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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(3):517-526.
Clinical Features of Post-Polio Syndrome Patients in Korea.
Lee, Kyung Ah , Lee, Chyung Ki
Department of Rehabilitation Medicine, Ewha Womans University College of Medicine.
한국에서 후소아마비 증후군(Post-polio syndrome) 환자의 임상양상
이경아, 이청기
이화여자대학교 의과대학 재활의학과
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.

Key Words: Poliomyelitis, Post-poliomyelitis syndrome (PPS), Fatigue


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