The Perception of Physical Activity in Ambulatory Persons with Late Effects of Polio: A Qualitative Study

Abstract

Maintaining regular physical activity (PA) can be challenging for persons with late effects of polio. This qualitative study of ambulatory persons with late effects of polio explored their perceptions of PA, and facilitators of and barriers to PA. Semistructured interviews were conducted with 15 persons and analyzed with content analysis using the International Classification of Functioning, Disability and Health (ICF) as framework. The participants described positive perceptions of PA and its health benefits. PA was used to prevent further decline in functioning, and the type and frequency of activities had changed over time. Past experiences and personal characteristics impacted on PA. Support from close relatives, knowledgeable health care professionals, mobility devices and accessible environments facilitated PA, whereas impairments, inaccessible environments and cold weather were the main barriers. To perform PA regularly, persons with late effects of polio may benefit from individualized advice based on their disability, personal and environmental factors.

Post‐polio syndrome and the late effects of poliomyelitis: Part 2. treatment, management, and prognosis

“…In general, it is advisable to protect muscles and joints undergoing the adverse effects of overuse or body areas with very significant chronic weakness. Long‐term outcome studies of exercise within a comprehensive rehabilitation program suggest a prolonged positive effect on physical capacity and general health status, and benefits for physical, psychological, and functional outcomes …”

“…Long-term outcome studies of exercise within a comprehensive rehabilitation program suggest a prolonged positive effect on physical capacity and general health status, and benefits for physical, psychological, and functional outcomes. [50][51][52] An exercise program may also be beneficial for treating shoulder overuse symptoms. In fact, both exercise (home exercise program focused on strengthening hip and knee extensors) and lifestyle modification therapies designed to avoid shoulder overuse are effective in treating shoulder overuse symptoms in polio survivors.…”

Efeitos do videogame interativo Nintendo® Wii Sports na função motora de membros superiores de indivíduos com síndrome pós poliomielite: ensaio clínico aleatorizado de aplicabilidade, segurança, aceitabilidade

“…-Função Muscular: Indivíduos ativos fisicamente possuem menores sintomas e maior nível funcional (Howard, 2005;Quadros et al 2012;Winberg et al, 2017). Grande parte dos pacientes com SPP apresentaram um modesto declínio na mobilidade física (Willen et al, 2001, Brogårdh et al, 2006, Bickerstaffe et al, 2015, mais substancial na capacidade de andar com o passar dos anos (Willen et al, 2001, Bickerstaffe et al, 2015.…”

“…Na revisão sistemática de Stolwijk-Swüste et al, 2005, o prognóstico funcional na SPP mostrou resultados inconsistentes, em grande parte devido à variabilidade no desenho e metodologia dos estudos. Além disso a maioria dos estudos avaliaram a funcionalidade de membros inferiores destes pacientes (Winberg et al, 2017;Bickerstaffe et al, 2015). Após vasta busca na literatura, não localizamos estudos sobre os efeitos dos videogames interativos na função de membros superiores de indivíduos com SPP.…”

“…A fadiga muscular é uma das queixas mais frequentes das pessoas com SPP (McNalley et al, 2015). No entanto, não há consenso na literatura se os sintomas de fadiga muscular são a causa ou a consequência da inatividade física (Bickerstaffe et al, 2015;), e qual o melhor exercícios para redução da fadiga muscular deve ser prescrito (Cup et al 2007;Winberg et al, 2017). Os achados do nosso estudo mostraram que tanto o videogame interativo quanto a fisioterapia convencional promoveram melhora equivalente na fadiga de pessoas com SPP.…”