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- W2164433571 abstract "Background: Late functional deterioration is common in long‐term poliomyelitis patients. While upper‐limb pain in individual functional regions is common, its overall prevalence and pattern in long‐term poliomyelitis is poorly documented. Aim: To assess the nature of upper‐limb pain in these patients and examine its association with dependence on mobility aids (and therefore upper limb ‘overuse’). Design: Questionnaire‐based survey of patients attending a specialist unit. Methods: Questionnaires were sent to 139 patients with known long‐term poliomyelitis (mean 49.8 years post polio), attending the Lane Fox Unit out‐patient clinic at St Thomas’ Hospital between January 1998 and December 1998. There were questions on the nature of the patient's acute illness, limb involvement at initial infection (‘polio‐affected’ limbs), the site and onset of upper‐limb pain, hand dominance, previous injuries and surgery, and the use of mobility aids. Limbs that had sustained an injury or undergone surgery, at or preceding onset of upper‐limb pain, were excluded from analysis. Results: Among 103 valid replies, the prevalence of upper limb pain was 64%. Mobility aids were used by 74%, and were associated with an increased risk of upper‐limb pain, while ‘polio‐affected’ limbs were at reduced risk. Discussion: These data support ‘overuse’ due to greater mobility aid dependence as a cause of increasing upper‐limb pain in long‐term poliomyelitis." @default.
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- W2164433571 date "2002-06-01" @default.
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- W2164433571 title "Upper-limb pain in long-term poliomyelitis" @default.
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- W2164433571 doi "https://doi.org/10.1093/qjmed/95.6.389" @default.
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