Kimishima K, Hachisuka K, Ogata H, Tanaka S, Tajima F
Department of Rehabilitation, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
J UOEH. 1991 Sep 1;13(3):251-5. doi: 10.7888/juoeh.13.251.
We report a 69-year-old female suffering from post-polio syndrome. Though she experienced acute poliomyelitis at one year of age, she had been well until 67 years of age when she complained of muscle weakness and pain in her right lower extremity and gait disturbance. As she was admitted to our hospital for further evaluation and rehabilitation, we prescribed for her the rehabilitation program consisting of gait training with a supracondylar knee-ankle-foot orthosis, low-load repetitive muscle strengthening exercises, and continuous stretching of her right knee joint after heat treatment. She regained a stable gait with the orthosis. We thought that the disuse and overuse of the lower extremities played a part in the onset of post-polio syndrome and that the rehabilitation including the low-load repetitive muscle strengthening exercises and gait training with a supracondylar knee-ankle-foot orthosis was effective against her disability.
我们报告了一名69岁患有小儿麻痹后遗症的女性。她在1岁时患过急性脊髓灰质炎,此后一直状况良好,直到67岁时,她抱怨右下肢肌肉无力、疼痛及步态障碍。当她因进一步评估和康复住进我院时,我们为她制定了康复计划,包括使用髁上膝-踝-足矫形器进行步态训练、低负荷重复肌肉强化训练以及在热疗后持续拉伸右膝关节。她借助矫形器重新获得了稳定的步态。我们认为下肢的废用和过度使用在小儿麻痹后遗症的发病中起了作用,并且包括低负荷重复肌肉强化训练和使用髁上膝-踝-足矫形器进行步态训练在内的康复治疗对她的残疾有效。