[Guide of recommendations for the diagnosis and neurorrehabilitative treatment of post-poliomielytic sequelar conditions].

Revista espanola de salud publica Pub Date : 2025-06-18
Mónica Povedano Pandés, Ricard Rojas García, Luis Querol Gutiérrez, Francisco Javier Rodríguez de Rivera, Carolina Colomer Font, Enrique Noé Sebastián, Mª Dolores Navarro Pérez, Alan Juárez Belaunde, Joan Ferri Campos, Teresa Cristina Guijarro Castro
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引用次数: 0

Abstract

Postpolio syndrome (PPS), which affects 20% to 50% of patients decades after initial poliovirus infection, poses a significant clinical challenge due to its unknown etiology and lack of pathogenic treatment. The main current theories point to degenerative processes secondary to the initial infection as the basis of its pathogenesis. Our guide addresses this complex landscape, providing a structured, evidence-based approach to the management of these sequelae. We emphasize the importance of: A personalized comprehensive evaluation; The development of multidisciplinary programs specifically designed to maximize functionality; Preventing complications and improving the quality of life of patients. We propose that these interventions be carried out under the supervision of an interdisciplinary team of specialists, who will use validated tools and personalized strategies based on the individual clinical characteristics of each patient. This approach ensures optimal functional benefit, aligned with current principles of evidence-based clinical practice.

[脊髓灰质炎后遗症的诊断和神经康复治疗建议指南]。
脊髓灰质炎后综合征(PPS)在初次感染脊髓灰质炎病毒数十年后影响20%至50%的患者,由于其病因不明和缺乏致病性治疗,构成了重大的临床挑战。目前的主要理论指出,退行性过程继发于初始感染作为其发病机制的基础。我们的指南针对这一复杂的情况,提供了一种结构化的、基于证据的方法来管理这些后遗症。我们强调以下几点的重要性:个性化的综合评估;专门设计的多学科项目的发展,以最大限度地发挥功能;预防并发症,提高患者生活质量。我们建议这些干预措施在跨学科专家团队的监督下进行,他们将根据每位患者的个人临床特征使用经过验证的工具和个性化策略。这种方法确保了最佳的功能效益,符合当前循证临床实践的原则。
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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