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Polio syndrome

Nirmal Kandel, Jaya Lamichhane, Rudolf H Tangermann, Guenael Rm Rodier
No abstract text is available yet for this article.
September 1, 2016: Bulletin of the World Health Organization
P Flanagan, P O'Lorcain, S Cotter, J Connell, B Lynch, R Cunney, D O'Flanagan
Acute Flaccid Paralysis (AFP) surveillance, including case investigation and specimen collection is a gold standard method for poliomyelitis surveillance. The expected annual non-polio AFP rate <15 years of age in Ireland is = 1/100 000 population. This study reviewed all cases of AFP reported to the Irish Paediatric Surveillance Unit and the Health Protection Surveillance Centre between January 2009 and December 2014 and compared reporting rates with the expected incidence rate annually. We assessed quality of surveillance data in terms of completeness of investigation for each case reported...
2016: Irish Medical Journal
Zouhir Boukara, A C Nouar, Mostefa Bedjaoui, O Bensaber, A Lahmer
OBJECTIVE: The post-polio syndrome (PPS), clinical entity that occurs at least 15 years of stability after acute polio results in specific symptoms. If its pathophysiology remains unsolved its functional impact is considerable. The objectives are two folds, establish the epidemiological profile and search the harmful elements for its prevention. MATERIALS/PATIENTS AND METHODS: Prospective descriptive study, from 2010 to 2013, about 104 former polio victims. The tools: pain-scale, fatigue-scale of Borg and a preset plug for data collection, including historical elements of polio and diagnostic criteria of Halstead...
September 2016: Annals of Physical and Rehabilitation Medicine
L Bertolasi, A Danese, S Monaco, M Turri, K Borg, L Werhagen
BACKGROUND: Poliomyelitis was before the immunization an important medical problem. Nowadays polio prior patients (PP) suffer from polio sequelae or have developed post-polio-syndrome (PPS) with increasing paresis, pain and fatigue. OBJECTIVES: To analyze the medical situation 50 years after acute polio. The degree of paresis was compared between the recovery 1952-1961 and 2012.The prevalence of patients fulfilling the criteria for PPS was estimated. METHOD: The study was performed in Italy...
2016: Open Neurology Journal
Chih-Hsuan Changchien, Wei-Chen Chen, Yu-Min Su
We report two cases of poliomyelitis in which an anterolateral thigh myocutaneous free flap was harvested from the paralytic limb for oral reconstruction. We observed a decrease in the pedicle diameter of the anterolateral thigh flap, but the blood supply to the skin paddle was adequate.
2016: Case Reports in Plastic Surgery & Hand Surgery
Margaret N Kosek, Estomih Mduma, Peter S Kosek, Gwenyth O Lee, Erling Svensen, William K Y Pan, Maribel Paredes Olortegui, Jay H Bream, Crystal Patil, Cesar Ramal Asayag, Graciela Meza Sanchez, Laura E Caulfield, Jean Gratz, Pablo Peñataro Yori
Early childhood enteric infections have adverse impacts on child growth and can inhibit normal mucosal responses to oral vaccines, two critical components of environmental enteropathy. To evaluate the role of indoleamine 2,3-dioxygenase 1 (IDO1) activity and its relationship with these outcomes, we measured tryptophan and the kynurenine-tryptophan ratio (KTR) in two longitudinal birth cohorts with a high prevalence of stunting. Children in rural Peru and Tanzania (N = 494) contributed 1,251 plasma samples at 3, 7, 15, and 24 months of age and monthly anthropometrics from 0 to 36 months of age...
October 5, 2016: American Journal of Tropical Medicine and Hygiene
Marco Orsini, Agnaldo J Lopes, Fernando S Guimarães, Marcos R G Freitas, Osvaldo J M Nascimento, Mauricio de Sant' Anna, Pedro Moreira, Stenio Fiorelli, Ana Carolina A F Ferreira, Camila Pupe, Victor H V Bastos, Bruno Pessoa, Carlos B Nogueira, Beny Schmidt, Olivia G Souza, Eduardo R Davidovich, Acary S B Oliveira, Pedro Ribeiro
METHOD: A search for papers was made in the databases Bireme, Scielo and Pubmed with the following keywords: post polio syndrome, cardiorespiratory and rehabilitation in English, French and Spanish languages. Although we targeted only seek current studies on the topic in question, only the relevant (double-blind, randomized-controlled and consensus articles) were considered. RESULTS AND DISCUSSION: Certain features of PPS such as generalized fatigue, generalized and specific muscle weakness, joint and/or muscle pain may result in physical inactivity deconditioning obesity and dyslipidemia...
July 2016: Arquivos de Neuro-psiquiatria
Joanne O'Connor, Dorothy McCaughan, Catriona McDaid, Alison Booth, Debra Fayter, Roccio Rodriguez-Lopez, Roy Bowers, Lisa Dyson, Cynthia P Iglesias, Simon Lalor, Rory J O'Connor, Margaret Phillips, Gita Ramdharry
BACKGROUND: Patients who have knee instability that is associated with neuromuscular disease (NMD) and central nervous system (CNS) conditions can be treated using orthoses, such as knee-ankle-foot orthoses (KAFOs). OBJECTIVES: To assess existing evidence on the effectiveness of orthoses; patient perspectives; types of orthotic devices prescribed in the UK NHS; and associated costs. METHODS: Qualitative study of views of orthoses users - a qualitative in-depth interview study was undertaken...
July 2016: Health Technology Assessment: HTA
Ali Akbar Momen, Abdolhussein Shakurnia
OBJECTIVES: Investigations into the epidemiology of acute flaccid paralysis (AFP) are an essential strategic component of the Global Poliomyelitis Eradication Initiative of the World Health Organization (WHO), and are part of the certification process for polio eradication worldwide. This is an epidemiological report of AFP incidence in children less than 15 years old in southwest Iran. METHODS: This was a retrospective cohort study, carried out based on WHO guidelines, in which we reviewed non-polio AFP cases recorded from January 2006 to December 2010 in different regions of Khuzestan Province, southwest Iran...
2016: Epidemiology and Health
Eric L Voorn, Fieke S Koopman, Merel A Brehm, Anita Beelen, Arnold de Haan, Karin H L Gerrits, Frans Nollet
OBJECTIVE: To explore reasons for the lack of efficacy of a high intensity aerobic exercise program in post-polio syndrome (PPS) on cardiorespiratory fitness by evaluating adherence to the training program and effects on muscle function. DESIGN: A process evaluation using data from an RCT. PATIENTS: Forty-four severely fatigued individuals with PPS were randomized to exercise therapy (n = 22) or usual care (n = 22). METHODS: Participants in the exercise group were instructed to exercise 3 times weekly for 4 months on a bicycle ergometer (60-70% heart rate reserve)...
2016: PloS One
Johanna C W Deenen, Pieter A van Doorn, Catharina G Faber, Anneke J van der Kooi, Jan B M Kuks, Nicolette C Notermans, Leo H Visser, Corinne G C Horlings, Jan J G M Verschuuren, André L M Verbeek, Baziel G M van Engelen
Based on approximately eight years of data collection with the nationwide Computer Registry of All Myopathies and Polyneuropathies (CRAMP) in the Netherlands, recent epidemiologic information for thirty neuromuscular disorders is presented. This overview includes age and gender data for a number of neuromuscular disorders that are either relatively frequently seen in the neuromuscular clinic, or have a particular phenotype. Since 2004, over 20,000 individuals with a neuromuscular disorder were registered in CRAMP; 56% men and 44% women...
July 2016: Neuromuscular Disorders: NMD
John F Ditunno, Bruce E Becker, Gerald J Herbison
Revisiting the ailments of famous historical persons in light of contemporary medical understanding has become a common academic hobby. Public discussion of Franklin Delano Roosevelt's (FDR) diagnosis of poliomyelitis after his sudden onset of paralysis in 1921 has received just such a revisitation. Recently, this 2003 historical analysis has been referenced widely on the Internet and in biographies, raising speculation that his actual diagnosis should have been Guillain-Barré Syndrome, a noncontagious disease of the peripheral nervous system rather than poliomyelitis...
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
O E Ivanova, T P Eremeeva, N S Morozova, A K Shakaryan, A P Gmyl, M L Yakovenko, E A Korotkova, O P Chernjavskaja, O Yu Baykova, O V Silenova, A Yu Krasota, L I Krasnoproshina, A N Mustafina, L I Kozlovskaja
The results of virologic testing of clinical materials and epidemiological analysis of vaccine-associated paralytic poliomyelitis (VAPP) cases obtained in 2006-2013 during AFP surveillance are presented. Among the 2976 cases of AFP 30 cases were VAPP. 15 cases were observed in OPV recipients, whereas 15 cases were observed in non-vaccinated contacts. The age of the patients varied from 4 months to 5.5 years (13.6 ± 12.4 months old). Children younger than 1 year constituted 63.3% of the group; boys were dominant (73...
2016: Voprosy Virusologii
Hyewon Chung, Jiseon Kim, Ryoungsun Park, Alyssa M Bamer, Fraser D Bocell, Dagmar Amtmann
PURPOSE: The University of Washington Self-Efficacy Scale (UW-SES) was originally developed for people with multiple sclerosis (MS) and spinal cord injury (SCI). This study evaluates the measurement invariance of the 6-item short form of the UW-SES across four disability subgroups. Evidence of measurement invariance would extend the UW-SES for use in two additional diagnostic groups: muscular dystrophy (MD) and post-polio syndrome (PPS). METHODS: Multi-group confirmatory factor analysis was used to evaluate successive levels of measurement invariance of the 6-item short form, the UW-SES: (a) configural invariance, i...
October 2016: Quality of Life Research
Arzu Yağız On, Ulaş Sungur
BACKGROUND: Post-polio syndrome (PPS) is a condition that affects polio survivors decades after recovery from an initial acute attack. It is a well-known entity that limbs thought to be nonaffected by polio survivors commonly demonstrate electromyography (EMG) evidence of prior polio. Although the diagnosis of PPS requires a remote history of acute paralytic polio, clinically unapparent damage caused by poliovirus can be associated with PPS later in life. OBJECTIVE: To evaluate EMG abnormalities and late progressive symptoms in limbs thought to be nonaffected by polio survivors, in order to determine the prevalence of subclinical motor neuron involvement in those fulfilling criteria for PPS comparing to those without such symptoms...
January 2016: Annals of Indian Academy of Neurology
Amanda E Smith, Ivan R Molton, Mark P Jensen
BACKGROUND: Adults with long-term disability are living longer and may experience accelerated aging. More information is needed to understand the incidence of chronic comorbid medical conditions in this population. OBJECTIVE: To examine the incidence, prevalence, age of onset and predictors of five chronic conditions in a sample of adults with long-term physical disability. METHODS: Longitudinal self-report surveys were mailed to 1594 adults with multiple sclerosis, muscular dystrophy, post-polio syndrome or spinal cord injury twice, 3...
July 2016: Disability and Health Journal
Minne Bakker, Karen Schipper, Fieke S Koopman, Frans Nollet, Tineke A Abma
BACKGROUND: Many persons affected with poliomyelitis develop post-polio syndrome (PPS) later in their life. Recently, the effectiveness of Exercise Therapy (ET) and Cognitive Behavioural Therapy (CBT) for PPS has been evaluated in a randomized controlled trial, but did not show a decrease in fatigue or improvement in secondary endpoints like Quality of Life and self-perceived activity limitations. The aim of this explorative study was to gain insight in the perceived effects and experiences of the interventions from the perspectives of the patients and therapists...
2016: BMC Neurology
Ki Yeun Nam, SeungYeol Lee, Eun Joo Yang, Keewon Kim, Se Hee Jung, Soong-Nang Jang, Soo Jeong Han, Wan-Ho Kim, Jae-Young Lim
Falls and fall-related injuries are important issue among polio survivors. The purpose of this study was to determine the incidence of, and consequences and factors associated with falls among Korean polio survivors. A total of 317 polio survivors participated in this study. All participants completed a questionnaire including fall history, symptoms related to post-polio syndrome and other information through a telephone interview. Among them, 80 participants visited our clinic for additional physical measurements and tests...
February 2016: Journal of Korean Medical Science
Muhammad Umer Faheem, Muhammad Zeeshan Haroon, Aftab Alam Khan, Maryum Shaukat, Sved Abbas Anwar
BACKGROUND: Acute flaccid paralysis (AFP) is clinical presentation marked by acute onset of weakness and reduced tone. Aetiologies of AFP are diverse including infectious agents, trauma or autoimmune reaction. Currently only three countries in the world that are Nigeria, Pakistan and Afghanistan have endemic poliomyelitis. Pakistan's polio crisis represents one of the last hurdles in a 23-year campaign run by the World Health Organization. Bannu due to its geographical location stands out to be one of highest risk areas for Poliomyelitis...
July 2015: Journal of Ayub Medical College, Abbottabad: JAMC
Margaret M Peel, Marie Cooke, Helen J Lewis-Peel, Rodney A Lea, Wendy Moyle
OBJECTIVE: To determine if coenzyme Q(10) alleviates fatigue in the late-onset sequelae of poliomyelitis. DESIGN: Parallel-group, randomized, placebo-controlled trial. BACKGROUND SETTING: Coenzyme Q(10) has been shown to boost muscle energy metabolism in post-polio subjects but it does not promote muscle strength, endurance or function in polio survivors with post-poliomyelitis syndrome. However, the collective increased energy metabolism might contribute to a reduction in post-polio fatigue...
December 2015: Complementary Therapies in Medicine
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