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The Prevalence and Severity of Joint Problems and Disability in Patients with Poliomyelitis in Urban India.

Baliga S, Mcmillan T, Sutherland A, Sharan D - Open Orthop J (2015)

Bottom Line: Impairment was confined to one lower limb, and this is consistent, as the majority of patients were infected in infancy.The study found that pes cavus, scoliosis, flexion deformity of the knee and true lower-limb shortening accounted for over half of the deformities found.The mean Barthel Disability score was 19 and over 80% of patients used at least one aid, usually in the form of a Knee-Ankle-Foot Orthosis (KAFO).

View Article: PubMed Central - PubMed

Affiliation: University of Aberdeen, Aberdeen, Scotland.

ABSTRACT
Poliomyelitis is caused by an enterovirus infection of the anterior horn cells in the spinal cord. Up to 40% of survivors recover full muscle strength, however 60-90% are left with varying degrees of residual paralysis, where the patient suffers from cramping myalgia and lower motor neuron pattern weakness. This study aimed to identify and quantify, in terms of prevalence and severity of the types of joint deformities encountered in polio sufferers. It also aimed to assess the disability caused by such problems. Finally we documented the provision and use of mobility aids, orthotics and surgery in the patient group. Impairment was confined to one lower limb, and this is consistent, as the majority of patients were infected in infancy. The study found that pes cavus, scoliosis, flexion deformity of the knee and true lower-limb shortening accounted for over half of the deformities found. The mean Barthel Disability score was 19 and over 80% of patients used at least one aid, usually in the form of a Knee-Ankle-Foot Orthosis (KAFO). Surgery also plays a large in role in the management of polio patients, however necessity needs to be assessed on an individual basis taking into account many aspects of the patient's life.

No MeSH data available.


Related in: MedlinePlus

Right sided ankle foot orthosis (AFO) and left sided kneeanklefoot orthosis (KAFO).
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Figure 3: Right sided ankle foot orthosis (AFO) and left sided kneeanklefoot orthosis (KAFO).

Mentions: Over 80% of patients used at least one aid, usually in the form of an orthotic but other devises included, elbow crutches, armpit crutches, raised shoes and wheelchairs. The use of mobility aids and orthotics is summarized in Table 3. The most commonly used orthotic was the Knee-Ankle-Foot Orthosis (KAFO); this was followed by the Ankle-Foot Orthosis (AFO). A KAFO and AFO are shown in Fig. (3). None of the patients used a Hip-Knee-Foot Orthosis or a spinal brace.


The Prevalence and Severity of Joint Problems and Disability in Patients with Poliomyelitis in Urban India.

Baliga S, Mcmillan T, Sutherland A, Sharan D - Open Orthop J (2015)

Right sided ankle foot orthosis (AFO) and left sided kneeanklefoot orthosis (KAFO).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4493628&req=5

Figure 3: Right sided ankle foot orthosis (AFO) and left sided kneeanklefoot orthosis (KAFO).
Mentions: Over 80% of patients used at least one aid, usually in the form of an orthotic but other devises included, elbow crutches, armpit crutches, raised shoes and wheelchairs. The use of mobility aids and orthotics is summarized in Table 3. The most commonly used orthotic was the Knee-Ankle-Foot Orthosis (KAFO); this was followed by the Ankle-Foot Orthosis (AFO). A KAFO and AFO are shown in Fig. (3). None of the patients used a Hip-Knee-Foot Orthosis or a spinal brace.

Bottom Line: Impairment was confined to one lower limb, and this is consistent, as the majority of patients were infected in infancy.The study found that pes cavus, scoliosis, flexion deformity of the knee and true lower-limb shortening accounted for over half of the deformities found.The mean Barthel Disability score was 19 and over 80% of patients used at least one aid, usually in the form of a Knee-Ankle-Foot Orthosis (KAFO).

View Article: PubMed Central - PubMed

Affiliation: University of Aberdeen, Aberdeen, Scotland.

ABSTRACT
Poliomyelitis is caused by an enterovirus infection of the anterior horn cells in the spinal cord. Up to 40% of survivors recover full muscle strength, however 60-90% are left with varying degrees of residual paralysis, where the patient suffers from cramping myalgia and lower motor neuron pattern weakness. This study aimed to identify and quantify, in terms of prevalence and severity of the types of joint deformities encountered in polio sufferers. It also aimed to assess the disability caused by such problems. Finally we documented the provision and use of mobility aids, orthotics and surgery in the patient group. Impairment was confined to one lower limb, and this is consistent, as the majority of patients were infected in infancy. The study found that pes cavus, scoliosis, flexion deformity of the knee and true lower-limb shortening accounted for over half of the deformities found. The mean Barthel Disability score was 19 and over 80% of patients used at least one aid, usually in the form of a Knee-Ankle-Foot Orthosis (KAFO). Surgery also plays a large in role in the management of polio patients, however necessity needs to be assessed on an individual basis taking into account many aspects of the patient's life.

No MeSH data available.


Related in: MedlinePlus