Abstract

Post-Polio Syndrome (PPS) is a neurological disease, resulting in the decrease of the neuromuscular functions being characterized by a set of clinical manifestations that occur in individuals who had acute paralytic poliomyelitis. The patients with PPS begin to present new limitations on the performance of their ADLs and, at the same time, tend to ignore them, continuing their daily work with greater physical effort. The need for a functional evaluation is therefore necessary to find out where the commitments are in the ADLs and to help them without aggravating the degenerative PPS. To identify the main functional assessment scales used in individuals with PPS. A study review of the literature was performed on the functional scales used in patients with PPS described in the articles in the database. We found 12 functional scales in activities of daily living, as follows: Nottingham Health Profile (NHP), International Classification of Impairments, Disability's and Handicaps (ICIDH), Functional Status Questionnaire (FSQ), Physical Activity Scale for the Elderly (PASE), Sunnas ADL Index, Katz Index, Falls Efficacy Scale (FES), ADLs-Staircase, Barthel Index, Functional Independence Measure (FIM), Older Adult Resource Survey (OARS), and Self-Reporter ADL. None of the 12 scales mentioned in our study is validated for the use in patients with PPS, the most scales found in the literatures reviewed in this research were NHP and ICIDH. Therefore, we found 9 scales validated in Brazil, Barthel Index, Functional Independence Measure (FIM), Functional Status Questionnaire (FSQ), Falls Efficacy Scale (FES), Nottingham Health Profile (NHP), International Classification of Impairments, Disability's and Handicaps (ICIDH), Older Adult Resource Survey (OARS), Katz Index and Self-Reporter ADL.

Highlights

  • IntroductionPost-Polio Syndrome (PPS) is a neurological disease, characterized by the appearance of new weakness, generalized muscular fatigue, culminating to a physical decline less resistance), neuromuscular functions as well as muscle-skeletal and psychosocial (Maynard and Headley, 2000; Oliveira and Maynard, 2002)

  • Post-Polio Syndrome (PPS) is a neurological disease, characterized by the appearance of new weakness, generalized muscular fatigue, culminating to a physical decline less resistance), neuromuscular functions as well as muscle-skeletal and psychosocial (Maynard and Headley, 2000; Oliveira and Maynard, 2002).Such situation produces, a group of clinical reports that happens in individuals who had acute paralyzed poliomyelitis characterized by the new weakness and fatigue, muscular pain, new muscular atrophy, dysphagia, breathing difficulties, cold intolerance, cramps, fasciculation’s and sleeping disorder

  • Were found 12 scales on activities of daily living that have been related to PPS, Such scales are Nottingham Health Profile (NHP), International Classification of Impairaments, Disability’s and Handicaps (ICIDH), Functional Status Questionnaire (FSQ), Physical Activity Scale for the Elderly (PASE), Sunnaas Index, Katz Index, Falls Efficacy Scale (FES), ADLsStaircase, Barthel Index, Functional Independence Measure (FIM), Older Adult Resource Survey (OARS), and SelfReporter ADL

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Summary

Introduction

Post-Polio Syndrome (PPS) is a neurological disease, characterized by the appearance of new weakness, generalized muscular fatigue, culminating to a physical decline less resistance), neuromuscular functions as well as muscle-skeletal and psychosocial (Maynard and Headley, 2000; Oliveira and Maynard, 2002) Such situation produces, a group of clinical reports that happens in individuals who had acute paralyzed poliomyelitis characterized by the new weakness and fatigue, muscular pain, new muscular atrophy, dysphagia, breathing difficulties, cold intolerance, cramps, fasciculation’s and sleeping disorder. A group of clinical reports that happens in individuals who had acute paralyzed poliomyelitis characterized by the new weakness and fatigue, muscular pain, new muscular atrophy, dysphagia, breathing difficulties, cold intolerance, cramps, fasciculation’s and sleeping disorder These new symptoms usually happen after a period of functional and neurological stability, of at least fifteen years, after the first involvement of the polyomielitis (Agre et al, 1991; Maynard and Headley, 2000; Oliveira and Maynard, 2002). The maximum autonomy of the person with disability and their social integration begin in the family context and are objective of training in activities of daily living (Sunnerhagen and Grimby, 2001)

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