Influencia de las secuelas de la poliomielitis y síntomas del síndrome postpolio en las actividades de la vida diaria y en la calidad de vida relacionada con la salud
To describe the repercussion of poliomyelitis sequels in activities of daily living (ADL) and health-related quality.
A cross-sectional study with thirty-seven former polio patients with new symptoms is presented. The measurement instruments used were the Barthel Index, Lawton and Brody Scale and the Nottingham Health Profile (NHP) assessments. Pain in last week was assessed with a visual analogue scale (VAS). The Mann-Whitney U-test was used for comparison between independents groups. The Spearman rank correlation test was used to evaluate the association between quantitative variables. Statistical significance level accepted was 5% (p < 0.05).
Mean age was 49 years; 62 % were female and 38% were males. The NHP part I demonstrated that the most affected dimensions in our sample are physical mobility, pain and energy and the less affected is social isolation. In NHP part II, the most affected activities were housework and work. No significant differences were found between a greater dependence in ADL and a greater total score in NHP.
Sequels and new signs and symptoms detected in former polio subjects difficult the capacity to realize ADL, affecting to health-related quality of life.
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ABSTRACT: The need to find accurate and reliable indicators on which to base the planning, provision, and evaluation of health services gave impetus to the attempt to develop reliable and valid measures of the perceived health status of the consumers of health care. Subjective measures can provide an important complement to traditional statistics by giving direct access to the personal feelings of discomfort or distress that influence the use of health services. Such measures also give meaningful criteria for the evaluation of the efficacy of such services. Self assessments of health obtained from surveys and interviews have consistently found age and sex differences in the tendency to report symptoms, ill-health, disability, visits to doctors, and sickness absence. Many of these data, however, may have been misleading in using instruments of unknown or uncertain validity and reliability. Nevertheless, subjective assessments of health have been shown to have value and to add a dimension to objective measurements of health. They have been considered to be one of the better predictors of mortality and of adjustment to major episodes of illness.Journal of Epidemiology & Community Health 07/1984; 38(2):156-60. · 3.39 Impact Factor
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ABSTRACT: Eleven patients with progressive weakness following polio (postpoliomyelitis muscular atrophy syndrome) were compared electromyographically with nine patients who had stable strength following polio. Abnormalities included (1) abnormal motor unit characteristics in many muscles indicating widespread loss of motor neurons and reinnervation in muscles, including many not clinically affected by the polio; (2) prevalent spontaneous denervation potentials; and (3) abnormal single-fiber electromyographic jitter. These electromyographic abnormalities were similar in progressive and stable postpoliomyelitis patients even when muscles were separated by strength, stability, age and duration of the postpoliomyelitis state. Postpoliomyelitis muscular atrophy appears to be the clinically apparent end of the spectrum of abnormalities existing in all postpoliomyelitis patients.Muscle & Nerve 09/1990; 13(8):667-74. · 2.31 Impact Factor