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Yıl:1997; Cilt: 34; Sayı: 1>> Özet
Nöropsikiyatri Arşivi; 1997;34(1):31-37
Postpolio Sendromu
EÖ Yıldız, S Akı, S Şencan, A Değer, T Adatepe, F Diniz
İstanbul Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı
Bu çalışma; kliniğimize başvuran postpolio has­talarının anamnez, semptom, klinik ve EMG bulgularını değerlendirmek amacıyla yapıldı. 15 hastanın İVi kadın, 4'ü erkekti. Hastalarımızın yaş ortalaması 35.13± 10.78 yıl olup, akut poli­omyelitis geçirme yaşı 2.56+1.01 yıl idi. Fonksi­yonel yetersizlikle ilgili şikayetleri ortalama 32.60±9.17 yıl sonra başlamıştı. En sık ratlanan yeni semptomlar, yorgunluk (% 80) eklem ağrısı (% 73), uyuşmak, karıncalanma (% 73), merdi­ven çıkmada zorluk (%66), ve ilerieyici kas güç­süzlüğü (%60) idi. 11 hastamız günlük yaşam aktivitelerinde artan güçlükten şikayetçi idi. Nörolojik ve muskuloskeletal şikayetler po-lio'nun geç etkilerini meydana getirirler. Polio geçirmiş hastalarda; günlük yaşam aktivitelerini etkileyen solunum güçlüğü, aşırı yorgunluk, ye­ni gelişen kas ağrısı ve güçsüzlüğü ile postpolio sendromu ortaya çıkmaktadır. Sonuç olarak bu çalışmada polikliniğimize müracat eden postpo-liolu hastaların klinik bulgu ve semptomlarını değerlendirdik.
Postpolio Syndrome
This study was performed to identify histories, symptoms, clinical and EMG findings in post­polio patients seen in our clinic. Of the 15 pati­ents, 11 were women and 4 were men. The ave­rage current age of our patient was 35.13± 10.78 [year]s, the avarage age when the patient had acute polio was 2.56±1.01 [year]s, the average number of [year] since function was first noticed to decline was 32.60±9.17 [year]s. The most commonly acknowledged new symptoms were fatique (% 80) joint pain (% 73) numbness or tingling (% 73), increased difficulty in climbing stairs (% 66) and progressive muscle weakness (% 60). Additionally 11 patients (% 73) also acknowledged increasing difficulties in performing activities of daily living. A number of neurologic and musculoskeletal complaints have been associated with the late effect of polio. Polio survivors have developed postpolio syndrome (PPS) new muscle weaknes, pain, excessive fatique and respiratory difficulti­es that interfere with activities of daily living.. Finally this study describes symptoms and clini­cal findings in postpolio patients seen in our polyclinic.

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