Okamoto G A, Varney J M, Brown M H, Goebert D A
John A. Burns School of Medicine, Honolulu, Hawaii.
Hawaii Med J. 1990 Mar;49(3):84, 87-90.
U.S. mainland studies reveal an alarming rise of progressive disability reported by long-term polio survivors. To determine if polio survivors residing in Hawaii were experiencing similar problems, this study of 100 volunteers was undertaken. Extensive interviews and physical examinations were performed. Results indicate that many patients were complaining of new or greater disability due to late complications of polio or medical conditions unrelated to polio. Twenty percent appeared at greater risk for having post-polio syndrome (PPS). Over half described mobility that was less than fully independent. Subjects voiced a clear need for specialized health, social and rehabilitative services. Consistent with Mainland reports, polio survivors in Hawaii are demonstrating changes in disability that challenge the traditional notion that polio is a static, permanently stable neurologic condition.
美国本土的研究表明，长期脊髓灰质炎幸存者报告的进行性残疾出现了惊人的增长。为了确定居住在夏威夷的脊髓灰质炎幸存者是否也面临类似问题，对100名志愿者进行了这项研究。研究人员进行了广泛的访谈和身体检查。结果显示，许多患者抱怨称，由于脊髓灰质炎的晚期并发症或与脊髓灰质炎无关的医疗状况，他们出现了新的残疾或残疾程度加重。20%的人患小儿麻痹后遗症（PPS）的风险更高。超过一半的人表示行动能力不完全独立。受试者明确表示需要专门的健康、社会和康复服务。与美国本土的报告一致，夏威夷的脊髓灰质炎幸存者的残疾状况正在发生变化，这挑战了脊髓灰质炎是一种静态、永久稳定的神经疾病的传统观念。
