Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden -
Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
Eur J Phys Rehabil Med. 2020 Apr;56(2):155-159. doi: 10.23736/S1973-9087.20.05918-3. Epub 2020 Feb 10.
As many as 60-80% of persons with a history of polio myelitis develop new symptoms, such as new or increased muscle weakness, muscle and joint pain, and fatigue several decades later, called postpolio syndrome (PPS). This may affect their ability to perform activities of daily living (ADL). It is still unclear if the patient's symptom is getting worse and in that case how much/fast the decline is.
The aim of the present study was to evaluate long-term changes in disability in community dwelling patients with prior poliomyelitis, in contact with a polio clinic 14-16 years post their first assessment.
A cross sectional longitudinal study.
Polio clinic.
Fifty-two persons recruited from an earlier 4-year follow-up participated in the study.
A questionnaire was mailed prior to the visit at the polio clinic. Physical testing was performed by measuring muscle strength, walking speed and handgrip force.
Overall there was a small change in muscle strength. A significant reduction in the right leg was found for flexion 60° and in dorsal flexion. For the left leg a significant reduction was found for plantar flexion. In the walking tests, a significant reduction was seen for spontaneous walking speed. No significant interaction between decrease in spontaneous walking speed and the variables age, BMI and flexion 60° and dorsal flexion in the right leg was seen.
This cross-sectional longitudinal study shows small changes in muscle strength and disability. The results may imply that symptoms associated with late effects of polio are not progressing as fast as we had previously thought.
When health care professionals meet persons with late effects of polio the knowledge of long-term consequences of deterioration is important. Knowing that the deterioration is not as fast as previously thought, can help us to support the person in having a healthy lifestyle, stay active and encourage to perform adapted physical training.
多达 60-80%有脊髓灰质炎病史的人会在几十年后出现新的症状，如新的或增加的肌肉无力、肌肉和关节疼痛以及疲劳，称为脊髓灰质炎后综合征 (PPS)。这可能会影响他们进行日常生活活动 (ADL) 的能力。目前尚不清楚患者的症状是否在恶化，如果恶化，衰退的速度有多快/有多快。
本研究旨在评估曾患有脊髓灰质炎、在首次评估后 14-16 年与脊髓灰质炎诊所接触的社区居住患者的长期残疾变化。
横断面纵向研究。
脊髓灰质炎诊所。
从之前的 4 年随访中招募了 52 名参与者参加研究。
在脊髓灰质炎诊所就诊前邮寄问卷。通过测量肌肉力量、步行速度和手握力来进行体格检查。
总体而言，肌肉力量略有变化。右腿的屈曲 60°和背屈的力量显著下降。左腿的跖屈力量显著下降。在步行测试中，自发步行速度明显下降。在自发性步行速度下降与年龄、BMI 和右腿的屈曲 60°和背屈之间没有观察到显著的交互作用。
这项横断面纵向研究显示肌肉力量和残疾的微小变化。结果表明，与脊髓灰质炎后遗症相关的症状进展速度不如我们之前认为的那么快。
当医疗保健专业人员遇到脊髓灰质炎后遗症患者时，了解恶化的长期后果很重要。知道恶化的速度不如之前想象的那么快，可以帮助我们支持患者保持健康的生活方式、保持活跃并鼓励进行适应性的身体训练。
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