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19.11.2022 | Original Article

Functional exercise capacity in maximal and submaximal activities of individuals with polio sequelae

verfasst von: Claudio Andre Barbosa de Lira, Fabio Carderelli Minozzo, Thalles Guilarducci Costa, Vinnycius Nunes de Oliveira, Gustavo Conti Teixeira Costa, Acary Souza Bulle Oliveira, Abrahão Augusto Joviniano Quadros, Rodrigo Luiz Vancini, Bolivar Saldanha Sousa, Antonio Carlos da Silva, Marilia Santos Andrade

Erschienen in: European Journal of Applied Physiology | Ausgabe 4/2023

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Abstract

Purpose

Poliomyelitis is an infectious disease that can cause total paralysis. Furthermore, poliomyelitis survivors may develop new signs and symptoms, including muscular weakness and fatigue, years after the acute phase of the disease, i.e., post-polio syndrome (PPS). Thus, the objective was to compare the functional exercise capacity during maximal and submaximal exercises among individuals with polio sequelae (without PPS diagnosis), PPS, and a control group.

Methods

Thirty individuals participated in three groups: a control group (CG, n = 10); a group of individuals with polio sequelae but without PPS diagnosis (PG, n = 10); and a PPS group (PPSG, n = 10). All participants underwent (i) a cardiopulmonary exercise test to determine their maximal oxygen uptake (\({\dot{\text{V}}\text{O}}_{{2}} {\text{max}}\)) and (ii) a series of functional field tests (i.e., walking test, sit-to-stand test, and stair climbing test).

Results

\(\dot{V}\)O₂max was 30% lower in PPSG than in CG and PG. Regarding functional field tests, walking and stair climbing test performances were significantly different among all groups. The PPSG sit-to-stand performance was lower than CG.

Conclusion

The sequelae of paralytic poliomyelitis impair functional exercise capacity obtained from maximal and submaximal tests, especially in patients with PPS. Furthermore, submaximal variables appear to be more negatively impacted than maximal variables.

Quadros AAJ (2005) Síndrome pós-poliomielite (SPP): uma nova doença velha. Universidade Federal de São Paulo

Agre JC, Grimby G, Rodriquez AA et al (1995) A comparison of symptoms between swedish and american post-polio individuals and assessment of lower limb strength–a four-year cohort study. Scand J Rehabil Med 27:183–192PubMed

Altmann LJP, Stegemöller E, Hazamy AA et al (2016) Aerobic exercise improves mood, cognition, and language function in parkinson’s disease: Results of a controlled study. J Int Neuropsychol Soc 22:878–889. https://doi.org/10.1017/S135561771600076XCrossRefPubMed

American College of Sports Medicine (2002) ACSM´s resources for clinical exercise physiology: musculoskeletal, neuromuscular, neoplastic, immunological, and hematologic conditions. Lippincott Williams and Wilkins, Baltimore

American Thoracic Society / American College of Chest Physicians (2003) ATS/ACCP statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med 167:211–277. https://doi.org/10.1164/rccm.167.2.211CrossRef

Andriacchi TP, Andersson GB, Fermier RW et al (1980) A study of lower-limb mechanics during stair-climbing. J Bone Joint Surg Am 62:749–757CrossRefPubMed

Bickerstaffe A, Beelen A, Nollet F (2015) Change in physical mobility over 10 years in post-polio syndrome. Neuromuscul Disord 25:225–230. https://doi.org/10.1016/j.nmd.2014.11.015CrossRefPubMed

Bidonde J, Busch AJ, Schachter CL et al (2017) Aerobic exercise training for adults with fibromyalgia. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD012700CrossRefPubMedPubMedCentral

Birk T. (1997) Polio and post-polio syndrome. In: Medicine AC of S (ed) ACSM´s exercise management for persons with chronic diseases and disabilities. Human Kinects Champaign IL pp 194–199

Bohannon RW (1995) Sit-to-stand test for measuring performance of lower extremity muscles. Percept Mot Skills 80:163–166. https://doi.org/10.2466/pms.1995.80.1.163CrossRefPubMed

Brogårdh C, Flansbjer U-B, Lexell J (2010) No effects of whole-body vibration training on muscle strength and gait performance in persons with late effects of polio: a pilot study. Arch Phys Med Rehabil 91:1474–1477. https://doi.org/10.1016/j.apmr.2010.06.024CrossRefPubMed

Butland RJ, Pang J, Gross ER et al (1982) Two-, six-, and 12-minute walking tests in respiratory disease. BMJ 284:1607–1608. https://doi.org/10.1136/bmj.284.6329.1607CrossRefPubMedPubMedCentral

CDC (2021) What is Polio? https://www.cdc.gov/polio/what-is-polio/index.htm. Accessed 18 Oct 2021

Clémençon M, Hautier CA, Rahmani A et al (2008) Potential role of optimal velocity as a qualitative factor of physical functional performance in women aged 72–96 years. Arch Phys Med Rehabil 89:1594–1599. https://doi.org/10.1016/j.apmr.2007.11.061CrossRefPubMed

Cohen J (2004) Enteroviruses and Reoviruses. In: Kasper DL, Braunwald E, Hauser S, Longo D, Jameson JLFA (eds) Harrison’s principles of internal medicine, 16th edn. McGraw-Hill Professional, New york, pp 1143–1148

Crump C, Sundquist J, Winkleby MA, Sundquist K (2017) Interactive effects of aerobic fitness, strength, and obesity on mortality in men. Am J Prev Med 52:353–361. https://doi.org/10.1016/j.amepre.2016.10.002CrossRefPubMed

Dalakas MC, Elder G, Hallett M et al (1986) A long-term follow-up study of patients with post-poliomyelitis neuromuscular symptoms. N Engl J Med 314:959–963. https://doi.org/10.1056/NEJM198604103141505CrossRefPubMed

Du H, Wonggom P, Tongpeth J, Clark RA (2017) Six-minute walk test for assessing physical functional capacity in chronic heart failure. Curr Heart Fail Rep 14:158–166. https://doi.org/10.1007/s11897-017-0330-3CrossRefPubMed

Eston RG, Brodie DA (1986) Responses to arm and leg ergometry. Br J Sports Med 20:4–6. https://doi.org/10.1136/bjsm.20.1.4CrossRefPubMedPubMedCentral

Flansbjer U-B, Lexell J, Brogårdh C (2017) Predictors of changes in gait performance over four years in persons with late effects of polio. NeuroRehabilitation 41:403–411. https://doi.org/10.3233/NRE-162057CrossRefPubMed

Grassi B, Marzorati M, Lanfranconi F et al (2007) Impaired oxygen extraction in metabolic myopathies: detection and quantification by near-infrared spectroscopy. Muscle Nerve 35:510–520. https://doi.org/10.1002/mus.20708CrossRefPubMed

Inbar O, Dlin R, Rotstein A, Whipp BJ (2001) Physiological responses to incremental exercise in patients with chronic fatigue syndrome. Med Sci Sport Exerc 33:1463–1470. https://doi.org/10.1097/00005768-200109000-00007CrossRef

Jones CJ, Rikli RE, Beam WC (1999) A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport 70:113–119. https://doi.org/10.1080/02701367.1999.10608028CrossRefPubMed

Kisanga A, Abiuda B, Walyaula P et al (2019) Evaluation of the functionality and effectiveness of the core group polio project’s community-based acute flaccid paralysis Surveillance System in South Sudan. Am J Trop Med Hyg 101:91–99. https://doi.org/10.4269/ajtmh.19-0120CrossRefPubMedPubMedCentral

Koopman FS, Beelen A, Gilhus NE et al (2015) Treatment for postpolio syndrome. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD007818.pub3CrossRefPubMed

Halstead LS, Rossi CD (1985) New problems in old polio patients: results of a survey of 539 polio survivors. Orthopedics 8:845–50:. https://doi.org/10.3928/0147-7447-19850701-06

Lambrick D, Jakeman J, Grigg R et al (2017) The efficacy of a discontinuous graded exercise test in measuring peak oxygen uptake in children aged 8 to 10 years. Biol Sport 1:57–61. https://doi.org/10.5114/biolsport.2017.63734CrossRef

Lo JK, Robinson LR (2018) Postpolio syndrome and the late effects of poliomyelitis. Part 1. pathogenesis, biomechanical considerations, diagnosis, and investigations. Muscle Nerve 58:751–759. https://doi.org/10.1002/mus.26168CrossRefPubMed

Mangani I, Cesari M, Russo A et al (2008) Physical function, physical activity and recent falls. Results from the “invecchiamento e longevità nel sirente (ilSIRENTE)” study. Aging Clin Exp Res 20:234–241. https://doi.org/10.1007/BF03324778CrossRefPubMed

Marzetti E, Calvani R, Tosato M et al (2017) Physical activity and exercise as countermeasures to physical frailty and sarcopenia. Aging Clin Exp Res. https://doi.org/10.1007/s40520-016-0705-4CrossRefPubMed

Morales-Blanhir JE, Palafox Vidal CD, de Rosas Romero M, J, et al (2011) Six-minute walk test: a valuable tool for assessing pulmonary impairment. J Bras Pneumol 37:110–117. https://doi.org/10.1590/S1806-37132011000100016CrossRefPubMed

Mulder DW, Rosenbaum RA, Layton DD (1972) Late progression of poliomyelitis or forme fruste amyotrophic lateral sclerosis? Mayo Clin Proc 47:756–761PubMed

Nadeau S, McFadyen B, Malouin F (2003) Frontal and sagittal plane analyses of the stair climbing task in healthy adults aged over 40 years: what are the challenges compared to level walking? Clin Biomech 18:950–959. https://doi.org/10.1016/S0268-0033(03)00179-7CrossRef

Nollet F, Beelen A, Prins MH et al (1999) Disability and functional assessment in former polio patients with and without postpolio syndrome. Arch Phys Med Rehabil 80:136–143. https://doi.org/10.1016/S0003-9993(99)90110-7CrossRefPubMed

Nollet F, Beelen A, Sargeant AJ et al (2001) Submaximal exercise capacity and maximal power output in polio subjects. Arch Phys Med Rehabil 82:1678–1685. https://doi.org/10.1053/apmr.2001.27390CrossRefPubMed

Pedersen BK, Saltin B (2015) Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sport 25:1–72. https://doi.org/10.1111/sms.12581CrossRef

Pitetti KH, Snell PG, Stray-Gundersen J (1987a) Maximal response of wheelchair-confined subjects to four types of arm exercise. Arch Phys Med Rehabil 68:10–13PubMed

Pitetti KH, Snell PG, Stray-Gundersen J, Gottschalk FA (1987b) Aerobic training exercises for individuals who had amputation of the lower limb. J Bone Joint Surg Am 69:914–921CrossRefPubMed

Pitetti KH, Barrett PJ, Abbas D (1993) Endurance exercise training in guillain-barre syndrome. Arch Phys Med Rehabil 74:761–765. https://doi.org/10.1016/0003-9993(93)90039-DCrossRefPubMed

Quadros AAJ, Conde MTRP, Marin LF et al (2012) Frequency and clinical manifestations of post-poliomyelitis syndrome in a brazilian tertiary care center. Arq Neuropsiquiatr 70:571–573. https://doi.org/10.1590/S0004-282X2012000800002CrossRefPubMed

Rasche W, Janssen TWJ, Van Oers CAJM et al (1993) Responses of subjects with spinal cord injuries to maximal wheelchair exercise: comparison of discontinuous and continuous protocols. Eur J Appl Physiol Occup Physiol 66:328–331. https://doi.org/10.1007/BF00237777CrossRefPubMed

Riboli A, CÈ E, Rampichini S, et al (2017) Comparison between continuous and discontinuous incremental treadmill test to assess velocity at V̇O2max. J Sports Med Phys Fitness 57:. https://doi.org/10.23736/S0022-4707.16.06393-3

Rikli RE, Jones CJ (1999) Development and validation of a functional fitness test for community-residing older adults. J Aging Phys Act 7:129–161. https://doi.org/10.1123/japa.7.2.129CrossRef

Santana MG, de Lira CAB, Passos GS et al (2012) Is the six-minute walk test appropriate for detecting changes in cardiorespiratory fitness in healthy elderly men? J Sci Med Sport 15:259–265. https://doi.org/10.1016/j.jsams.2011.11.249CrossRefPubMed

Sargent C, Scroop GC, Nemeth PM et al (2002) Maximal oxygen uptake and lactate metabolism are normal in chronic fatigue syndrome. Med Sci Sport Exerc 34:51–56. https://doi.org/10.1097/00005768-200201000-00009CrossRef

Skough K, Krossén C, Heiwe S et al (2008) Effects of resistance training in combination with coenzyme Q10 supplementation in patients with post-polio: a pilot study. J Rehabil Med 40:773–775. https://doi.org/10.2340/16501977-0245CrossRefPubMed

Sonn U, Frändin K, Grimby G (1995) Instrumental activities of daily living related to impairments and functional limitations in 70-year-olds and changes between 70 and 76 years of age. Scand J Rehabil Med 27:119–128PubMed

Stanghelle JK, Festvåg L, Aksnes AK (1993) Pulmonary function and symptom-limited exercise stress testing in subjects with late sequelae of poliomyelitis. Scand J Rehabil Med 25:125–129PubMed

Tabak R, Aquije G, Fisher BE (2013) Aerobic exercise to improve executive function in parkinson disease. J Neurol Phys Ther 37:58–64. https://doi.org/10.1097/NPT.0b013e31829219bcCrossRefPubMed

Takken T, Spermon N, Helders PJM et al (2003) Aerobic exercise capacity in patients with juvenile dermatomyositis. J Rheumatol 30:1075–1080PubMed

Takken T, van der Net J, Engelbert RHH et al (2008) Responsiveness of exercise parameters in children with inflammatory myositis. Arthritis Rheum 59:59–64. https://doi.org/10.1002/art.23250CrossRefPubMed

Tanaka H, Monahan KD, Seals DR (2001) Age-predicted maximal heart rate revisited. J Am Coll Cardiol 37:153–156. https://doi.org/10.1016/S0735-1097(00)01054-8CrossRefPubMed

Theilen NT, Kunkel GH, Tyagi SC (2017) the role of exercise and tfam in preventing skeletal muscle atrophy. J Cell Physiol 232:2348–2358. https://doi.org/10.1002/jcp.25737CrossRefPubMedPubMedCentral

Trojan DA, Cashman NR (2005) Post-poliomyelitis syndrome. Muscle Nerve 31:6–19. https://doi.org/10.1002/mus.20259CrossRefPubMed

Valim V, Oliveira LM, Suda AL et al (2002) Peak oxygen uptake and ventilatory anaerobic threshold in fibromyalgia. J Rheumatol 29:353–357PubMed

Valim V, Oliveira L, Suda A et al (2003) Aerobic fitness effects in fibromyalgia. J Rheumatol 30:1060–1069PubMed

Vancini RL, de Lira CAB, Scorza FA et al (2010) Cardiorespiratory and electroencephalographic responses to exhaustive acute physical exercise in people with temporal lobe epilepsy. Epilepsy Behav 19:504–508. https://doi.org/10.1016/j.yebeh.2010.09.007CrossRefPubMed

Vermeulen J, Neyens JC, van Rossum E et al (2011) Predicting ADL disability in community-dwelling elderly people using physical frailty indicators: a systematic review. BMC Geriatr 11:33. https://doi.org/10.1186/1471-2318-11-33CrossRefPubMedPubMedCentral

WHO (1988) Global eradication of poliomyelitis by the year 2000. https://apps.who.int/iris/handle/10665/164531. Accessed 14 Sep 2021

WHO (2020) Poliomyelitis (polio). https://www.who.int/health-topics/poliomyelitis#tab=tab_1. Accessed 13 Oct 2021

WHO (2021) Key at-risk Countries. In: Glob. Polio Erad. Initiat. https://polioeradication.org/where-we-work/key-at-risk-countries/. Accessed 18 Nov 2021

WHO (2022) ICD-11 for mortality and morbidity statistics. In: 8B62. Post Polio Progress. muscular atrophy. https://icd.who.int/browse11/l-m/en#http%253a%252f%252fid.who.int%252ficd%252fentity%252f2018885243. Accessed 18 May 2022

Willén ÅC (1999) Physical performance in individuals with late effects of polio. Scand J Rehabil Med 31:244–249. https://doi.org/10.1080/003655099444425CrossRefPubMed

Willén C, Thorén-Jönsson A, Grimby G, Sunnerhagen K (2007) Disability in a 4-year follow-up study of people with post-polio syndrome. J Rehabil Med 39:175–180. https://doi.org/10.2340/16501977-0034CrossRefPubMed

Xu X, Fu Z, Le W (2019) Exercise and Parkinson’s disease. in: internation review os neurobiology. 45–74

Titel: Functional exercise capacity in maximal and submaximal activities of individuals with polio sequelae
verfasst von: Claudio Andre Barbosa de Lira
Fabio Carderelli Minozzo
Thalles Guilarducci Costa
Vinnycius Nunes de Oliveira
Gustavo Conti Teixeira Costa
Acary Souza Bulle Oliveira
Abrahão Augusto Joviniano Quadros
Rodrigo Luiz Vancini
Bolivar Saldanha Sousa
Antonio Carlos da Silva
Marilia Santos Andrade
Publikationsdatum: 19.11.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Applied Physiology / Ausgabe 4/2023
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI: https://doi.org/10.1007/s00421-022-05095-y

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Functional exercise capacity in maximal and submaximal activities of individuals with polio sequelae

Abstract

Purpose

Methods

Results

Conclusion

Neu im Fachgebiet Arbeitsmedizin

Das Geschlechterparadoxon in der gesundheitlich beeinträchtigten Lebenszeit – Ende eines Mythos?

Gesunde Lebenserwartung: Ein kritischer Blick auf Nutzen und Potenziale des demographischen Gesundheitsindikators

Wie hat sich die Lebenserwartung ohne funktionelle Einschränkungen in Deutschland entwickelt? Eine Analyse mit Daten des Deutschen Alterssurveys (DEAS)

Hitzeschutz im Fokus der hessischen Betreuungs- und Pflegeaufsicht

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

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