Maynard F M
Orthopedics. 1985 Jul;8(7):857-61. doi: 10.3928/0147-7447-19850701-08.
Forty-two patients with a past history of poliomyelitis were evaluated at a post-polio clinic for new problems or impairments. Evaluation included a complete history, neurological and biomechanical examination and electrodiagnostic studies. Based on this evaluation patients were placed into three groups: 23 patients were considered to have or likely to have Progressive Post-Polio Muscular Atrophy (PPPMA); 17 patients were considered to have other post-polio sequelae; and two patients had problems unrelated to a past history of polio but mistaken for post-polio sequelae. Musculoskeletal pain was a common complaint among all groups of patients. Twenty-two of the 40 patients with post-polio sequelae were advised to alter their method of ambulation and/or decrease their activity pattern in order to decrease strain and/or excessive exertion of involved muscles. The role of chronic overuse and exercise in producing PPPMA or musculoskeletal pain problems is discussed. Characteristic clinical problems and useful management plans are described.
42名有小儿麻痹症病史的患者在小儿麻痹症后诊所接受了新问题或损伤的评估。评估包括完整的病史、神经和生物力学检查以及电诊断研究。基于该评估，患者被分为三组：23名患者被认为患有或可能患有小儿麻痹症后进行性肌肉萎缩（PPPMA）；17名患者被认为患有其他小儿麻痹症后遗症；两名患者有与小儿麻痹症病史无关但被误诊为小儿麻痹症后遗症的问题。肌肉骨骼疼痛是所有患者组中的常见主诉。40名患有小儿麻痹症后遗症的患者中有22名被建议改变其行走方式和/或减少其活动模式，以减轻受累肌肉的劳损和/或过度用力。讨论了慢性过度使用和运动在产生PPPMA或肌肉骨骼疼痛问题中的作用。描述了典型的临床问题和有用的管理方案。
