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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(4):684-690.
Swallowing Difficulties in Polio Survivors.
Lee, Kyung Ah , Hwang, Jeong Hye , Lee, Chyung Ki
1Department of Rehabilitation Medicine, Ewha Womans University College of Medicine.
2Department of Rehabilitation Medicine, Myung Kyung Hospital, Seoul, Korea.
소아마비 환자의 연하곤란 양상
이경아, 황정혜1, 이청기
이화여자대학교 의과대학 재활의학과, 1명경의료원 재활의학과
Abstract

Objective
In patients with a history of acute paralytic poliomyelitis, late progressive muscle weakness, fatigue, pain may arise, a symptom complex of known as post-poliomyelitis syndrome (PPS). Dysphagia may also develop in some PPS patients. The purpose of this study was to assess the presence of is swallowing difficulty in polio survivors and to describe the nature of the swallowing difficulty.


Method
Polio survivors answered the questionnaire pertaining to swallowing function and received a videofluroscopic evaluation of the oral and pharyngeal phases using 3 consistencies of material: liquid barium; semisolid barium paste; boiled yolk of an egg coated with barium.


Results
Of the 16 subjects, 8 had subjective symptoms of swallowing difficulties. All of the 6 PPS patients, regardless of whether they had symptoms of swallowing difficulties, had some abnormal oropharyngeal function through video fluoroscopic swallowing study.


Conclusion
In patients with post-polio syndrome, there is progressive deterioration of swallowing functions similar to that in the muscles of the limbs. This swallowing dysfunction is not related with their subjective symptoms.

Key Words: Post-poliomyelitis syndrome (PPS), Swallowing difficulty, Video fluoroscopic swallowing study (VFSS)


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