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In patients with a remote history of paralytic poliomyelitis, the combination of muscle aching or joint pain, fatigue and a perception of progressive weakness has been named postpolio syndrome. Natural history studies have demonstrated a modest decline in strength over time in these subjects.1,2 What impact this decline has on their daily lives remains uncertain. Here we are reporting the incident use of adaptive equipment and lifestyle modifications during a cohort study of elderly subjects with remote polio.
Methods.
The demographics of the study population have previously been described.1,3,4 At baseline and after 15 years, each subject completed a detailed questionnaire that asked specifically about the use of gait aids, orthotics, home and job modifications. Subjects were followed over time by means of a scored manual muscle examination: the Neurologic Disability Scale for Weakness (NDS).5
Baseline prevalence rates were calculated as the proportion of subjects using the indicated equipment or …
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