Key result
A literature review identified 12 functional assessment scales used in patients with Post-Polio Syndrome, none of which are specifically validated for this population.
Why the study?
Patients with Post-Polio Syndrome develop new limitations in activities of daily living, necessitating functional evaluation to identify impairments without aggravating disease progression.
This review highlights that while 12 functional scales are used to assess activities of daily living in Post-Polio Syndrome patients, none are specifically validated for this population, suggesting the need for a disease-specific instrument.
Answers are grounded in this paper and cite their sources.
Lack of validated scales for Post-Polio Syndrome urges clinical caution; leaves open need for dedicated validation studies.
Post-Polio Syndrome (PPS) is a neurological disease, resulting in the decrease of the neuromuscular functions being characterized by a set of clinical manifestations that occur in individuals who had acute paralytic poliomyelitis. The patients with PPS begin to present new limitations on the performance of their ADLs and, at the same time, tend to ignore them, continuing their daily work with greater physical effort. The need for a functional evaluation is therefore necessary to find out where the commitments are in the ADLs and to help them without aggravating the degenerative PPS. To identify the main functional assessment scales used in individuals with PPS. A study review of the literature was performed on the functional scales used in patients with PPS described in the articles in the database. We found 12 functional scales in activities of daily living, as follows: Nottingham Health Profile (NHP), International Classification of Impairments, Disability’s and Handicaps (ICIDH), Functional Status Questionnaire (FSQ), Physical Activity Scale for the Elderly (PASE), Sunnas ADL Index, Katz Index, Falls Efficacy Scale (FES), ADLs-Staircase, Barthel Index, Functional Independence Measure (FIM), Older Adult Resource Survey (OARS), and Self-Reporter ADL. None of the 12 scales mentioned in our study is validated for the use in patients with PPS, the most scales found in the literatures reviewed in this research were NHP and ICIDH. Therefore, we found 9 scales validated in Brazil, Barthel Index, Functional Independence Measure (FIM), Functional Status Questionnaire (FSQ), Falls Efficacy Scale (FES), Nottingham Health Profile (NHP), International Classification of Impairments, Disability’s and Handicaps (ICIDH), Older Adult Resource Survey (OARS), Katz Index and Self-Reporter ADL.
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Helou et al. (2019) conducted a review in Post-Polio Syndrome. Functional assessment scales was evaluated on Identification of functional assessment scales used in PPS patients. A literature review identified 12 functional assessment scales used in patients with Post-Polio Syndrome, none of which are specifically validated for this population.
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