Actual and Perceived Activity Levels in Polio Survivors and Older Controls: A Longitudinal Study

Abstract Klein MG, Braitman LE, Costello R, Keenan MA, Esquenazi A. Actual and perceived activity levels in polio survivors and older controls: a longitudinal study. Objective To examine factors associated with daily step activity, perceived activity, maximum walking speed, and walking speed reserve...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 2008-02, Vol.89 (2), p.297-303
Hauptverfasser: Klein, Mary G., PhD, Braitman, Leonard E., PhD, Costello, Roberta, MSN, RN, Keenan, Mary Ann, MD, Esquenazi, Alberto, MD
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container_end_page 303
container_issue 2
container_start_page 297
container_title Archives of physical medicine and rehabilitation
container_volume 89
creator Klein, Mary G., PhD
Braitman, Leonard E., PhD
Costello, Roberta, MSN, RN
Keenan, Mary Ann, MD
Esquenazi, Alberto, MD
description Abstract Klein MG, Braitman LE, Costello R, Keenan MA, Esquenazi A. Actual and perceived activity levels in polio survivors and older controls: a longitudinal study. Objective To examine factors associated with daily step activity, perceived activity, maximum walking speed, and walking speed reserve over time in polio survivors and older adults with no history of polio. Design Longitudinal study. Setting A research clinic and the community. Participants Polio survivors (n=96; 65 in postpolio syndrome [PPS] group, 31 in non-PPS group) and older adults (n=112) with no history of polio. Interventions Not applicable. Main Outcome Measures Daily step activity, perceived activity, maximum walking speed, and walking speed reserve. Results Results showed decreases in perceived activity over time in the PPS group. However, there was no change in average daily walking activity. Overall, polio survivors walk less and have a smaller walking speed reserve than controls. Knee strength was positively associated with maximum walking speed and walking speed reserve in all groups. Weight and age were associated with daily step activity in controls but not polio survivors. Conclusions Daily walking activity did not change statistically over the 3-year study period, although perceived activity and the walking speed reserve decreased among polio survivors with PPS. On average, polio survivors appear to function with minimal functional reserve, as their preferred walking speed was close to their maximum speed.
doi_str_mv 10.1016/j.apmr.2007.08.156
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Actual and perceived activity levels in polio survivors and older controls: a longitudinal study. Objective To examine factors associated with daily step activity, perceived activity, maximum walking speed, and walking speed reserve over time in polio survivors and older adults with no history of polio. Design Longitudinal study. Setting A research clinic and the community. Participants Polio survivors (n=96; 65 in postpolio syndrome [PPS] group, 31 in non-PPS group) and older adults (n=112) with no history of polio. Interventions Not applicable. Main Outcome Measures Daily step activity, perceived activity, maximum walking speed, and walking speed reserve. Results Results showed decreases in perceived activity over time in the PPS group. However, there was no change in average daily walking activity. Overall, polio survivors walk less and have a smaller walking speed reserve than controls. Knee strength was positively associated with maximum walking speed and walking speed reserve in all groups. Weight and age were associated with daily step activity in controls but not polio survivors. Conclusions Daily walking activity did not change statistically over the 3-year study period, although perceived activity and the walking speed reserve decreased among polio survivors with PPS. On average, polio survivors appear to function with minimal functional reserve, as their preferred walking speed was close to their maximum speed.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2007.08.156</identifier><identifier>PMID: 18226654</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Activities of Daily Living ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. Spinal cord ; Disability Evaluation ; Female ; Human viral diseases ; Humans ; Infectious diseases ; Longitudinal Studies ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Multivariate Analysis ; Nervous system (semeiology, syndromes) ; Neurology ; Physical Medicine and Rehabilitation ; Poliomyelitis - physiopathology ; Postpoliomyelitis syndrome ; Postpoliomyelitis Syndrome - physiopathology ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Actual and perceived activity levels in polio survivors and older controls: a longitudinal study. Objective To examine factors associated with daily step activity, perceived activity, maximum walking speed, and walking speed reserve over time in polio survivors and older adults with no history of polio. Design Longitudinal study. Setting A research clinic and the community. Participants Polio survivors (n=96; 65 in postpolio syndrome [PPS] group, 31 in non-PPS group) and older adults (n=112) with no history of polio. Interventions Not applicable. Main Outcome Measures Daily step activity, perceived activity, maximum walking speed, and walking speed reserve. Results Results showed decreases in perceived activity over time in the PPS group. However, there was no change in average daily walking activity. Overall, polio survivors walk less and have a smaller walking speed reserve than controls. Knee strength was positively associated with maximum walking speed and walking speed reserve in all groups. Weight and age were associated with daily step activity in controls but not polio survivors. Conclusions Daily walking activity did not change statistically over the 3-year study period, although perceived activity and the walking speed reserve decreased among polio survivors with PPS. On average, polio survivors appear to function with minimal functional reserve, as their preferred walking speed was close to their maximum speed.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Multivariate Analysis</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Poliomyelitis - physiopathology</subject><subject>Postpoliomyelitis syndrome</subject><subject>Postpoliomyelitis Syndrome - physiopathology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Self Concept</subject><subject>Survivors</subject><subject>Viral diseases</subject><subject>Viral diseases of the nervous system</subject><subject>Walking - physiology</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kl2L1DAUhoMo7rjrH_BCcuPeteajaVMRYRhcFQZ2YRT2LmaSU8mYacakLcy_33RnUPBir_LB874JDwehN5SUlND6_a7Uh30sGSFNSWRJRf0MLajgrJCM3j9HC0IIL9q25RfoVUq7fKwFpy_RBZWM1bWoFujn0gyj9lj3Ft9BNOAmsDhfuskNR7yGCXzCrsd3wbuAN2Oc3BRiegzcegsRr0I_xODTB7zE69D_csNoXZ87N3lzvEIvOu0TvD6vl-jHzefvq6_F-vbLt9VyXZiKt0NBtxSaRnPSGgOVBdZxbYSUhMhGWEu6qpPAqJGiqytRka22sOWtEbbuRMUZv0TXp95DDH9GSIPau2TAe91DGJNqCKtYTasMshNoYkgpQqcO0e11PCpK1OxV7dTsVc1eFZEqe82ht-f2cbsH-y9yFpmBd2dAJ6N9F3VvXPrLzV2cS565jycua4XJQVTJOOgNWBfBDMoG9_Q_Pv0XN971Lr_4G46QdmGM2XxSVCWmiNrMEzAPAGlyYSvv-QPg2qvA</recordid><startdate>20080201</startdate><enddate>20080201</enddate><creator>Klein, Mary G., PhD</creator><creator>Braitman, Leonard E., PhD</creator><creator>Costello, Roberta, MSN, RN</creator><creator>Keenan, Mary Ann, MD</creator><creator>Esquenazi, Alberto, MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080201</creationdate><title>Actual and Perceived Activity Levels in Polio Survivors and Older Controls: A Longitudinal Study</title><author>Klein, Mary G., PhD ; Braitman, Leonard E., PhD ; Costello, Roberta, MSN, RN ; Keenan, Mary Ann, MD ; Esquenazi, Alberto, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-1b1e77a309cce4de2f3ac58800875dd0f4f8e21c85f64540badeb39c5d6f54323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Multivariate Analysis</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Poliomyelitis - physiopathology</topic><topic>Postpoliomyelitis syndrome</topic><topic>Postpoliomyelitis Syndrome - physiopathology</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Self Concept</topic><topic>Survivors</topic><topic>Viral diseases</topic><topic>Viral diseases of the nervous system</topic><topic>Walking - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klein, Mary G., PhD</creatorcontrib><creatorcontrib>Braitman, Leonard E., PhD</creatorcontrib><creatorcontrib>Costello, Roberta, MSN, RN</creatorcontrib><creatorcontrib>Keenan, Mary Ann, MD</creatorcontrib><creatorcontrib>Esquenazi, Alberto, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klein, Mary G., PhD</au><au>Braitman, Leonard E., PhD</au><au>Costello, Roberta, MSN, RN</au><au>Keenan, Mary Ann, MD</au><au>Esquenazi, Alberto, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Actual and Perceived Activity Levels in Polio Survivors and Older Controls: A Longitudinal Study</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2008-02-01</date><risdate>2008</risdate><volume>89</volume><issue>2</issue><spage>297</spage><epage>303</epage><pages>297-303</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Klein MG, Braitman LE, Costello R, Keenan MA, Esquenazi A. Actual and perceived activity levels in polio survivors and older controls: a longitudinal study. Objective To examine factors associated with daily step activity, perceived activity, maximum walking speed, and walking speed reserve over time in polio survivors and older adults with no history of polio. Design Longitudinal study. Setting A research clinic and the community. Participants Polio survivors (n=96; 65 in postpolio syndrome [PPS] group, 31 in non-PPS group) and older adults (n=112) with no history of polio. Interventions Not applicable. Main Outcome Measures Daily step activity, perceived activity, maximum walking speed, and walking speed reserve. Results Results showed decreases in perceived activity over time in the PPS group. However, there was no change in average daily walking activity. Overall, polio survivors walk less and have a smaller walking speed reserve than controls. Knee strength was positively associated with maximum walking speed and walking speed reserve in all groups. Weight and age were associated with daily step activity in controls but not polio survivors. Conclusions Daily walking activity did not change statistically over the 3-year study period, although perceived activity and the walking speed reserve decreased among polio survivors with PPS. On average, polio survivors appear to function with minimal functional reserve, as their preferred walking speed was close to their maximum speed.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18226654</pmid><doi>10.1016/j.apmr.2007.08.156</doi><tpages>7</tpages></addata></record>
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subjects Activities of Daily Living
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cerebrospinal fluid. Meninges. Spinal cord
Disability Evaluation
Female
Human viral diseases
Humans
Infectious diseases
Longitudinal Studies
Male
Medical sciences
Middle Aged
Miscellaneous
Multivariate Analysis
Nervous system (semeiology, syndromes)
Neurology
Physical Medicine and Rehabilitation
Poliomyelitis - physiopathology
Postpoliomyelitis syndrome
Postpoliomyelitis Syndrome - physiopathology
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rehabilitation
Self Concept
Survivors
Viral diseases
Viral diseases of the nervous system
Walking - physiology
title Actual and Perceived Activity Levels in Polio Survivors and Older Controls: A Longitudinal Study
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