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Coexistence of fibromyalgia and post-polio syndrome in persons with prior poliomyelitis in Turkey: the relations with symptoms, 2022 Latifoglou et al

Discussion in ''Conditions related to ME/CFS' news and research' started by Andy, Sep 29, 2022.

  1. Andy

    Andy Committee Member

    Hampshire, UK
    Full title: Coexistence of fibromyalgia and post-polio syndrome in persons with prior poliomyelitis in Turkey: the relations with symptoms, polio-related impairments, and quality of life


    To investigate the prevalence of fibromyalgia(FM) and to show its relations with symptoms, polio-related impairments (PRI), and quality of life (QoL) in persons with prior paralytic poliomyelitis (PsPP) with and without post-polio syndrome (PPS).

    Materials and methods
    The study included 74 PsPP under 60 years of age, 60 of whom met the criteria for PPS. Presence and severity of FM were assessed by the American College of Rheumatology (ACR) 1990, 2010, and 2016 criteria, and Fibromyalgia Severity Score. PPS symptoms, PRI, and QoL were evaluated using the Self-Reported Impairments in Persons with Late Effects of Polio Rating Scale, Fatigue Severity Scale, and Nottingham Health Profile. Frequency, comparison, and correlation analyses were performed.

    While 15% of PsPP with PPS met the criteria of ACR 1990, 32% of ACR 2010, and 35% of ACR 2016, none of those without PPS met any of the criteria for FM. Severity of PPS symptoms and PRI were significantly higher, and QoL was significantly lower in those with co-existing FM. FM severity was found to be significantly associated with severity of PPS symptoms, PRI and reduced QoL.

    FM frequently coexists in PsPP with PPS and may increase the burden of PPS.

    • Implications for Rehabilitation
    • Fibromyalgia (FM) is commonly seen in patients with post-polio syndrome (PPS).

    • Co-existing FM may increase the burden of PPS, as it is associated with more severe symptoms, more polio-related impairments, and worse quality of life.

    • Recognition, appropriate referral, and successful management of co-existing FM may allow for reduced symptoms or symptom severity and improved quality of life in persons with PPS.
    Paywall, https://www.tandfonline.com/doi/full/10.1080/09638288.2022.2127931
    Lilas, MSEsperanza, oldtimer and 4 others like this.
  2. RedFox

    RedFox Senior Member (Voting Rights)

    I wish more people realized FM was sometimes a post-infectious illness. It would make more people believe it was a real illness, since there's no conceivable mental process that could cause someone to be in widespread pain for years from an infection.
  3. rvallee

    rvallee Senior Member (Voting Rights)

    In hindsight, simply saying that most infections are harmless even when they take permanent hold in the body and thinking it makes it true wasn't especially smart. Because it was always "as far as we know", and we still know very little. So very little.

    It's absurd to think of how much more advanced we could be, how better our overall quality of life could be, if it wasn't for damn hubris, a culture where being confidently wrong is a good way to get to the top. Even in medicine. Everywhere, yes, but even in medicine. Ugh.
  4. MSEsperanza

    MSEsperanza Senior Member (Voting Rights)

    betwixt and between
    Haven't read the paper but wondered whether the overlap of Fibromyalgia diagnosis and Post-Polio-Syndrome just means that the ACR criteria aren't good at differentiating Fibromyalgia from common symptoms of Post-Polio-Syndrome?
    RedFox likes this.

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