Aurlien D, Strandjord R E, Hegland O
Neurological Department, Central Hospital of Rogaland, Stavanger, Norway.
Acta Neurol Scand. 1999 Aug;100(2):76-80. doi: 10.1111/j.1600-0404.1999.tb01040.x.
The postpolio syndrome (PPS) is said to comprise symptoms which are characteristic of a specific disorder affecting former polio sufferers many years after their acute disease. Localized muscular weakening with or without attendant pain and atrophy are claimed to separate patients with PPS from persons with unspecific common symptoms from the musculoskeletal system. Therefore our objective was to evaluate the specificity of the symptoms of the PPS.
Eighty-one former polio sufferers were, based on clinical examination and a questionnaire, compared with 116 gender and age matched controls.
Significant differences between patients and controls of self-reported muscular weakening and pain in different locations were found. However, the level of similar complaints reported by the controls also was considerable.
We question the validity of the diagnosis in cases without localized atrophy or other objective signs of denervation.
小儿麻痹后遗症（PPS）据说是由一些症状组成，这些症状是一种特定疾病的特征，会在急性疾病多年后影响以前的小儿麻痹症患者。据称，伴有或不伴有疼痛和萎缩的局部肌肉无力将小儿麻痹后遗症患者与有肌肉骨骼系统非特异性常见症状的人区分开来。因此，我们的目的是评估小儿麻痹后遗症症状的特异性。
基于临床检查和问卷调查，将81名以前的小儿麻痹症患者与116名性别和年龄匹配的对照组进行比较。
发现患者与对照组在自我报告的不同部位肌肉无力和疼痛方面存在显著差异。然而，对照组报告的类似主诉水平也相当高。
对于没有局部萎缩或其他失神经客观体征的病例，我们质疑该诊断的有效性。
