-integration in stroke survivors with post-stroke fatigue. 
Methods: This study involved 20 stroke survivors (10 per group) with post-stroke fatigue (13 males) randomly assigned to circuit task-oriented training and individualized therapy groups, participated in twice-a-week intervention programme for ten weeks and assessed at baseline, 5-week and at 10-week post-intervention. The task-oriented circuit training had 6-stations with various task-oriented exercises in circuit while the individualized therapy also had the same number of tasks but executed individually. Fatigue severity, sleep pattern, functional performance and societal re-integration were assessed using the Fatigue Severity Scale, Insomnia Severity Index, Six minutes’ Walk-Test and Community Integration Questionnaire respectively.
Results: There was significant improvement in post-stroke fatigue and sleep-pattern, functional performance and societal re-integration in stroke survivors with post-stroke fatigue (p<0.05) in both individualized therapy and task-oriented circuit training groups. However, the circuit training group (p<0.05) had better clinical improvements societal re-integration. 
Conclusion: Both task-oriented circuit training and individualized therapy are effective in  ameliorating post-stroke fatigue and improving sleep pattern, functional independent performance and societal re-integration in stroke survivors with post-stroke fatigue but the task-oriented training is more effective in improving societal re-integration in individuals with post-stroke fatigue.

TASK-ORIENTED CIRCUIT TRAINING FOR POST-STROKE FATIGUE, SLEEP-PATTERN, FUNCTIONAL PERFORMANCE AND SOCIETAL RE-INTEGRATION IN STROKE SURVIVORS WITH POST-STROKE FATIGUE: A CLINICAL CONTROLLED STUDY