Tiffreau V, Rapin A, Serafi R, Percebois-Macadré L, Supper C, Jolly D, Boyer F-C
centre de référence des maladies neuromusculaires, hôpital Swynghedauw, CHRU de Lille, France.
Ann Phys Rehabil Med. 2010 Feb;53(1):42-50. doi: 10.1016/j.rehab.2009.11.007. Epub 2009 Dec 30.
Post-polio syndrome (PPS) is the commonly affected term to describe the symptoms that may develop many years after acute paralytic poliomyelitis. The etiology of PPS is still unclear. An overuse of enlarged motor units is suspected causing denervation again due to distal degeneration of axons. Metabolic and functional changes has been described in muscle fibers of partially denervated muscles. Nevertheless, submaximal aerobic training and low intensity muscular strengthening have shown positive effects on muscular strength and cardiorespiratory system in patients affected by PPS. Aquatic therapy has a positive impact on pain and muscle function. In patients with severe fatigue, it is recommended to adapt the daily exercise routine to their specific case.
小儿麻痹后遗症（PPS）是一个常用术语，用于描述急性麻痹性脊髓灰质炎多年后可能出现的症状。PPS的病因仍不清楚。怀疑过度使用增大的运动单位会由于轴突远端变性而再次导致失神经支配。在部分失神经肌肉的肌纤维中已描述了代谢和功能变化。然而，次最大强度的有氧训练和低强度肌肉强化训练已显示对PPS患者的肌肉力量和心肺系统有积极影响。水疗对疼痛和肌肉功能有积极影响。对于严重疲劳的患者，建议根据其具体情况调整日常锻炼计划。
