Thorén-Jönsson A L, Grimby G
Department of Rehabilitation Medicine, Göteborg University, Sahlgrenska University Hospital, Sweden.
J Rehabil Med. 2001 Jan;33(1):4-11. doi: 10.1080/165019701300006461.
Polio involvement and its relation to ability in terms of independence and perceived difficulty in activities in daily living (ADL) were studied in outpatients (median age 57 years) with poliomyelitis sequelae (n = 133). The use and need of assistive devices and housing conditions were recorded. The subjects had a high degree of independence in personal ADL, whereas more than 50% were dependent on cleaning, shopping and transportation. A considerable number of subjects independent in ADL reported difficulties in daily activities. The majority of interventions in the form of housing adaptation and assistive devices were provided for persons severely weakened by polio. Ratings of perceived difficulty indicated need of interventions to prevent overload and increased dependence in ADL. However, about half of the recommended mobility assistive devices were rejected. The results indicate that polio subjects try to maintain their independence despite perceived difficulties and may be reluctant to use assistive devices.
对133例患有小儿麻痹后遗症的门诊患者（中位年龄57岁）进行了研究，探讨小儿麻痹症的累及情况及其与独立能力以及日常生活活动（ADL）中感知到的困难之间的关系。记录了辅助设备的使用情况和需求以及住房条件。受试者在个人ADL方面具有高度独立性，而超过50%的人在清洁、购物和交通方面存在依赖。相当数量在ADL方面独立的受试者报告了日常活动中的困难。大多数以住房改造和辅助设备形式进行的干预是针对因小儿麻痹症而严重衰弱的人。感知困难评分表明需要进行干预以防止ADL中的负荷过重和依赖性增加。然而，约一半推荐的移动辅助设备被拒绝。结果表明，小儿麻痹症患者尽管感知到困难，但仍试图保持独立，并且可能不愿意使用辅助设备。
