Physiotherapy for poliomyelitis: a descriptive study in the Republic of Congo

Abstract

BackgroundA large poliomyelitis outbreak occurred in 2010 in the Republic of Congo. This paper describes the demographic and clinical characteristics of poliomyelitis cases and their outcomes following physiotherapy.FindingsDemographic and clinical data were collected on 126 individuals between November 23, 2010 and March 23, 2011. The male/female ratio was 2.5 and the median age was 19 years (IQR: 13.5-23). The most severe forms of the disease were more common in older patients, 81 of the 126 patients (64.3%) had multiple evaluations of muscle strength. Among patients with multiple evaluations, 38.1% had improved strength at final evaluation, 48.3% were stable and 13.6% had decreased strength.ConclusionsMost acute poliomyelitis patients receiving physiotherapy had improved or stable muscle strength at their final evaluation. These descriptive results highlight the need for further research into the potential benefits of physiotherapy in polio affected patients.

A 3-Year Physiotherapy Management of a Case of Spinal Poliomyelitis Referred at Three Months Post Paralysis

“…As the child grows up major consideration will be given to regular assessment of the child's need for orthotic device(s): an ankle-foot orthotics should be given if the foot drop in the left lower limb is sustained; a long brace of plastic or metal will be applied if there is weak knee, this may be with or without knee joint that locks straight for walking and bend for sitting, and finally if a long leg brace attached to a body brace or body jacket will be required if there is weak trunk. There is an obvious need to continue physical therapy on an outpatient basis to help muscle re-education as specific exercise programs for strengthening lower extremities are helpful to avoid contracture and muscle atrophy [13]. The role of physiotherapy in the management of poliomyelitis has been highlighted since 1947 and should be administered at various stages of recovery though with different management plan [12].…”

“…In another study on poliomyelitis, the phase of potential recovery of muscle strength varied from a few weeks to a maximum of 2 years [12]. Targeted physiotherapy at different stages of the illness may, therefore, help to restore strength, to prevent deformity, and to rehabilitate patients [13].…”