Currents issues in cardiorespiratory care of patients with post-polio syndrome

Marco Orsini; Agnaldo J. Lopes; Fernando S. Guimarães; Marcos R. G. Freitas; Osvaldo J. M. Nascimento; Mauricio de Sant’ Anna Junior; Pedro Moreira Filho; Stenio Fiorelli; Ana Carolina A. F Ferreira; Camila Pupe; Victor H. V. Bastos; Bruno Pessoa; Carlos B. Nogueira; Beny Schmidt; Olivia G. Souza; Eduardo R Davidovich; Acary S. B. Oliveira; Pedro Ribeiro

doi:10.1590/0004-282X20160072

Arquivos de Neuro-Psiquiatria, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(07): 574-579
DOI: 10.1590/0004-282X20160072

VIEWS AND REVIEWS

Currents issues in cardiorespiratory care of patients with post-polio syndrome

Tópicos atuais no tratamento cardiorrespiratório de pacientes com síndrome pós-poliomielite

Authors

Marco Orsini

¹Centro Universitário Augusto Motta, Programa de Pós-Graduação em Ciências da Reabilitação, Rio de Janeiro RJ, Brasil;

²Universidade Severino Sombra, Faculdade de Medicina, Vassouras RJ, Brasil;

³Universidade Federal do Rio de Janeiro, Instituto de Psquiatria, Laboratório de Mapeamento Cerebral e EEG, Rio de Janeiro RJ, Brasil;
Agnaldo J. Lopes

¹Centro Universitário Augusto Motta, Programa de Pós-Graduação em Ciências da Reabilitação, Rio de Janeiro RJ, Brasil;
Fernando S. Guimarães

¹Centro Universitário Augusto Motta, Programa de Pós-Graduação em Ciências da Reabilitação, Rio de Janeiro RJ, Brasil;
Marcos R. G. Freitas

⁴Universidade Federal Fluminense, Hospital Universitário Antonio Pedro, Niterói RJ, Brasil;
Osvaldo J. M. Nascimento

⁴Universidade Federal Fluminense, Hospital Universitário Antonio Pedro, Niterói RJ, Brasil;
Mauricio de Sant’ Anna Junior

⁵Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro, Curso de Fisioterapia, Rio de Janeiro RJ, Brasil;
Pedro Moreira Filho

⁴Universidade Federal Fluminense, Hospital Universitário Antonio Pedro, Niterói RJ, Brasil;
Stenio Fiorelli

²Universidade Severino Sombra, Faculdade de Medicina, Vassouras RJ, Brasil;
Ana Carolina A. F Ferreira

⁴Universidade Federal Fluminense, Hospital Universitário Antonio Pedro, Niterói RJ, Brasil;
Camila Pupe

⁴Universidade Federal Fluminense, Hospital Universitário Antonio Pedro, Niterói RJ, Brasil;
Victor H. V. Bastos

⁶Universidade Federal do Piauí, Parnaíba PI, Brasil;
Bruno Pessoa

⁴Universidade Federal Fluminense, Hospital Universitário Antonio Pedro, Niterói RJ, Brasil;
Carlos B. Nogueira

⁴Universidade Federal Fluminense, Hospital Universitário Antonio Pedro, Niterói RJ, Brasil;
Beny Schmidt

⁶Universidade Federal do Piauí, Parnaíba PI, Brasil;
Olivia G. Souza

⁴Universidade Federal Fluminense, Hospital Universitário Antonio Pedro, Niterói RJ, Brasil;
Eduardo R Davidovich

⁴Universidade Federal Fluminense, Hospital Universitário Antonio Pedro, Niterói RJ, Brasil;
Acary S. B. Oliveira

⁷Universidade Federal de São Paulo, Departamento de Neurologia, São Paulo SP, Brasil;
Pedro Ribeiro

³Universidade Federal do Rio de Janeiro, Instituto de Psquiatria, Laboratório de Mapeamento Cerebral e EEG, Rio de Janeiro RJ, Brasil;

Abstract

ABSTRACT

Post-polio syndrome (PPS) is a condition that affects polio survivors years after recovery from an initial acute attack of the poliomyelitis virus. Most often, polio survivors experience a gradual new weakening in muscles that were previously affected by the polio infection. The actual incidence of cardiovascular diseases (CVDs) in individuals suffering from PPS is not known. However, there is a reason to suspect that individuals with PPS might be at increased risk.

Method A search for papers was made in the databases Bireme, Scielo and Pubmed with the following keywords: post polio syndrome, cardiorespiratory and rehabilitation in English, French and Spanish languages. Although we targeted only seek current studies on the topic in question, only the relevant (double-blind, randomized-controlled and consensus articles) were considered.

Results and Discussion Certain features of PPS such as generalized fatigue, generalized and specific muscle weakness, joint and/or muscle pain may result in physical inactivity deconditioning obesity and dyslipidemia. Respiratory difficulties are common and may result in hypoxemia.

Conclusion Only when evaluated and treated promptly, somE patients can obtain the full benefits of the use of respiratory muscles aids as far as quality of life is concerned.

RESUMO

Síndrome pós-polio (SPP) é uma condição que afeta sobreviventes da poliomielite aguda (PAA), anos após a recuperação de um ataque agudo inicial do vírus. Na maioria das vezes, os sobreviventes da polio começam a apresentar nova paresia gradual nos músculos que foram previamente afetados pela infecção. A incidência real de doenças cardiovasculares (DCV) em indivíduos que sofrem de SPP não é conhecida. Entretanto, há indícios para suspeitar de que sujeitos com SPP podem estar em maior risco.

Método Realizou-se uma busca de artigos nas bases de dados: Bireme, Scielo e Pubmed, utilizando as seguintes palavras-chave: síndrome pós-poliomielite, função cardiorrespiratória e reabilitação, nos idiomas Inglês, Francês e Espanhol. Embora tenhamos selecionado um número expressivo de artigos, somente foram considerados os duplo-cegos, randomizados-controlados, além de consensos.

Resultados e Discussão Certas características da SPP, tais como fadiga muscular, paresia, dor muscular e/ou articulares podem resultar em descondicionamento por inatividade física, além de obesidade e dislipidemia. Dificuldades respiratórias são comuns e podem resultar em hipoxemia.

Conclusão Somente quando avaliados e tratados em tempo hábil, alguns pacientes são capazes de obter os benefícios do uso dos músculos respiratórios auxiliares em termos de qualidade de vida.

postpoliomyelitis syndrome - respiration disorders - rehabilitation

síndrome pós-poliomielite - transtornos respiratórios - reabilitação

Volltext

Referenzen

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