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Review of Secondary Health Conditions in Postpolio Syndrome

Prevalence and Effects of Aging

McNalley, Thomas E. MD, MA; Yorkston, Kathryn M. PhD; Jensen, Mark P. PhD; Truitt, Anjali R. MPH; Schomer, Katherine G. MA; Baylor, Carolyn PhD; Molton, Ivan R. PhD

American Journal of Physical Medicine & Rehabilitation: February 2015 - Volume 94 - Issue 2 - p 139–145
doi: 10.1097/PHM.0000000000000166
Literature Review

Objective This study sought to better understand the prevalence and the severity of secondary health conditions in individuals with postpolio syndrome (PPS) as well as the association between these conditions and aging.

Design A scoping literature review was conducted searching electronic databases for studies published from 1986 to 2011. The scoping review provided information regarding the prevalence and associations of secondary health conditions in PPS with age or other duration-related variables.

Results The findings indicate that (1) individuals with PPS experience a number of serious secondary health conditions; (2) the most common conditions or symptoms are fatigue, pain, respiratory and sleep complaints, and increased risk for falls; (3) reports of the associations between the frequency or the severity of conditions and age-related factors are variable, perhaps because of methodological inconsistencies between studies; and (4) there is a marked lack of longitudinal research examining the natural course of health conditions in people aging with PPS.

Conclusions Longitudinal research is needed to understand the course of health conditions and the impact of multiple secondary conditions in people aging with PPS. Efforts are also needed to develop and test the efficacy of interventions to prevent these secondary health conditions or reduce their negative impact.

From the Department of Rehabilitation Medicine, University of Washington, Seattle.

All correspondence and requests for reprints should be addressed to: Thomas E. McNalley, MD, MA, Department of Rehabilitation Medicine, Box 356490, University of Washington, Seattle, WA 98195-6490.

Supported by a research grant from the Department of Education (National Institute on Disability and Rehabilitation Research [NIDRR] grant no. H133B080024).

The article contents do not necessarily represent the policy of the Department of Education, and readers should not assume endorsement by the federal government.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.