| Effective intervention strategies for management of impaired posture and fatigue with post-polio syndrome: a case report. | |
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MedLine Citation:
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PMID: 17118895 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This case report describes effective intervention strategies that included gait training with the use of an acceptable, assistive device for the management of impaired posture and fatigue associated with post-polio syndrome. Review of videotaped gait-training sessions enhanced patient compliance with the assistive device, a single forearm crutch. The 49-year-old female acquired childhood polio with resulting leg length discrepancy, lower extremity weakness, and complaints of fatigue. She walked with a right ankle foot orthosis and increased right lateral trunk flexion during right stance. Interventions consisted of patient education regarding the diagnosis and management of post-polio syndrome, health promotion, and energy conservation strategies that included gait training with a single forearm crutch. An outcome measure not previously documented in the post-polio literature was used to measure the patient's perceived fatigue. Six-month and 18-month reexaminations found that the patient was compliant with the assistive device, reported a 30% reduction in fatigue, and walked with a more upright posture for longer distances in a shorter period of time. Patient education, health promotion, and energy conservation strategies that included walking with a properly fitting assistive device reduced perceived fatigue and improved posture and function in an individual with post-polio syndrome. |
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Authors:
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Holly H Wise |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Physiotherapy theory and practice Volume: 22 ISSN: 0959-3985 ISO Abbreviation: Physiother Theory Pract Publication Date: 2006 Nov |
Date Detail:
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Created Date: 2006-11-22 Completed Date: 2007-01-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9015520 Medline TA: Physiother Theory Pract Country: England |
Other Details:
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Languages: eng Pagination: 279-87 Citation Subset: IM |
Affiliation:
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Department of Rehabilitation Sciences, College of Health Professions, Medical University of South Carolina, Charleston, SC 29425, USA. wisehh@musc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Braces Crutches Fatigue / etiology*, therapy* Female Humans Middle Aged Physical Therapy Modalities* Postpoliomyelitis Syndrome / complications*, therapy* Posture* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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