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• W2029897908 abstract "We estimate that there are about 50,000 persons who survived poliomyelitis in their childhood in France (mean age estimated between 50 and 65 years). After a few decades of stability, 30 to 65% of individuals who had been infected and recovered from polio begin to experience new signs and symptoms. Review of the literature on Pubmed with the following keywords “Poliomyelitis” and “Post-Polio Syndrome (PPS)”. These new signs and symptoms are characterized by muscular atrophy (decreased muscle mass), muscle weakness and fatigue, muscle and/or joint pain. All these symptoms lead to significant changes in mobility with falls and inability to carry on with daily life activities. There are several intricate causes. The normal aging process and weight gain are regularly blamed. Respiratory disorders and sleep disorders must be looked for: respiratory insufficiency, sleep-related breathing disorders such as sleep apnea, restless legs syndrome. Orthopedics complications are quite common: soft-tissue pathologies of the upper limbs, degenerative pathologies of the large joints or spinal cord, fall-related fractures. Finally, the onset of an authentic PPS is possible. The therapeutic care of this late functional deterioration requires regular monitoring check-ups in order to implement preventive measures and appropriate treatment. This therapeutic care must be multidisciplinary as physical rehabilitation; orthotics and technical aids are all essential. On estime à 50 000 le nombre d’anciens poliomyélitiques en France (moyenne d’âge évaluée entre 50 et 65 ans). Après plusieurs dizaines d’années de stabilité, 30 à 65 % des anciens poliomyélitiques décrivent une dégradation tardive. Revue de la littérature sur PubMed à partir des mots clés « Poliomyélitis » et « Post-Polio Syndrome (PPS) ». Cette dégradation tardive associe asthénie, faiblesse et fatigabilité musculaire, douleurs musculaires et/ou articulaires, fonte musculaire. Le tout entraîne une diminution des capacités de marche, des chutes, une perte d’autonomie… Les causes sont souvent intriquées. Les phénomènes de vieillissement et la prise de poids sont régulièrement en cause. Les troubles respiratoires et les troubles du sommeil doivent être recherchés : insuffisance respiratoire, syndrome des apnées du sommeil (SAS), syndrome des jambes sans repos. Les complications orthopédiques sont courantes : pathologies abarticulaires des membres supérieurs, pathologies dégénératives des grosses articulations ou du rachis, fractures secondaires à des chutes. Enfin, la survenue d’un authentique syndrome post-poliomyélitique (SPP) est possible. La prise en charge de cette dégradation secondaire nécessite des bilans réguliers afin de mettre en place des mesures préventives et curatives. Elle doit être multidisciplinaire. La rééducation, l’appareillage et les aides techniques ont une place importante." @default.
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• W2029897908 date "2010-02-01" @default.
• W2029897908 modified "2023-09-30" @default.
• W2029897908 title "Aging and sequelae of poliomyelitis" @default.
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• W2029897908 doi "https://doi.org/10.1016/j.rehab.2009.10.002" @default.
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