Management of postpolio syndrome

Gonzalez, Henrik; Olsson, Tomas; Borg, Kristian

doi:10.1016/s1474-4422(10)70095-8

Cited by 150 publications

(113 citation statements)

References 112 publications

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“…However, many persons with late effects of polio may have difficulties or are unable to increase the amount of exercise to achieve desired levels of moderate PA because of their impairments and activity limitations associated with their disability (23). Instead, they have to engage in lower doses of activity in order to maintain an active lifestyle (24). Knowledge of the amount and type of PA in persons with late effects of polio (24) is very scarce and no study has described in detail the different dimensions of PA in this population and its association with sociodemographic factors and life satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Physical activity in persons with late effects of polio: A descriptive study

Winberg

Flansbjer

Carlsson

et al. 2014

Disability and Health Journal

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Section: Introductionmentioning

confidence: 99%

Physical activity in persons with late effects of polio: A descriptive study

Winberg

Flansbjer

Carlsson

et al. 2014

Disability and Health Journal

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“…En este sentido no se ha encontrado un aumento de deleciones del gen survival motor neuron (SMN) asociado a la atrofia muscular espinal, aunque se ha encontrado una asociación entre el riesgo de desarrollar SPP con polimorfismos del receptor Fc-gamma IIIA TRATAMIENTO DEL SÍNDROME POSTPOLIO Lamentablemente no existe un tratamiento farmacológico que haya demostrado su eficacia. La terapia actual más eficaz se basa fundamentalmente en tratamiento sintomático y de soporte 10,11 .…”

Section: Patogenesis Del Síndrome Postpoliounclassified

Poliomielitis paralítica. Nuevos problemas: el síndrome postpolio

Esteban

2013

Rev. Esp. Salud Publica

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RESUMENEn 1875 M Raymond describió la aparición de una atrofia y debilidad muscular progresiva en 3 individuos supervivientes de una poliomielitis aguda en la infancia. Jean-Martin Charcot, sugirió que la lesión inicial debía dejar a las neuronas de estos individuos más sensibles para desarrollar enfermedades medulares posteriores y que la nueva debilidad era consecuencia del sobreuso de los músculos afectos. En 1979, tras la publicación de la descripción realizada por un paciente de 57 años de las dificultades motoras que desarrolló tras el padecimiento de una poliomielitis en la infancia, se produjo un incremento muy importante de comentarios de otros individuos con síntomas similares, llegando a acuñarse en los años 80 el término de síndrome post-polio (SPP). El término se reserva para describir el desarrollo de nuevos síntomas neurológicos, en especial para el desarrollo de una debilidad muscular, atrofia muscular y fatiga muscular nueva que no son explicables por otra causa médica, y que aparecen después de más de 15 años de la infección aguda. Se estima que afecta del 20 al 85% de individuos con antecedentes de poliomielitis en la infancia. En el año 2000 se describieron los primeros criterios diagnósticos. El SPP condiciona una alteración de la capacidad funcional del individuo.Su etiopatogenia es desconocida, pudiendo estar relacionada con el envejecimiento. También podría deberse a un cuadro inflamatorio persistente o estar influenciado por factores genéticos. No existe tratamiento farmacoló-gico eficaz, por lo que sólo se puede recomendar tratamiento sintomático y de entrenamiento muscular moderado.Palabras clave: Poliovirus. Poliomielitis. Síndrome postpolio. ABSTRACT Polio paralytic. New Problems: Postpolio SyndromeIn 1875 M Raymond described a progressive muscle wasting and weakness in 3 individuals survivors of childhood acute poliomyelitis. Jean-Martin Charcot suggested that the initial injury should let these guys neurons more sensitive to develop posterior spinal diseases and new weakness was the result of overuse of the affected muscles. In 1979, after the publication of the description given by a 57 year old patien on motor difficulties that developed after suffering of polio in childhood, there was a very significant increase of comments of other individuals with similar symptoms, reaching wedged in the 80s the term of post-polio syndrome.The term is reserved for describing the development of new neurological symptoms, especially for the development of muscle weakness, muscle atrophy and new muscle fatigue not explained by other medical causes, and appear after more than 15 years of infection acute. Is estimated to affect 20 to 85% of individuals with a history of polio in childhood. In 2000 first described the diagnostic criteria. This syndrome determines a change in the functional abilities. Its pathogenesis is unknown, may be associated with aging. It could also be due to an inflammatory persistent or be influenced by genetic factors. There is no effective drug treatment, so I can only rec...

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“…bout 50 million people around the world have been affected by poliomyelitis [1][2][3][4]. This is a disease which affects the anterior motor neurons of spinal cord.…”

Section: Introductionmentioning

confidence: 99%

“…This is a disease which affects the anterior motor neurons of spinal cord. Of the patients who had polio, a significant number develop new symptoms known as Post-Polio Syndrome (PPS) many years after recovery from the initial attack [2,5]. The people with a history of poliomyelitis do not equally suffer from PPS.…”

Section: Introductionmentioning

confidence: 99%

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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Management of postpolio syndrome

Cited by 150 publications

References 112 publications

Physical activity in persons with late effects of polio: A descriptive study

Physical activity in persons with late effects of polio: A descriptive study

Poliomielitis paralítica. Nuevos problemas: el síndrome postpolio

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

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