Clinical Features of Post-Polio Syndrome Patients in Korea.
- Author:
Kyung Ah LEE
1
;
Chyung Ki LEE
Author Information
1. Department of Rehabilitation Medicine, Ewha Womans University College of Medicine.
- Publication Type:Original Article
- Keywords:
Poliomyelitis;
Post-poliomyelitis syndrome (PPS);
Fatigue
- MeSH:
Anterior Horn Cells;
Anxiety;
Arthralgia;
Brain Stem;
Cerebrum;
Depression;
Equipment and Supplies;
Fatigue;
Humans;
Korea*;
Loneliness;
Muscle Fatigue;
Muscles;
Poliomyelitis;
Postpoliomyelitis Syndrome*;
Prevalence;
Surveys and Questionnaires;
Spinal Cord;
Survivors;
Type A Personality;
Visual Analog Scale;
Walking
- From:Journal of the Korean Academy of Rehabilitation Medicine
2000;24(3):517-526
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: This study was performed to evaluate the prevalence of new neuromuscular symptoms and disabilities and the psychological characteristics-depressioin, anxiety, type A behavior, loneliness, and also to determine any relationships between physical and neuropsychological characteristics in a group of post-polio syndrome (PPS). METHOD: By 70 answered questionnaire, the polio survivors were grouped into PPS and Non- PPS. This questionnaire consisted of questions about acute polio problems; new health problems, fatigue severity scale, visual analog scale, weakness scale, Frenchay activity index, ambulation disability index; socio-economic problems; neuro-psychological inventories, Beck depression index, Spielberger state-trait anxiety inventory, revised UCLA loneliness scale, type A personality score. RESULTS: The median time from polio to the onset of new health problems was 27.6 years. Fatigue, muscle and/or joint pain, weakness in previously affected and unaffected muscles were most common newly appearing problems. The symptoms of PPS was consistent with the distribution of the anterior horn cell; spinal cord, brain stem, cerebral hemisphere, Reticular Activating System (RAS). Neuro-psychological evaluations revealed that fatigue scale was correlated with depression, type A personality. CONCLUSION: In PPS group, pain, weakness, fatigue, autonomous symptoms, decreased concentration were more serious than in Non-PPS group. The fatigue in PPS group was correlated with type A personality, depression, sleep disturbance and concentration problem.
