Lønnberg F
Aalborg Sygehus, anaestesi- og intensivafdelingen.
Ugeskr Laeger. 1998 Jun 22;160(26):3904-8.
Poliomyelitis has almost been eradicated world-wide, but during the last decades polio survivors have noted new problems: late effects of polio and post-polio. In Denmark, 7-8000 polio survivors are disabled by poliomyelitis. Late effects of polio, defined as onset of new symptoms decades after the acute poliomyelitis, include fatigue and overuse muskuloskeletal problems. Post-polio is a sub-category of the late effects of polio and related to impaired neuro-muscular function with unexpected onset, which is not caused by the patient's age. Post-polio is a clinical diagnosis and cannot be verified by a definitive test. The dysfunction of the muscles is caused by loss of motor neurones and reduced neuromuscular reserve capacity, in combination with a disturbed balance between the ongoing reinnervation and denervation at the expense of the reinnervation. Many polio survivors suffering from late effects of polio have a need for multidisciplinary rehabilitation, physiotherapy, reconstruction of orthosis, social counselling, modifications to the home and individual aids.
脊髓灰质炎在全球范围内几乎已被根除，但在过去几十年中，脊髓灰质炎幸存者出现了新的问题：脊髓灰质炎后遗症和脊髓灰质炎后综合征。在丹麦，有7000 - 8000名脊髓灰质炎幸存者因脊髓灰质炎而致残。脊髓灰质炎后遗症被定义为急性脊髓灰质炎数十年后出现的新症状，包括疲劳和肌肉骨骼过度使用问题。脊髓灰质炎后综合征是脊髓灰质炎后遗症的一个子类别，与神经肌肉功能受损有关，起病意外，并非由患者年龄引起。脊髓灰质炎后综合征是一种临床诊断，无法通过确定性检查来证实。肌肉功能障碍是由运动神经元丧失和神经肌肉储备能力降低，以及以再支配为代价的持续再支配和失神经支配之间的平衡失调所致。许多患有脊髓灰质炎后遗症的幸存者需要多学科康复治疗、物理治疗、矫形器重建、社会咨询、家庭改造和个人辅助器具。
