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KMID : 0378119810080010001
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Chungnam Medical Journal
1981 Volume.8 No. 1 p.1 ~ p.8
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Statistical Study on the Functional Disability of the Residual Poliomyelitis in Children
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李光鎭/Rhee, Kwang Jin
尹承鎬/李榮/Yune, Sung Ho/Lee, Young
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Abstract
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It was thought to be worthful that we had an opportunity for the epidemiologic survey for the crippled children of primary and middle school on 1980, who live in the whole area of Chocng-Nam province.
In this survey, 842 cases of residual poliomyelitis in the total 1, 550 cases of crippled children were analysed in various points of view
Following results could be obtained:
1. Cases of residual polio. were 842 (54. 3%) and cerebral palsy was followed with cases of 280(18%) in the total 1, 550 cases of crippled children.
2. The peak age incidence of residual. polio. was below 3-year-old age (93. 8%) and there
were no differences between the degree of functional disability and age incidence of onset.
3. Paralytic poliomyelitis was observed even in 15. 9% of children who had been vaccinated
one more time at minimum previousely. The degree of functional disability was mied
or in vaccinated children than non-vaccinated.
4. The deformities of upper extremity and spine were 2.8% respectively on the contrary of 91. 9% in lower extremity. There was no difference between deformities of both sides. In the lower extremity, deformities of the foot was most common (32%), those of knee 20. 8%, toe 14. 2%, hip 10. 9% and leg length inequality 9. 9% in its order of freqency. Flexion deformity of knee was most common individual deformity, followed with equinus and flexion contracture of hip
5. The incidence of paralysis of muscles were 6. 8% in upper extremity and 93. 2% in lower extremity. Average number of paralyzed muscles per one child were about 4. In the paralysis of upper extremity, the most frequently involved muscle was flexor of shoulder (1. 3 %), with following order of incidence, extensor of shoulder (1. 1%), abductor(0. 9 and flexor of elbow (0. 7%). In the lower extremity, quadriceps femoris was found to be the most fregient (10. 0%), tibialis ant. (8. 7%), iliopsoas (8. 7%), gluteus maximus (8. 2%) and peroneals(7. 6%). Generally, proximal muscles were involved more faquently t"^n distal.
6. Combination of tibialis ant. with peroneals, and quadriceps femoris with adductors of hip or iliopsoas were most frequently associated paralytic muscle groups.
7. It is absolutely necessary and urgent for crippled children to have an opportunity to receive surgical treatment under the active help of orthopedic doctor and government.
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