運動、生活模式改變及儀器治療對於小兒麻痺患者之體適能和小兒麻痺後期症候群之療效: 統合分析

Polio survivors complain of new health problems, such as fatigue, weakness, muscle pain or joint pain after several years of acute poliomyelitis, known as post- polio syndrome (PPS). Rehabilitation programs are commonly recommended to alleviate their symptoms but the effects of these interventions have not been clearly identified. Therefore, the meta-analysis was conducted to assess the effectiveness of exercise training, lifestyle modification, assistive technology, and modalities on fitness and post-polio syndromes in polio survivors. Methods: The search was conducted with the online electronic databases: EMBASE, MEDLINE, CINAHL, and CEPS. The primary outcome measures included muscle strength, cardiopulmonary capacity, fatigue, and pain. The pre- and post-treatment means and standard deviation were used to compute the effect size. Results: Strengthening exercises showed no significant improvement in muscle strength, but aerobic exercise training showed significant improvement in maximal oxygen consumption (VO(subscript 2max), peak workload (W(subscript peak)). maximal heart rate (HR(subscript max), and maximal minute ventilation (VE(subscript max). Furthermore, lifestyle modification, exercise and modality were effective on pain, not on fatigue. Conclusions: The results of the meta-analysis conclude that aerobic exercise training could improve cardiopulmonary capacity; lifestyle, modification, exercise and modality intervention could alleviate pain in polio survivors.