BACKGROUND Fatigue is a common symptom in post-polio syndrome (PPS) and can have a substantial impact on patients. There is a need for validated questionnaires to assess fatigue in PPS for use in clinical practice and research. The aim with this study was to assess the validity and reliability of the Swedish version of Multidimensional Fatigue Inventory (MFI-20) in patients with PPS using the R...

India celebrated its victory over polio on 11th February 2014 after an extraordinary fight against the disease for almost two decades since the introduction of the Global Polio Eradication Initiative (GPEI) in India. The South-East Asia Region of the World Health Organisation (WHO) was certified polio free, on March 27, 2014 by the WHO’s Regional Certification Commission for polio eradication c...

BACKGROUND Poliomyelitis is a highly infectious disease caused by poliovirus, which becomes difficult to manage/eradicate in politically unstable areas. The objectives of this study were to determine the movement and management of such polio outbreaks in endemic countries and countries with reoccurring cases of polio and to determine the effect of political instability on polio eradication. M...

BACKGROUND Post-polio syndrome (PPS) is a condition that affects polio survivors years after recovery from an initial acute infection by the Poliomyelitis virus. Most often, patients who suffered from polio start to experience gradual new weakening in muscles, a gradual decrease in the size of muscles (muscle atrophy) and fatigue years after the acute illness. L-citrulline is known to change mu...

INTRODUCTION Polio survivors in France are estimated at 50,000. This study aimed at describing their needs from their clinical and vocational conditions. METHOD A retrospective study of our physical and rehabilitation medicine (PRM) consultation activity. RESULTS One hundred and fifteen women/85 men, with a mean age of 51years±14.3 (17 to 82). Paralysis involved only one lower limb in 108 p...

OBJECTIVE To evaluate vitality and fatigue in post-polio patients, and the relative contributions of physiological and psychological parameters to the level of vitality. DESIGN Multi-centre study. SUBJECTS One hundred and forty-three patients with post-polio syndrome. METHODS Inventories of background, quality of life, fatigue and sleep quality were used. Pain was evaluated using a visual...

Although India was removed from the list of polio endemic countries in January 2012, maintaining the focus on polio vaccination is critically important to prevent reintroduction of the virus. In 2009-2010, we conducted a study to assess the attitudes and practices of frontline health workers in India regarding polio immunization in Uttar Pradesh and Bihar. More than 95% of auxiliary nurse midwi...

Warm Springs, for instance, did not come "to be called the Little White House": FDR built the house that did in the extensive grounds of the Warm Springs spa which he had transformed into a polio rehabilitation centre. It is a bit harsh to call John A Toomey a "not particularly well-informed doctor" (see above) on the basis of one insignificant article. The bald statement that, apart from human...

BACKGROUND According to the polio model, severity of disease increases with age at infection. Firstborn children and people belonging to small families are generally infected later and should accordingly have a higher risk of severe polio. However, this model does contradict other explanations of severity of childhood infections including the intensive-exposure model. METHODS To evaluate the ...

Nearly two-thirds of polio survivors report abnormal movements in sleep, with 52% reporting that their sleep is disturbed by these movements. Sleep studies were performed in seven polio survivors to document objectively abnormal movements in sleep. Two patients demonstrated generalized random myoclonus, with brief contractions and even ballistic movements of the arms and legs, slow repeated gra...