Highlights
- •The IPPS is a useful tool in the clinical evaluation of polio population.
- •Higher disability in ADL and mobility were associated with higher IPPS score.
- •Worse perception of physical and mental health were associated with higher IPPS score.
- •Standardized rating scales should be used in clinical evaluation of polio survivors.
Abstract
Objective
To evaluate the association between self-reported severity of polio sequelae and current
functional status among polio survivors.
Methods
This was a cross sectional study of 195 polio survivors attending a polio outpatient
clinic at a university hospital. The main outcome measures of demographic, medical,
social, and functional data were gleaned from a questionnaire adapted for the polio
population. The severity of polio sequelae was evaluated with the self-reported Index
of Post-Polio Sequelae (IPPS).
Results
The mean age of our sample was 57.6 ± 10.5 years, 53% were men, 38% had acquired higher education and 37% were employed. We found
significant correlations between the total IPPS score and independence in activity
of daily living (P < 0.05), the use of walking aids (P < 0.005) and mobility in and out-of-doors (P < 0.0001). A positive correlation was also found between the total IPPS score and subjective
assessment of physical and mental health (P < 0.0001).
Conclusions
Higher disability in ADL and mobility and lower perception of physical and mental
health in polio survivors were associated with a higher score on the IPPS, reflecting
greater severity of polio sequelae. These findings demonstrate the IPPS as a useful
tool in the clinical evaluation of the polio population, however further data is needed
in order to determine if this index can assess clinically significant changes over
time.
Keywords
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Article info
Publication history
Published online: July 17, 2014
Accepted:
July 4,
2014
Received in revised form:
June 6,
2014
Received:
December 30,
2013
Identification
Copyright
© 2014 Elsevier B.V. Published by Elsevier Inc. All rights reserved.
