Key result
Fibromyalgia was present in 35% of patients with post-polio syndrome (ACR 2016 criteria) compared to 0% of those without, and was associated with more severe symptoms and reduced quality of life.
Why the study?
The study was conducted to investigate the prevalence of fibromyalgia and evaluate its relations with symptoms, polio-related impairments, and quality of life in persons with prior paralytic poliomyelitis with and without post-polio syndrome.
Cross-Sectional (n=74)
Fibromyalgia frequently coexists in patients with post-polio syndrome and is associated with more severe symptoms, greater impairments, and worse quality of life.
PURPOSE: To investigate the prevalence of fibromyalgia(FM) and to show its relations with symptoms, polio-related impairments (PRI), and quality of life (QoL) in persons with prior paralytic poliomyelitis (PsPP) with and without post-polio syndrome (PPS). MATERIALS AND METHODS: The study included 74 PsPP under 60 years of age, 60 of whom met the criteria for PPS. Presence and severity of FM were assessed by the American College of Rheumatology (ACR) 1990, 2010, and 2016 criteria, and Fibromyalgia Severity Score. PPS symptoms, PRI, and QoL were evaluated using the Self-Reported Impairments in Persons with Late Effects of Polio Rating Scale, Fatigue Severity Scale, and Nottingham Health Profile. Frequency, comparison, and correlation analyses were performed. RESULTS: While 15% of PsPP with PPS met the criteria of ACR 1990, 32% of ACR 2010, and 35% of ACR 2016, none of those without PPS met any of the criteria for FM. Severity of PPS symptoms and PRI were significantly higher, and QoL was significantly lower in those with co-existing FM. FM severity was found to be significantly associated with severity of PPS symptoms, PRI and reduced QoL. CONCLUSIONS: FM frequently coexists in PsPP with PPS and may increase the burden of PPS.Implications for RehabilitationFibromyalgia (FM) is commonly seen in patients with post-polio syndrome (PPS).Co-existing FM may increase the burden of PPS, as it is associated with more severe symptoms, more polio-related impairments, and worse quality of life.Recognition, appropriate referral, and successful management of co-existing FM may allow for reduced symptoms or symptom severity and improved quality of life in persons with PPS.
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Latifoglou et al. (2022) conducted a cross-sectional in Prior paralytic poliomyelitis (n=74). Post-polio syndrome vs. Prior paralytic poliomyelitis without post-polio syndrome was evaluated on Prevalence of fibromyalgia (ACR 2016 criteria). Fibromyalgia was present in 35% of patients with post-polio syndrome (ACR 2016 criteria) compared to 0% of those without, and was associated with more severe symptoms and reduced quality of life.
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