A comparison of the effects of exercise and lifestyle modification on the resolution of overuse symptoms of the shoulder in polio survivors: A preliminary study

Klein, Mary G.; Whyte, John; Esquenazi, Albert; Keenan, Mary Ann; Costello, Roberta

doi:10.1053/apmr.2002.32451

Cited by 32 publications

(11 citation statements)

References 18 publications

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“…One randomized-controlled study of post-polio patients with pain, weakness and fatigue in their shoulder muscles compared the effect of exercise only, exercise in combination with lifestyle modification and lifestyle modification only [48]. All three groups improved after intervention, but a significant difference was found only for the two groups with exercise (Class II).…”

Section: Muscular Trainingmentioning

confidence: 99%

EFNS guideline on diagnosis and management of post‐polio syndrome. Report of an EFNS task force

Farbu

Gilhus

Barnes

et al. 2006

Euro J of Neurology

155

113

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Post‐polio syndrome (PPS) is characterized by new or increased muscular weakness, atrophy, muscle pain and fatigue several years after acute polio. The aim of the article is to prepare diagnostic criteria for PPS, and to evaluate the existing evidence for therapeutic interventions. The Medline, EMBASE and ISI databases were searched. Consensus in the group was reached after discussion by e‐mail. We recommend Halstead's definition of PPS from 1991 as diagnostic criteria. Supervised, aerobic muscular training, both isokinetic and isometric, is a safe and effective way to prevent further decline for patients with moderate weakness (Level B). Muscular training can also improve muscular fatigue, muscle weakness and pain. Training in a warm climate and non‐swimming water exercises are particularly useful (Level B). Respiratory muscle training can improve pulmonary function. Recognition of respiratory impairment and early introduction of non‐invasive ventilatory aids prevent or delay further respiratory decline and the need for invasive respiratory aid (Level C). Group training, regular follow‐up and patient education are useful for the patients’ mental status and well‐being. Weight loss, adjustment and introduction of properly fitted assistive devices should be considered (good practice points). A small number of controlled studies of potential‐specific treatments for PPS have been completed, but no definitive therapeutic effect has been reported for the agents evaluated (pyridostigmine, corticosteroids, amantadine). Future randomized trials should particularly address the treatment of pain, which is commonly reported by PPS patients. There is also a need for studies evaluating the long‐term effects of muscular training.

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Section: Muscular Trainingmentioning

confidence: 99%

EFNS guideline on diagnosis and management of post‐polio syndrome. Report of an EFNS task force

Farbu

Gilhus

Barnes

et al. 2006

Euro J of Neurology

155

113

View full text Add to dashboard Cite

show abstract

“…An aerobic exercise programme can break the circle of inactivity, impaired performance and increased fatigability (Kilmer, 2002). In a randomised control trial, Klein et al (2002) observed a significant decrease in the mean number and mean severity of the shoulder symptoms following a 16-week non-fatiguing strengthening exercise and lifestyle modification programme for PPS subjects. Oncu et al (2009) also noted improvement in fatigue after an exercise programme consisting of flexibility exercises and aerobic exercises.…”

Section: Discussionmentioning

confidence: 99%

Fatigue and Functional Capacity in Persons with Post-Polio Syndrome: Short-term Effects of Exercise and Lifestyle Modification Compared to Lifestyle Modification Alone

Sharma¹,

Sheth²,

Vyas³

2014

DCID

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“…Assistive devices, lifestyle changes, and programs of physical activity and exercise may help with the fatigue, weakness, pain, and sleep problems frequently reported by these participants. Recent studies have documented that carefully designed and monitored progressive resistance exercises and cardiopulmonary conditioning can decrease general weakness and fatigue, increase muscle strength, improve cardiorespiratory fitness, and increase the efficiency of ambulation in polio survivors (Agre, Rodriquez, & Franke, 1997; Ernstoff, Wetterqvist, Kvist, & Grumby, 1996; Klein, Whyte, Esquenazi, Keenan, & Costello, 2002; March of Dimes, 2001; Milner‐Brown, 1993; Willen, Sunnerhagen, & Grimby, 2001). Similar research studies testing behavioral interventions for sleep problems and pain are needed.…”

Section: Discussionmentioning

confidence: 99%

Secondary Conditions and Life Satisfaction Among Polio Survivors

Stuifbergen

2005

Rehabilitation Nursing

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Persons living with the effects of polio are often at increased risk for the development of secondary conditions and disabilities that can lead to further decline in health status, independence, functional status, life satisfaction, and overall quality of life. The purpose of this study was to explore the frequency of selected secondary conditions, factors associated with these conditions, and the relationship between secondary conditions and quality of life among polio survivors. Data from a large convenience sample (N = 2,153) indicate that secondary conditions are prevalent and associated with decreased life satisfaction. Prompt identification and treatment of secondary conditions before they progress to greater impairment and/or disability and attention to an overall healthful lifestyle is important to preserve function and maintain quality of life of polio survivors.

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A comparison of the effects of exercise and lifestyle modification on the resolution of overuse symptoms of the shoulder in polio survivors: A preliminary study

Cited by 32 publications

References 18 publications

EFNS guideline on diagnosis and management of post‐polio syndrome. Report of an EFNS task force

EFNS guideline on diagnosis and management of post‐polio syndrome. Report of an EFNS task force

Fatigue and Functional Capacity in Persons with Post-Polio Syndrome: Short-term Effects of Exercise and Lifestyle Modification Compared to Lifestyle Modification Alone

Secondary Conditions and Life Satisfaction Among Polio Survivors

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