Objective
This study seeks to better understand the prevalence and severity of
secondary health conditions in individuals with post-polio syndrome (PPS),
and the association between these conditions and aging.
Design
A scoping literature review was conducted searching electronic
databases for studies published from 1986 – 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 of falls; (3) reports of the associations between the
frequency or 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 health secondary conditions or reduce their
negative impact.
Current available literature supports the use of exercise programs and rehabilitation interventions to improve fatigue, mood, functional independence, breathlessness, and pain. Rehabilitation and palliative care practitioners share many goals in their approach to patient care and augment one another well. Palliative care providers should consider referral to physiatry (physical medicine and rehabilitation) to help optimize patients' quality of life.
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