Rehabilitation Medicine, Department of Clinical Neuroscience, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Swedish National Transport Research Institute, Gothenburg, Sweden.
Disabil Rehabil. 2020 Nov;42(22):3203-3208. doi: 10.1080/09638288.2019.1585488. Epub 2019 Mar 23.
: To investigate outdoor mobility of immigrants in Sweden who are living with the late effects of polio.: A total of 145 patients with late effects of polio born outside the Nordic region were identified at an outpatient polio clinic. Of these, 74 completed a questionnaire about their mobility and independence in daily life, self-perceived pain and depression, vocational status, mobility assistive devices/aids, transportation modes and driving. Patient characteristics were based on medical records supplied by physicians.: Twice as many patients had lower extremities that were affected by polio than upper extremities. This affected their use of different transport modes and caused mobility and transfer problems. Indeed, 39% needed mobility aids and help from another person to move outdoors. Those who reported dependence for outdoor mobility were more often unemployed and more often depressed.: Many respondents reported having difficulties with transport mobility, but a large proportion, 57%, were independent and active drivers. It is important to consider outdoor mobility when planning rehabilitation for patients with late effects of polio and foreign backgrounds. In addition to psychosocial factors, dependence on mobility-related activities can lead to dependency and isolation.Implications for rehabilitationOutdoor mobility and access to transport modes are important for independence and an active life and need to be included in the rehabilitation process.Both personal and environmental factors, can contribute to mobility problems of people with foreign backgrounds, who are living with the late effects of polio.Factors such as cultural, social and gender aspects are important when planning suitable and individualized rehabilitation.
: 研究瑞典移民的户外活动能力，他们患有小儿麻痹症的后遗症。: 在一家小儿麻痹症门诊，共发现 145 名出生在北欧地区以外的小儿麻痹症后遗症患者。其中 74 名完成了一份关于他们在日常生活中的移动能力和独立性、自我感知的疼痛和抑郁、职业状况、移动辅助设备/辅助工具、交通方式和驾驶的问卷。患者特征基于医生提供的病历。: 下肢患有小儿麻痹症的患者是上肢的两倍。这影响了他们对不同交通方式的使用，并导致了移动和转移问题。实际上，39%的人需要移动辅助设备和他人的帮助才能在户外移动。那些报告户外活动依赖的人更可能失业，更可能抑郁。: 许多受访者报告说在交通移动方面有困难，但很大一部分（57%）人独立且积极地开车。在为患有小儿麻痹症后遗症和外国背景的患者规划康复时，考虑户外活动能力很重要。除了心理社会因素外，对与移动相关的活动的依赖会导致依赖和孤立。康复建议户外活动能力和获得交通方式对于独立性和积极的生活很重要，需要纳入康复过程。个人和环境因素都可能导致患有小儿麻痹症后遗症的外国背景患者的移动问题。文化、社会和性别等因素在规划合适和个性化的康复时很重要。
