IJPR.2024.143
Type of Article: Original Research
Volume 12; Issue 6 (December 2024)
Page No.: 4826-4832
DOI: https://dx.doi.org/10.16965/ijpr.2024.143
To observe the prevalence of Clinical Manifestations in Post-Polio Syndrome individuals using An Index of Post-polio Sequelae
Rohit Vilas Kawane *1, Quazi Ibtesaam Huma 2.
1* Undergraduate Student of Shiva Trust’s Aurangabad College of Physiotherapy, India.
2 Assistant Professor, Department of Physiotherapy in Neurosciences, Shiva Trust’s, Aurangabad College of Physiotherapy, Aurangabad, India.
Corresponding Author: Rohit Vilas Kawane, Undergraduate student of Shiva Trust’s Aurangabad College of Physiotherapy, Aurangabad, India. E-Mail: rohitkawane0358@gmail.com
ABSTRACT
Background: Post-Polio Health International estimated that 12-20 million people worldwide experience the aftereffects of poliomyelitis. A significant proportion of polio survivors experience muscle weakness, muscle atrophy, new muscle weakness, and fatigue. The objective of this study is to determine the prevalence of manifestations among patients with post-polio syndrome.
Aim: To observe the prevalence of clinical manifestations in post-polio syndrome individuals using An Index of Post-Polio Sequelae.
Methodology: In this observational study, 90 participants were enrolled following a thorough evaluation of inclusion and exclusion criteria. Consent was secured before the assessment. We assess the presence and severity of post-polio manifestations by an Index of post-polio sequelae. Data was analysed using Microsoft Excel.
Study design: An observational study.
Result: Study revealed that muscle weakness in involved muscle (100%) and muscle atrophy (100%) were the most prominent manifestations among total participants, contractures were observed in 94.40% individuals, muscle weakness in uninvolved muscle (55.6%), 56.6% experienced muscle pain, 42.2% reported joint pain, 30% suffered fatigue, 27.7% participants had breathing problems, 13.3% faced sleep disturbance, difficulty in swallowing (2.2%) and carpal tunnel syndrome (1.11%) identified as the least prevalent manifestations. In this study, we also observed that among the three factors- pain, atrophy, and bulbar, the severity of the atrophy factor was the highest amongst individuals with Post Polio Syndrome.
Conclusion: The study highlights the predominant musculoskeletal and systemic manifestations, including muscle weakness, atrophy, and contractures which significantly impair mobility and quality of life. Progressive weakening of uninvolved muscles and limbs, pain, and fatigue hinder daily activities, leading to social hesitation.
Key Words: Poliomyelitis, Index of Post-Polio Sequelae, Anterior Horn Cell, Neurological conditions, post-polio syndrome, PPRP.
REFERENCES
[1]. Jubelt B, Agre JC. Characteristics and management of postpolio syndrome. JAMA. 2000;284(4):412-4.
https://doi.org/10.1001/jama.284.4.412
PMid:10904484
[2]. Ghai DOP, Essential pediatrics, 9th ed., A. B. Vinod K Paul, Editor, New Delhi: CBC Publisher, 2019.
[3]. Devaux CA, Pontarotti P, Levasseur A, Colson P, Raoult D. Is it time to switch to a formulation other than the live attenuated poliovirus vaccine to prevent poliomyelitis? Front Public Health. 2024;11:1284337.
https://doi.org/10.3389/fpubh.2023.1284337
PMid:38259741 PMCid:PMC10801389
[4]. Menant JC, Gandevia SC. Poliomyelitis. Handbook of Clinical Neurology. 2018;159:337-44.
https://doi.org/10.1016/B978-0-444-63916-5.00021-5
PMid:30482325
[5]. Boshuis EC, Melin E, Borg K. Pain in post-polio syndrome: a separate pain entity? J Rehabil Med Clin Commun. 2022 Jan 22;5:1000077.
https://doi.org/10.2340/20030711-1000077
PMid:35173911 PMCid:PMC8793922
[6]. Oluwasanmi OJ, Mckenzie DA, Adewole IO, Aluka CO, Iyasse J, Olunu E, Fakoya AO. Postpolio Syndrome: A Review of Lived Experiences of Patients. Int J Appl Basic Med Res. 2019 Jul-Sep;9(3):129-134.
https://doi.org/10.4103/ijabmr.IJABMR_333_18
PMid:31392174 PMCid:PMC6652271
[7]. Motta MP, Quadros A, Ferreira L, Oliveira A. Fatigue in post-polio syndrome. Braz J Biol Sci. 2019;6(17-25).
https://doi.org/10.21472/bjbs.061203
[8]. Spector SA, Gordon PL, Feuerstein IM, Sivakumar K, Hurley BF, Dalakas MC. Strength gains without muscle injury after strength training in patients with postpolio muscular atrophy. Muscle Nerve. 1996;19(10):1282-90.
https://doi.org/10.1002/(SICI)1097-4598(199610)19:10<1282::AID-MUS5>3.0.CO;2-A
[9]. Stoelb BL, Carter GT, Abresch RT, Purekal S, McDonald CM, Jensen MP. Pain in persons with postpolio syndrome: frequency, intensity, and impact. Arch Phys Med Rehabil. 2008 Oct;89(10):1933-40.
https://doi.org/10.1016/j.apmr.2008.03.018
PMid:18929021 PMCid:PMC2651567
[10]. Söderholm S, Lehtinen A, Valtonen K, Ylinen A. Dysphagia and dysphonia among persons with post-polio syndrome – a challenge in neurorehabilitation. Acta Neurol Scand. 2010;122(5):343-9.
https://doi.org/10.1111/j.1600-0404.2009.01315.x
PMid:20055768
[11]. Shoseyov D, Cohen-Kaufman T, Schwartz I, Portnoy S. Comparison of activity and fatigue of the respiratory muscles and pulmonary characteristics between post-polio patients and controls: A pilot study. PLoS One. 2017 Jul 27;12(7):e0182036.
https://doi.org/10.1371/journal.pone.0182036
PMid:28750019 PMCid:PMC5531432
[12]. Sai HC, Hung TH, Chen CC, et al. Prevalence and risk factors for upper extremity entrapment neuropathies in polio survivors. J Rehabil Med. 2009;41(1):26-31.
https://doi.org/10.2340/16501977-0290
PMid:19197565
[13]. Pinto Y, Meiner Z, Schwartz I. Postpolio syndrome – clinical and demographic parameters among poliomyelitis patients in Jerusalem. Phys Med Rehabil J. 2022;4(1):122.
[14]. Trojan DA, Cashman NR. Post-poliomyelitis syndrome. Muscle Nerve. 2005;31(1):6-19.
https://doi.org/10.1002/mus.20259
PMid:15599928
[15]. S. B. O’Sullivan, Physical Rehabilitation, M. M.Bilbis, Editor, F.A. Davis Company, 2014.
[16]. I. Schwartz. The association between post-polio syndrome as measured bt the index of Post-Polio Sequelae and self-reported functional status. Journal of Neurological Sciences, 2014;345:87-91.
https://doi.org/10.1016/j.jns.2014.07.012
PMid:25096475
[17]. Kalpakjian CZ, Toussaint LL, Klipp DA, Forchheimer MB. Development and factor analysis of an index of post-polio sequelae. Disabil Rehabil. 2005;27(20):1225-33.
https://doi.org/10.1080/09638280500075980
PMid:16298924
[18]. Wood KS, Daluiski A. Management of joint contractures in the spastic upper extremity. Hand Clin. 2018;34(4):517-28.
https://doi.org/10.1016/j.hcl.2018.06.011
PMid:30286966
[19]. Maeda K, Sugihara Y. Postpolio syndrome from non-paralytic poliovirus infection. Intern Med. 2022 Sep 15;61(18):2789-92.
https://doi.org/10.2169/internalmedicine.7985-21
PMid:35249915 PMCid:PMC9556246
[20]. Sheth MS, Ghoghari B, Vyas NJ.Presentation and Impact of pain in persons with Post-Polio Syndrome: A cross-sectional Survey Study. DCIDJ [Internet]. 2014; 24(4):91-106.
https://doi.org/10.5463/dcid.v24i4.244
[21]. On AY, Oncu J, Atamaz F, Durmaz B. Impact of post-polio-related fatigue on quality of life. J Rehabil Med. 2006;38(5):329-32.
https://doi.org/10.1080/16501970600722395
PMid:16931464
[22]. Dean E, Ross J, Road JD, Courtenay L, Madill KJ. Pulmonary function in individuals with a history of poliomyelitis. Chest. 1991;100(1):118-23.
https://doi.org/10.1378/chest.100.1.118
PMid:2060329
[23]. van Kralingen KW, Ivanyi B, van Keimpema AR, Venmans BJ, de Visser M, Postmus PE. Sleep complaints in postpolio syndrome. Arch Phys Med Rehabil. 1996;77(6):609-11.
https://doi.org/10.1016/S0003-9993(96)90304-4
PMid:8831481
[24]. Werner R, Waring W, Davidoff G. Risk factors for median mononeuropathy of the wrist in postpoliomyelitis patients. Arch Phys Med Rehabil. 1989;70(6):464-467.
https://doi.org/10.1016/0003-9993(89)90008-7
PMid:2543350
