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

Sharma, Suktara; Sheth, Megha; Vyas, Neeta J

doi:10.5463/dcid.v25i3.335

Cited by 3 publications

(5 citation statements)

References 23 publications

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“…Study duration ranged from 5 to 32 weeks, with sample size ranging from 5 to 68 participants with post-polio conditions. Of the included studies, 5 focused on aerobic fitness interventions ( 4 , 24 – 27 ), 7 on mixed interventions (aerobic fitness and muscular strengthening/functional activities) ( 3 , 9 , 28 – 32 ) and 9 on muscular strengthening interventions ( 22 , 23 , 33 – 39 ). Table II summarizes the study population, sample size, study design, follow-up time, type of exercise intervention, outcome measures and statistical analysis and associations.…”

Section: Resultsmentioning

confidence: 99%

“…The results of this review indicated links between muscle strengthening exercise and mental and sensory component, particularly fatigue (36% of the mental and sensory measures reported in the included studies). Fatigue is multidimensional and complex, and the measures used in the included studies (FSS, FIS, MFI-20, VAS) are non-specific to body system or condition ( 32 ). Fatigue is a pervasive symptom amongst polio survivors and is more prevalent than weakness ( 5 ).…”

Section: Discussionmentioning

confidence: 99%

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Effects of muscle strengthening and cardiovascular fitness activities for poliomyelitis survivors: A systematic review and meta-analysis

Ramachandran¹,

Goodman²,

Jackson³

et al. 2021

J Rehabil Med

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Objective To evaluate and assess the effectiveness of muscle strengthening and cardiovascular interventions in improving outcomes in poliomyelitis (polio) survivors. Data sources A systematic literature search was conducted in Medline, PubMed, CINAHL, PsychINFO, Web of Science, and Google Scholar for experimental and observational studies. Study selection and extraction Screening, data-extraction, risk of bias and quality assessment were carried out independently by the authors. The quality appraisal and risk of bias were assessed using the Downs and Black Checklist. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was followed to increase clarity of reporting. Data synthesis A total of 21 studies that met all the inclusion criteria were subjected to statistical analyses according to intervention (muscle strengthening or cardiovascular fitness). A random-effects metaanalysis showed a statistically significant effect for the exercise interventions favouring improvement in outcomes according to the International Classification of Functioning, Disability and Health (ICF). Conclusion This review provides further insight into the effects associated with muscle strengthening and cardiovascular interventions among polio survivors, and helps to further identify the current state of research in this area. Future research is needed, focusing on individualized approaches to exercise with polio survivors and specific exercise prescription recommendations, based on established frameworks, such as the ICF. LAY ABSTRACT Polio survivors are an ageing population and prone to functional decline. Multiple age-related diseases affect this population, in addition to Late Effects of Polio (LEoP). Exercise plays an important role in improving strength and overall cardiovascular fitness in these individuals, and clinicians face challenges when advising polio survivors on the optimal level of exercise to avoid producing pain and/or fatigue. Improvements in strength and cardiovascular fitness have the potential to translate into activities of daily living within this cohort. To our knowledge, this is the first systematic review and meta-analysis using a broad approach (i.e. including both experimental and observational studies) to capture and summarize the research to date regarding the role of muscle strengthening and aerobic conditioning exercise in polio survivors. This review provides valuable information for clinicians, which will help enable the development of specific exercise prescription appropriate to this population.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of muscle strengthening and cardiovascular fitness activities for poliomyelitis survivors: A systematic review and meta-analysis

Ramachandran¹,

Goodman²,

Jackson³

et al. 2021

J Rehabil Med

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“…Vreed et al concluded that the people with PPS experience a lower health level than others, and enhancing these people's physical and emotional state can play an important role in improving their quality of life [9]. Also, in a comparative study on the impact of lifestyle changes with physical exercise or without physical exercise on the fatigue and functional capacity of 18-65 years old people with PPS, Sharma et al observed that doing physical exercises with a change in the lifestyle can significantly improve the fatigue, functional capacity and physical function of the people with PPS [10]. However, in addition to rejecting a sedentary lifestyle, these patients should avoid doing intense physical activities [18].…”

Section: Discussionmentioning

confidence: 99%

“…About 18% to 29% of poliomyelitis survivors face with these problems in their daily life [9]. These symptoms can lead to the significant and negative changes in excitability, amount of tumbling and the ability to perform daily activities [2,10]. The exact reason for emerging PPS symptoms has not been found yet.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, some studies were conducted on the significance of pain, the health quality in these patients' life, strength exercises, endurance exercises, especially dynamic exercises into warm water, the muscular effects on this syndrome, the impact of disability, and the quality of life on the people suffering from the post-polio side effects. The evidence shows that physical exercises have positive effects on the weak and painful muscular groups involved in the disease [8,[10][11][12]. However, the people ability should regularly be evaluated and they must be prevented from doing hard and exhausting activities higher than their individual functional level [12].…”

Section: Introductionmentioning

confidence: 99%

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Comparing Symptoms of Post-Polio Syndrome in Athlete and Non-Athlete Poliomyelitis Survivors

Sayyar

Daneshmandi

Ebrahimi

2017

PTJ

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Purpose: Long term effects of poliomyelitis are known in many countries. Despite no definite label for these signs and symptoms, there is a remarkable similarity among patients with regard to description of the problems and complications of the disease. In this study, we compared the prevalence of symptoms of Post-Polio Syndrome (PPS) in athlete and non-athlete poliomyelitis survivors.Methods: This is a causal-comparative study. The statistical population consisted of all people who had polio in Kerman Province. Of them, 28 people (9 males and 19 females) with the mean(SD) age of 36.61(8.23) years were purposefully selected as the study samples and were grouped in athlete and non-athlete samples. The athlete group comprised 15 people with an mean(SD) age of 34.62(9.42) years who were engaged in physical activities, including swimming, table tennis and sitting volleyball, 3 times a week (on average) during the last year. The non-athlete group also consisted of 15 people with an mean(SD) age of 6.91(38.33) years who didn't do any regular physical activity during this time. With respect to the major indexes of PPS, the symptoms of this syndrome were examined using quality of life questionnaire (SF-36), Fatigue Severity Scale (FSS), and McGill pain questionnaire to evaluate mental and physical function, fatigue and muscular pain, respectively in the study groups. The obtained data were analyzed using descriptive statistics, the Pearson correlation coefficient and Independent t test with SPSS V-22. The significance level was set at P≤0.05. Results:The results indicate a high prevalence rate of PPS syndrome including main symptoms of pain and fatigue (57.53%). Results also support a significant difference between the physical health of athlete and non-athlete groups (P=0.02), while no significant difference was observed between these two groups with respect to their mental health status. Also, there was a significant difference between the athlete and non-athlete people in terms of the fatigue (P=0.04) and pain intensity (P=0.04). Moreover, there was a significant relationship between the age at the first attack of polio and fatigue (r=0.59) and physical health (r=0.69), while there was no significant relationship between the age at the first attack of the disease and pain (r=0.24) and mental health (r=-0.09).Conclusion: Regular physical activity can help patients with a history of polio achieve higher level of health and lower level of functional impairments. Improving the physical condition of these patients through training programs can play an important role in improving their quality of life.

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Estilo De Vida E Avaliação Funcional Do Idoso

Rodrigues

Leão²,

Bispo³

2021

Lif.St.

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A população idosa têm aumentado, sua prevalência e incidência tem gerado doenças crônico-degenerativas que na qual se crescem significativamente. O objetivo deste estudo é avaliar a capacidade funcional do idoso e correlacionar com o estilo de vida dos mesmos. Foi um estudo transversal observacional na qual participaram 12 pacientes idosos de ambos os sexos. O estudo foi realizado nas dependências da Policlínica Universitária do Centro Universitário Adventista de São Paulo, UNASP-SP. Todos os voluntários realizaram uma avaliação em forma de questionário o de estilo de vida, a escala de Lawton, a escala de Katz, e o questionário sobre o risco para doenças não transmissíveis. Para avaliar o estilo de vida, e a capacidade e independência de realizar atividades da vida diária. Para avaliar a questão da fadiga do paciente utilizamos a escala de Chalder. Os resultados principais deste estudo mostraram que a capacidade funcional tem fortes relações com o estilo de vida, e que a presença de doenças crônicas como HAS e Diabetes reduz a capacidade funcional dos indivíduos. E o risco para DM e HAS correlacionou com um estilo de vida negativo. Um estudo que avaliou a capacidade funcional de idosos maiores de 60 anos e o estilo de vida pode concluir que a capacidade funcional tem fortes relações com o estilo de vida, e que a presença de doenças crônicas como HAS e Diabetes reduz a capacidade funcional dos indivíduos.

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

Cited by 3 publications

References 23 publications

Effects of muscle strengthening and cardiovascular fitness activities for poliomyelitis survivors: A systematic review and meta-analysis

Effects of muscle strengthening and cardiovascular fitness activities for poliomyelitis survivors: A systematic review and meta-analysis

Comparing Symptoms of Post-Polio Syndrome in Athlete and Non-Athlete Poliomyelitis Survivors

Estilo De Vida E Avaliação Funcional Do Idoso

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