ABSTRACT
BACKGROUND: A large poliomyelitis outbreak occurred in 2010 in the Republic of Congo. This paper describes the demographic and clinical characteristics of poliomyelitis cases and their outcomes following physiotherapy. FINDINGS: Demographic and clinical data were collected on 126 individuals between November 23, 2010 and March 23, 2011. The male/female ratio was 2.5 and the median age was 19 years (IQR: 13.5-23). The most severe forms of the disease were more common in older patients, 81 of the 126 patients (64.3%) had multiple evaluations of muscle strength. Among patients with multiple evaluations, 38.1% had improved strength at final evaluation, 48.3% were stable and 13.6% had decreased strength. CONCLUSIONS: Most acute poliomyelitis patients receiving physiotherapy had improved or stable muscle strength at their final evaluation. These descriptive results highlight the need for further research into the potential benefits of physiotherapy in polio affected patients.
Subject(s)
Disease Outbreaks , Muscle, Skeletal/physiopathology , Physical Therapy Modalities , Poliomyelitis/therapy , Adolescent , Adult , Child , Child, Preschool , Congo/epidemiology , Female , Humans , Infant , Infant, Newborn , Male , Muscle Strength , Poliomyelitis/diagnosis , Poliomyelitis/epidemiology , Poliomyelitis/physiopathology , Recovery of Function , Retrospective Studies , Time Factors , Treatment Outcome , Young AdultABSTRACT
On November 4, 2010, the Republic of the Congo declared a poliomyelitis outbreak. A cross-sectional survey in Pointe-Noire showed poor sanitary conditions and low vaccination coverage (55.5%), particularly among young adults. Supplementary vaccination should focus on older age groups in countries with evidence of immunity gaps.
