Survey of changes in subjective symptoms among Japanese polio survivors over 10 years.

IF 2.5 4区医学 Q1 REHABILITATION

Journal of Rehabilitation Medicine Pub Date : 2025-04-22 DOI:10.2340/jrm.v57.42213

Fumi Toda, Koshiro Sawada, Daisuke Imoto, Kazuya Hayashi, Shun Fujii, Eiichi Saitoh, Yohei Otaka

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引用次数: 0

Abstract

Objective: To define long-term changes in subjective symptoms among polio survivors in Japan.

Design: Prospective cohort study.

Patients: Sixty-five polio survivors.

Methods: Surveys were conducted on subjective symptoms including muscle weakness and limb atrophy during 2007 and 2021. The results of manual muscle tests of the upper and lower limbs on both sides during 2007 were summed and scored, and the side with lower scores was defined as the poor side. The participants were classified as younger or older groups based on the median age at the first survey (i.e., 58 years old) and the subjective symptoms were compared between the two groups.

Results: As a whole, muscle atrophy and weakness progressed in the lower and upper limbs while fatigue was reduced. Muscle weakness progressed especially in the lower limbs on the poor side in the younger group, and in the older group it progressed in the lower limbs on the good side and the upper limbs on the poor side.

Conclusion: The timing of progressive muscle weakness differed between the upper and lower limbs of younger and older polio survivors.

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日本脊髓灰质炎幸存者10年来主观症状变化的调查。

目的：确定日本脊髓灰质炎幸存者主观症状的长期变化。设计：前瞻性队列研究。病人：65名脊髓灰质炎幸存者。方法：对2007年至2021年住院患者的主观症状（肌肉无力、肢体萎缩）进行调查。对2007年双侧上肢和下肢手工肌肉测试结果进行汇总评分，得分较低的一侧为差侧。根据第一次调查时的中位年龄（即58岁），将参与者分为较年轻组或较年长组，并比较两组之间的主观症状。结果：整体上，下肢和上肢肌肉萎缩和无力进展，疲劳减轻。在年轻组中，肌肉无力主要发生在较差一侧的下肢，而在老年组中，肌肉无力主要发生在较好一侧的下肢和较差一侧的上肢。结论：进行性肌肉无力的时间在年轻和老年脊髓灰质炎幸存者的上肢和下肢之间有所不同。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.