[Treatment on fatigue of patients with postpolio syndrome. A systematic review].
BACKGROUND
Fatigue is the most common symptom and the most disabling in patients with post-polio syndrome.


OBJECTIVE
To analyze the effectiveness of various treatments used to improve fatigue syndrome patients post-polio.


METHODS
Systematic review. Is defined a bibliographic search strategy in Medline (from 1961), EMBASE (from 1980), ISI Web of Knowledge and Cochrane Library, Cochrane Central Register of Controlled Trials (CENTRAL), AMED (January 1985), EMI and Physiotherapy Evidence Database (PEDro) until February 2008, the population defined (post-polio syndrome patients) and intervention (any treatment for fatigue in these patients). Outcome were selected as different scales of fatigue and fatigue or vitality dimension scales quality of life. Clinical trials were selected.


RESULTS
We retrieved 396 articles, of which 23 were analyzed in detail. Finally, 19 were included in the analysis, a total of 705 patients.


CONCLUSIONS
Lamotrigine, bromocriptine, aerobics and flexibility exercises, hydrokinesitherapy and technical aids are treatment techniques that reduce more fatigue in these patients.
Aguila-Maturana
Ana M
AM
Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Universidad Rey Juan Carlos, Facultad de Ciencias de la Salud, Alcorcon, España. ana.aguila@urjc.es
Alegre-De Miquel
Cayetano
C
D002986:Clinical Trials as Topic; D016208:Databases, Factual; D005081:Exercise Therapy; D005221:Fatigue / Q000209:etiology / Q000628:therapy; D006801:Humans; D016262:Postpoliomyelitis Syndrome / Q000150:complications / Q000534:rehabilitation / Q000628:therapy; D011788:Quality of Life; D016896:Treatment Outcome