Document Detail


Effective intervention strategies for management of impaired posture and fatigue with post-polio syndrome: a case report.
MedLine Citation:
PMID:  17118895     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Holly H Wise
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Physiotherapy theory and practice     Volume:  22     ISSN:  0959-3985     ISO Abbreviation:  Physiother Theory Pract     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-22     Completed Date:  2007-01-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9015520     Medline TA:  Physiother Theory Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  279-87     Citation Subset:  IM    
Affiliation:
Department of Rehabilitation Sciences, College of Health Professions, Medical University of South Carolina, Charleston, SC 29425, USA. wisehh@musc.edu
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MeSH Terms
Descriptor/Qualifier:
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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