Cardiorespiratory treatment of patients with Post-Polio Syndrome
DOI:
https://doi.org/10.34024/rnc.2018.v26.9862Keywords:
post-poliomyelitis syndrome; respiration disorders; rehabilitationAbstract
Objective. Post-polio syndrome (PPS) is a condition that affects polio survivors years after recovery from an initial acute attack of the poliomyelitis virus. Most often, polio survivors experience a gradual new weakening in muscles that were previously affected by the polio infection. The actual incidence of cardiovascular diseases in individuals suffering from PPS is not known. However, there is a reason to suspect that individuals with PPS might be at increased risk. Method. A search for papers was made in the databases Bireme, Scielo and Pubmed with the following keywords: post-polio syndrome, cardiorespiratory and rehabilitation in English, French and Spanish languages. Although we targeted only seek current studies on the topic in question, only the relevant (double-blind, randomized-controlled and consensus articles) were considered. Results. Certain features of PPS such as generalized fatigue, generalized and specific muscle weakness, joint and/or muscle pain may result in physical inactivity deconditioning obesity and dyslipidemia. Respiratory difficulties are common and may result in hypoxemia. Conclusion. Only when evaluated and treated promptly, some patients can obtain the full benefits of the use of respiratory muscles aids as far as quality of life is concerned.
Downloads
Download data is not yet available.
References
1.Bickerstaffe A, Beelen A, Nollet F. Change in physical mobility over 10 years in post-polio syndrome. Neuromuscul Disord 2015;25:225-30. https://doi.org/10.1016/j.nmd.2014.11.015
2.Esteban J. Polio paralytic: new problems: postpolio syndrome. Rev Esp Salud Publica 2013;87:517-22. https://doi.org/10.4321/S1135-57272013000500010
3.Trojan DA, Cashman NR. Post-poliomyelitis syndrome. Muscle Nerve 2005;319:6-19. https://doi.org/10.1002/mus.20259
4.Bach JR, Alba AS. Pulmonary dysfunction and sleep disordered breathing as post-polio sequelae: evaluation and management. Orthopedics 1991;14:1329-37. https://doi.org/10.3928/0147-7447-19911201-07
5.Trojan DA, Arnold DL, Shapiro S, Bar-Or A, Robinson A, Le Cruguel JP, et al. Fatigue in post-poliomyelitis syndrome: association with disease-related, behavioral, and psychosocial factors. PM R 2009;1:442-9. https://doi.org/10.1016/j.pmrj.2009.03.003
6.Fischer JR, Headley J. Post-polio breathing and sleep problems revisited. Post-Polio Health 2004;20:5-7.
7.Garip Y, Eser F, Bodur H, Baskan B, Sivas F, Yilmaz O. Health related quality of life in Turkish polio survivors: impact of post-polio on the health related quality of life in terms of functional status, severity of pain, fatigue, and social, and emotional functioning. Rev Bras Reumatol Engl Ed 2017;57:1-7.
https://doi.org/10.1016/j.rbre.2014.12.006
8.Silva TM, Moreira GA, Quadros AAJ, Pradella-Hallinan M, Tufik S, Oliveira ASB. Analysis of sleep characteristics in post-polio syndrome patients. Arq Neuropsiquiatr 2010;68:535-40.
https://doi.org/10.1590/s0004-282x2010000400011
9.Siegel H, McCutchen C, Dalakas MC, Freeman A, Graham B, Alling D, et al. Physiologic events initiating REM sleep in patients with the postpolio syndrome. Neurology 1999;52:516-22.
https://doi.org/10.1212/wnl.52.3.516
10.Laffont I, Julia M, Tiffreau V, Yelnik A, Herisson C, Pelissier J. Aging and sequelae of poliomyelitis. Ann Phys Rehabil Med 2010;53:24-33.
https://doi.org/10.1016/j.rehab.2009.10.002
11.Romigi A, Maestri M. Circadian fatigue or unrecognized restless legs syndrome? The post-polio syndrome model. Front Neurol 2014;5:115. https://doi.org/10.3389/fneur.2014.00115
12.Vasconcelos OM, Prokhorenko OA, Salajegheh MK, Kelley KF, Livornese K, Olsen CH, et al. Modafinil for treatment of fatigue in post-polio syndrome: a randomized controlled trial. Neurology 2007;68:1680-6. https://doi.org/10.1212/01.wnl.0000261912.53959.b4
13.Acler M, Bocci T, Valenti D, Turri M, Priori A, Bertolasi L. Transcranial direct current stimulation (tDCS) for sleep disturbances and fatigue in patients with post-polio syndrome. Restor Neurol Neurosci 2013;31:661-8. https://doi.org/10.3233/RNN-130321
14.Gawne AC, Wells KR, Wilson KS. Cardiac risk factors in polio survivors. Arch Phys Med Rehabil 2003;84:694-6. https://doi.org/10.1016/S0003-9993(02)04836-0
15.Orsini M, Souza JA, Araújo Leite MA, Teixeira S, Sá Ferreira A, Bastos VH, et al. Previous acute polio and post-polio syndrome: recognizing the pathophysiology for the establishment of rehabilitation programs. Neurol Int 2015;7:5452. https://doi.org/10.4081/ni.2015.5452
16.Matyja E. Post-polio syndrome. Part II. Therapeutic management. Neurol Neurochir Pol 2012;46:372-8.
17.Halstead LS, Rossi CD. New problems in old polio patients: results of a survey of 539 polio survivors. Orthopedics 1985;8:845-50.
18.Weinberg J, Borg J, Bevegård S, Sinderby C. Respiratory response to exercise in postpolio patients with severe inspiratory muscle dysfunction. Arch Phys Med Rehabil 1999;80(9):1095-100. https://doi.org/10.1016/s0003-9993(99)90067-9
19.Dolmage TE, Avendano MA, Goldstein RS. Respiratory function during wakefulness and sleep among survivors of respiratory and non-respiratory poliomyelitis. Eur Respir J 1992;5:864-70.
20.Lane DJ, Hazleman B, Nichols PJR. Late onset respiratory failure in patients with previous poliomyelitis. Q J Med 1974;43:551-68.
https://doi.org/10.1093/oxfordjournals.qjmed.a067405
21.Dean E, Ross J, Road JD, Courtenay L, Madill KJ. Pulmonary function in individuals with a history of poliomyelitis. Chest 1991;100:118-23. https://doi.org/10.1378/chest.100.1.118
22.Lira CA, Minozzo FC, Sousa BS, Vancini RL, Andrade MS, Quadros AA, et al. Lung function in post-poliomyelitis syndrome: a cross-sectional study. J Bras Pneumol 2013;39:455-60. https://doi.org/10.1590/S1806-37132013000400009
23.Ward NS, Hill NS. Pulmonary function testing in neuromuscular disease. Clin Chest Med 2001;22:769-81. https://doi.org/10.1016/S0272-5231(05)70065-4
24.Midgren B. Lung function and clinical outcome in postpolio patients: a prospective cohort study during 11 years. Eur Respir J 1997;10:146-9.
https://doi.org/10.1183/09031936.97.10010146
25.Boitano LJ. Management of airway clearance in neuromuscular disease. Respir Care 2006;51:913-22.
26.Bach JR, Gonçalves MR, Hon A, Ishikawa Y, De Vito EL, Prado F, et al. Changing trends in the management of end-stage neuromuscular respiratory muscle failure: recommendations of an international consensus. Am J Phys Med Rehabil 2013;92:267-77. https://doi.org/10.1097/PHM.0b013e31826edcf1
27.Wolfe LF, Joyce NC, McDonald CM, Benditt JO, Finder J. Management of pulmonary complications in neuromuscular disease. Phys Med Rehabil Clin N Am 2012;23:829-53. https://doi.org/10.1016/j.pmr.2012.08.010
28.Bach JR, Bakshiyev R, Hon A. Noninvasive respiratory management for patients with spinal cord injury and neuromuscular disease. Tanaffos 2012;11:7-11.
29.Orsini M, Lopes AJ, Menezes SL, Oliveira AB, Freitas MR, Nascimento OJ, et al. Current issues in the respiratory care of patients with amyotrophic lateral sclerosis. Arq Neuropsiquiatr 2015;73:873-6. https://doi.org/10.1590/0004-282X20150132
30.van Kralingen KW, Ivanyi B, Keimpema AR, Venmans BJ, Visser M, Postmus PE, et al. Sleep complaints in postpolio syndrome. Arch Phys Med Rehabil 1996;77:609-11. https://doi.org/10.1016/s0003-9993(96)90304-4
31.Steljes DG, Kryger MH, Kirk BW, Millar TW. Sleep in postpolio syndrome. Chest 1990;98:133-40.
https://doi.org/10.1378/chest.98.1.133
32.Bhat S, Gupta D, Chokroverty S. Sleep disorders in neuromuscular diseases. Neurol Clin 2012; 30:1359-87.
https://doi.org/10.1016/j.ncl.2012.08.010
33.Aboussouan LS. Sleep-disordered breathing in neuromuscular disease. Am J Respir Crit Care Med 2015;191:979-89. https://doi.org/10.1164/rccm.201412-2224CI
34.Kang JH, Lin HC. Comorbidity profile of poliomyelitis survivors in a Chinese population: a population-based study. J Neurol 2011;258:1026-36. https://doi.org/10.1007/s00415-010-5875-y
35.Greenland P, Alpert JS, Beller GA, Benjamin EJ, Budoff MJ, Fayad ZA, et al. 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2010;56:e50-103. https://doi.org/10.1016/j.jacc.2010.09.001
36.Stöllberger C, Blazek G, Wegner C, Finsterer J. Neurological comorbidity affects prognosis in left ventricular hypertrabeculation/noncompaction. Heart Lung 2012;41:594-8. https://doi.org/10.1016/j.hrtlng.2012.03.002
37.Nollet F, Beelen A, Sargeant AJ, Visser M, Lankhorst GJ, Jong BA. Submaximal exercise capacity and maximal power output in polio subjects. Arch Phys Med Rehabil 2001;82:1678-85. https://doi.org/10.1053/apmr.2001.27390
38.Kriz JL, Jones DR, Speier JL, Canine JK, Owen RR, Serfass RC. Cardiorespiratory responses to upper extremity aerobic training by postpolio subjects. Arch Phys Med Rehabil 1992;73:49-54.
39.Dean E, Ross J. Effect of modified aerobic training on movement energetics in polio survivors. Orthopedics 1991;14:1243-6. https://doi.org/10.3928/0147-7447-19911101-13
40.Voorn EL, Gerrits KH, Koopman FS, Nollet F, Beelen A. Determining the anaerobic threshold in postpolio syndrome: comparison with current guidelines for training intensity prescription. Arch Phys Med Rehabil. 2014;95(5):935-40.
https://doi.org/10.1016/j.apmr.2014.01.015
41.Vreede KS, Henriksson J, Borg K, Henriksson M. Gait characteristics and influence of fatigue during the 6-minute walk test in patients with post-polio syndrome. J Rehabil Med 2013;45:924-8. https://doi.org/10.2340/16501977-1209
2.Esteban J. Polio paralytic: new problems: postpolio syndrome. Rev Esp Salud Publica 2013;87:517-22. https://doi.org/10.4321/S1135-57272013000500010
3.Trojan DA, Cashman NR. Post-poliomyelitis syndrome. Muscle Nerve 2005;319:6-19. https://doi.org/10.1002/mus.20259
4.Bach JR, Alba AS. Pulmonary dysfunction and sleep disordered breathing as post-polio sequelae: evaluation and management. Orthopedics 1991;14:1329-37. https://doi.org/10.3928/0147-7447-19911201-07
5.Trojan DA, Arnold DL, Shapiro S, Bar-Or A, Robinson A, Le Cruguel JP, et al. Fatigue in post-poliomyelitis syndrome: association with disease-related, behavioral, and psychosocial factors. PM R 2009;1:442-9. https://doi.org/10.1016/j.pmrj.2009.03.003
6.Fischer JR, Headley J. Post-polio breathing and sleep problems revisited. Post-Polio Health 2004;20:5-7.
7.Garip Y, Eser F, Bodur H, Baskan B, Sivas F, Yilmaz O. Health related quality of life in Turkish polio survivors: impact of post-polio on the health related quality of life in terms of functional status, severity of pain, fatigue, and social, and emotional functioning. Rev Bras Reumatol Engl Ed 2017;57:1-7.
https://doi.org/10.1016/j.rbre.2014.12.006
8.Silva TM, Moreira GA, Quadros AAJ, Pradella-Hallinan M, Tufik S, Oliveira ASB. Analysis of sleep characteristics in post-polio syndrome patients. Arq Neuropsiquiatr 2010;68:535-40.
https://doi.org/10.1590/s0004-282x2010000400011
9.Siegel H, McCutchen C, Dalakas MC, Freeman A, Graham B, Alling D, et al. Physiologic events initiating REM sleep in patients with the postpolio syndrome. Neurology 1999;52:516-22.
https://doi.org/10.1212/wnl.52.3.516
10.Laffont I, Julia M, Tiffreau V, Yelnik A, Herisson C, Pelissier J. Aging and sequelae of poliomyelitis. Ann Phys Rehabil Med 2010;53:24-33.
https://doi.org/10.1016/j.rehab.2009.10.002
11.Romigi A, Maestri M. Circadian fatigue or unrecognized restless legs syndrome? The post-polio syndrome model. Front Neurol 2014;5:115. https://doi.org/10.3389/fneur.2014.00115
12.Vasconcelos OM, Prokhorenko OA, Salajegheh MK, Kelley KF, Livornese K, Olsen CH, et al. Modafinil for treatment of fatigue in post-polio syndrome: a randomized controlled trial. Neurology 2007;68:1680-6. https://doi.org/10.1212/01.wnl.0000261912.53959.b4
13.Acler M, Bocci T, Valenti D, Turri M, Priori A, Bertolasi L. Transcranial direct current stimulation (tDCS) for sleep disturbances and fatigue in patients with post-polio syndrome. Restor Neurol Neurosci 2013;31:661-8. https://doi.org/10.3233/RNN-130321
14.Gawne AC, Wells KR, Wilson KS. Cardiac risk factors in polio survivors. Arch Phys Med Rehabil 2003;84:694-6. https://doi.org/10.1016/S0003-9993(02)04836-0
15.Orsini M, Souza JA, Araújo Leite MA, Teixeira S, Sá Ferreira A, Bastos VH, et al. Previous acute polio and post-polio syndrome: recognizing the pathophysiology for the establishment of rehabilitation programs. Neurol Int 2015;7:5452. https://doi.org/10.4081/ni.2015.5452
16.Matyja E. Post-polio syndrome. Part II. Therapeutic management. Neurol Neurochir Pol 2012;46:372-8.
17.Halstead LS, Rossi CD. New problems in old polio patients: results of a survey of 539 polio survivors. Orthopedics 1985;8:845-50.
18.Weinberg J, Borg J, Bevegård S, Sinderby C. Respiratory response to exercise in postpolio patients with severe inspiratory muscle dysfunction. Arch Phys Med Rehabil 1999;80(9):1095-100. https://doi.org/10.1016/s0003-9993(99)90067-9
19.Dolmage TE, Avendano MA, Goldstein RS. Respiratory function during wakefulness and sleep among survivors of respiratory and non-respiratory poliomyelitis. Eur Respir J 1992;5:864-70.
20.Lane DJ, Hazleman B, Nichols PJR. Late onset respiratory failure in patients with previous poliomyelitis. Q J Med 1974;43:551-68.
https://doi.org/10.1093/oxfordjournals.qjmed.a067405
21.Dean E, Ross J, Road JD, Courtenay L, Madill KJ. Pulmonary function in individuals with a history of poliomyelitis. Chest 1991;100:118-23. https://doi.org/10.1378/chest.100.1.118
22.Lira CA, Minozzo FC, Sousa BS, Vancini RL, Andrade MS, Quadros AA, et al. Lung function in post-poliomyelitis syndrome: a cross-sectional study. J Bras Pneumol 2013;39:455-60. https://doi.org/10.1590/S1806-37132013000400009
23.Ward NS, Hill NS. Pulmonary function testing in neuromuscular disease. Clin Chest Med 2001;22:769-81. https://doi.org/10.1016/S0272-5231(05)70065-4
24.Midgren B. Lung function and clinical outcome in postpolio patients: a prospective cohort study during 11 years. Eur Respir J 1997;10:146-9.
https://doi.org/10.1183/09031936.97.10010146
25.Boitano LJ. Management of airway clearance in neuromuscular disease. Respir Care 2006;51:913-22.
26.Bach JR, Gonçalves MR, Hon A, Ishikawa Y, De Vito EL, Prado F, et al. Changing trends in the management of end-stage neuromuscular respiratory muscle failure: recommendations of an international consensus. Am J Phys Med Rehabil 2013;92:267-77. https://doi.org/10.1097/PHM.0b013e31826edcf1
27.Wolfe LF, Joyce NC, McDonald CM, Benditt JO, Finder J. Management of pulmonary complications in neuromuscular disease. Phys Med Rehabil Clin N Am 2012;23:829-53. https://doi.org/10.1016/j.pmr.2012.08.010
28.Bach JR, Bakshiyev R, Hon A. Noninvasive respiratory management for patients with spinal cord injury and neuromuscular disease. Tanaffos 2012;11:7-11.
29.Orsini M, Lopes AJ, Menezes SL, Oliveira AB, Freitas MR, Nascimento OJ, et al. Current issues in the respiratory care of patients with amyotrophic lateral sclerosis. Arq Neuropsiquiatr 2015;73:873-6. https://doi.org/10.1590/0004-282X20150132
30.van Kralingen KW, Ivanyi B, Keimpema AR, Venmans BJ, Visser M, Postmus PE, et al. Sleep complaints in postpolio syndrome. Arch Phys Med Rehabil 1996;77:609-11. https://doi.org/10.1016/s0003-9993(96)90304-4
31.Steljes DG, Kryger MH, Kirk BW, Millar TW. Sleep in postpolio syndrome. Chest 1990;98:133-40.
https://doi.org/10.1378/chest.98.1.133
32.Bhat S, Gupta D, Chokroverty S. Sleep disorders in neuromuscular diseases. Neurol Clin 2012; 30:1359-87.
https://doi.org/10.1016/j.ncl.2012.08.010
33.Aboussouan LS. Sleep-disordered breathing in neuromuscular disease. Am J Respir Crit Care Med 2015;191:979-89. https://doi.org/10.1164/rccm.201412-2224CI
34.Kang JH, Lin HC. Comorbidity profile of poliomyelitis survivors in a Chinese population: a population-based study. J Neurol 2011;258:1026-36. https://doi.org/10.1007/s00415-010-5875-y
35.Greenland P, Alpert JS, Beller GA, Benjamin EJ, Budoff MJ, Fayad ZA, et al. 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2010;56:e50-103. https://doi.org/10.1016/j.jacc.2010.09.001
36.Stöllberger C, Blazek G, Wegner C, Finsterer J. Neurological comorbidity affects prognosis in left ventricular hypertrabeculation/noncompaction. Heart Lung 2012;41:594-8. https://doi.org/10.1016/j.hrtlng.2012.03.002
37.Nollet F, Beelen A, Sargeant AJ, Visser M, Lankhorst GJ, Jong BA. Submaximal exercise capacity and maximal power output in polio subjects. Arch Phys Med Rehabil 2001;82:1678-85. https://doi.org/10.1053/apmr.2001.27390
38.Kriz JL, Jones DR, Speier JL, Canine JK, Owen RR, Serfass RC. Cardiorespiratory responses to upper extremity aerobic training by postpolio subjects. Arch Phys Med Rehabil 1992;73:49-54.
39.Dean E, Ross J. Effect of modified aerobic training on movement energetics in polio survivors. Orthopedics 1991;14:1243-6. https://doi.org/10.3928/0147-7447-19911101-13
40.Voorn EL, Gerrits KH, Koopman FS, Nollet F, Beelen A. Determining the anaerobic threshold in postpolio syndrome: comparison with current guidelines for training intensity prescription. Arch Phys Med Rehabil. 2014;95(5):935-40.
https://doi.org/10.1016/j.apmr.2014.01.015
41.Vreede KS, Henriksson J, Borg K, Henriksson M. Gait characteristics and influence of fatigue during the 6-minute walk test in patients with post-polio syndrome. J Rehabil Med 2013;45:924-8. https://doi.org/10.2340/16501977-1209
Downloads
Published
2018-10-09
How to Cite
Orsini, M., Sant’Anna Junior, M., Cardoso, C. E., Fiorelli, R., Fiorelli, S., Roque de Souza, G. ., … Teixeira, S. . (2018). Cardiorespiratory treatment of patients with Post-Polio Syndrome. Revista Neurociências, 26, 1–19. https://doi.org/10.34024/rnc.2018.v26.9862
Issue
Section
Artigos de Revisão
Português
English
Español
