On Arzu Yagiz, Oncu Julide, Atamaz Funda, Durmaz Berrin
Department of Physical Medicine and Rehabilitation, Ege University Medical School, Izmir, Turkey.
J Rehabil Med. 2006 Sep;38(5):329-32. doi: 10.1080/16501970600722395.
To assess the impact of post-polio-related fatigue on quality of life.
Cross-sectional case control study.
Patients without additional health problems that may induce fatigue were selected from among 82 polio survivors. Twenty-six patients with post-polio syndrome and 10 without post-polio syndrome were included. Control group consisted of 30 healthy volunteers.
We assessed presence and severity of fatigue by Fatigue Severity Scale, quality of life by Nottingham Health Profile, and impact of fatigue on quality of life by Fatigue Impact Scale. Leg muscle strength was measured by manual muscle testing.
Strength of leg muscles showed no differences between the patients with and without post-polio syndrome. Patients with post-polio syndrome reported significantly higher levels of fatigue and reduced quality of life compared with both patients without post-polio syndrome and control group. Fatigue Impact Scale revealed that fatigue did not significantly impair mental health, but had a negative impact especially on physical and psychosocial functioning of the patients with post-polio syndrome.
Post-polio-related fatigue seems to be an important factor for further impairment of quality of life in polio survivors.
评估小儿麻痹后遗症相关疲劳对生活质量的影响。
横断面病例对照研究。
从82名小儿麻痹症幸存者中选取无可能诱发疲劳的其他健康问题的患者。纳入26名患有小儿麻痹后遗症的患者和10名无小儿麻痹后遗症的患者。对照组由30名健康志愿者组成。
我们通过疲劳严重程度量表评估疲劳的存在和严重程度，通过诺丁汉健康量表评估生活质量，并通过疲劳影响量表评估疲劳对生活质量的影响。通过徒手肌力测试测量腿部肌肉力量。
患有和未患有小儿麻痹后遗症的患者之间腿部肌肉力量无差异。与未患有小儿麻痹后遗症的患者和对照组相比，患有小儿麻痹后遗症的患者报告的疲劳水平显著更高，生活质量更低。疲劳影响量表显示，疲劳并未显著损害心理健康，但对患有小儿麻痹后遗症的患者的身体和心理社会功能有负面影响。
小儿麻痹后遗症相关疲劳似乎是小儿麻痹症幸存者生活质量进一步受损的重要因素。
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