Upper-limb pain in long-term poliomyelitis.
BACKGROUND
Late functional deterioration is common in long-term poliomyelitis patients. While upper-limb pain in individual functional regions is common, its overall prevalence and pattern in long-term poliomyelitis is poorly documented.


OBJECTIVE
To assess the nature of upper-limb pain in these patients and examine its association with dependence on mobility aids (and therefore upper limb 'overuse').


METHODS
Questionnaire-based survey of patients attending a specialist unit.


METHODS
Questionnaires were sent to 139 patients with known long-term poliomyelitis (mean 49.8 years post polio), attending the Lane Fox Unit out-patient clinic at St Thomas' Hospital between January 1998 and December 1998. There were questions on the nature of the patient's acute illness, limb involvement at initial infection ('polio-affected' limbs), the site and onset of upper-limb pain, hand dominance, previous injuries and surgery, and the use of mobility aids. Limbs that had sustained an injury or undergone surgery, at or preceding onset of upper-limb pain, were excluded from analysis.


RESULTS
Among 103 valid replies, the prevalence of upper limb pain was 64%. Mobility aids were used by 74%, and were associated with an increased risk of upper-limb pain, while 'polio-affected' limbs were at reduced risk.


CONCLUSIONS
These data support 'overuse' due to greater mobility aid dependence as a cause of increasing upper-limb pain in long-term poliomyelitis.
Koh
E S C
ES
Department of Orthopaedic Surgery, St Thomas' Hospital, London, UK.
Williams
A J
AJ
Povlsen
B
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001132:Arm; D002183:Canes / Q000009:adverse effects / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003446:Crutches / Q000009:adverse effects / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D011051:Poliomyelitis / Q000150:complications*; D014910:Wheelchairs / Q000009:adverse effects / Q000706:statistics & numerical data