Sehgal H
Indian Pediatr. 1990 May;27(5):433-6.
About 22% of persons who suffer from acute paralytic poliomyelitis 20 to 30 years ago and were fully rehabilitated with maximal functional recovery began to experience new symptoms termed "Post-polio Sequelae" (PPS). These include unaccustomed fatigue, weakness in muscles previously affected or apparently unaffected, new joint pains, respiratory difficulties and intolerance to cold. Predictors for PPS are development of acute attack of paralytic polio before 10 years of age, involvement of all four limbs and having needed a ventilator during acute stage. The functional decompensation in PPS is presumed to be due to loss of normal neurones by aging and by metabolic fatigue of stressed neurones over passing years. Joint deformities due to muscular imbalance are also responsible for some of the symptoms. Treatment consists of reassurance and use of assistive devices and assistive exercises. The extent of problem of PPS is not known in India.
大约22%在20到30年前患过急性麻痹性脊髓灰质炎且已通过最大程度的功能恢复完全康复的人，开始出现被称为“小儿麻痹后遗症”（PPS）的新症状。这些症状包括异常疲劳、先前受影响或明显未受影响的肌肉出现无力、新的关节疼痛、呼吸困难以及不耐寒。小儿麻痹后遗症的预测因素包括10岁之前发生急性麻痹性脊髓灰质炎发作、四肢均受累以及急性期需要使用呼吸机。小儿麻痹后遗症中的功能失代偿据推测是由于正常神经元因衰老以及多年来应激神经元的代谢性疲劳而丧失。肌肉失衡导致的关节畸形也造成了一些症状。治疗包括给予安慰以及使用辅助器械和进行辅助锻炼。在印度，小儿麻痹后遗症问题的严重程度尚不清楚。
