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

Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física. Facultad de Ciencias de la Salud. Universidad Rey Juan Carlos. Alcorcón. Madrid
Rehabilitación 01/2006; 40(4). DOI: 10.1016/S0048-7120(06)74892-7


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: Objective To examine the prevalence of fatigue perceived among a sample of polio survivors, and to analyze association between level of fatigue and difficulty to carry out functional activities and how this affects health-related quality of life. Material and methods A cross-sectional trial with 37 former polio subjects. Measurement instruments used were Fatigue Severity Scale (FSS), visual analogy scale for estimation of fatigue and pain, Nottingham Health Profile, Barthel Index and Lawton and Brody Scale assessments. The Mann-Whitney U-test was used for comparison between independent groups and the Spearman rank correlation test to evaluate the association between quantitative variables. Results Mean score in FSS was 5.0 (SD 1.3) and in VAS of physical fatigue was 45.5 mm (SD 33.3). No relationship was found between the presence of respiratory problems, age at polio onset and polio involvement and higher perceived fatigue in the sample studied. Presence of fatigue influenced health-related quality of life, mainly in energy, social isolation and physical mobility. No significant difference was found between presence of fatigue and higher perceived difficulty in performing ADL. Discussion Although fatigue does not seem to influence activities in daily living, it affects health-related quality of life in polio survivors subjects.
    Rehabilitación 02/2007; 41(3). DOI:10.1016/S0048-7120(07)75497-X