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Post-Polio Syndrome (PPS) is characterized by the appearance of new muscular symptoms or worsening of previous residual symptoms, several years after the acute polio. The most common symptoms include a trial of fatigue, deterioration in muscle strength and pain. Fatigue is one of the most frequent complaints of PPS and the majority of patients identify fatigue as their most troubling symptom. The aetiology of the symptom arouses great interest, mainly due to its multifactorial character, and can be divided into two components: peripheral (muscular) fatigue and central (general) or simultaneously-occurring fatigue. Considering the importance of the symptom and the limitations that can cause in PPS patients, it is important to consider a series of variables, so that it can be better understood, thus providing a more effective and specific treatment.

A Poliomielite Anterior Aguda deixou sequelas nos sobreviventes, fazendo-os necessitar de tratamentos contínuos, tornando-os possivelmente vulneráveis na Pandemia por Covid-19. Este trabalho objetiva analisar a prevalência dos fatores de risco para contrair o COVID-19 assim como, desenvolver a forma grave, entre os pacientes com Sequela de Poliomielite e Síndrome Pós Poliomielite(SPP). Foi realizado um estudo epidemiológico com um questionário online abordando questões epidemiológicas, de saúde física e psicoemocional. Para análise utilizou-se o Teste Qui-quadrado. Foram obtidas 383 respostas, divididas em: Sequela de Poliomielite (GP-49%;n=190) e SPP (GSPP-50,4%;n=193). O sexo Feminino e a faixa etária de 50-59 anos foram mais prevalentes em ambos os grupos. Os acometimentos mais frequentes foram a monoparesia (38,9%GP;21,7%GSPP), paraparesia (18,9%GP) e tetraparesia (16,6%GSPP). Quanto às comorbidades 37,4%GP e 37,3%GSPP relataram Hipercolesterolemia; 42,6% GP e 47,1% GSPP Hipertensão e 19,5% GP e 14,5% GSPP Diabetes. Nos aspectos físicos, 57,9% (GP) e 65,8% (GSPP) relataram piora na quarentena e 19,7% (GSPP) e 7,9% (GP) precisam de ajuda externa nas atividades. Os sobreviventes da Poliomielite se apresentam mais vulneráveis a contrair o COVID-19 assim como manifestar a forma grave da doença devido às suas condições físicas prévias e às comorbidades que apresentam.

Among the late effects of poliomyelitis is the Post-Polio Syndrome (PPS), characterized by increased muscle strength loss, abnormal fatigue and pain after a period of stability of at least 15 years. The incidence and prevalence of PPS are unknown in the world and in Brazil, depending on the diagnostic criteria. The diagnosis of PPS is made by exclusion and there is no specific laboratory test, these only help to rule out other diseases. There is no curative treatment for PPS. Its etiology remains unknown. Strategies for their clinical management aim reducing muscle overusing and a balance active lifestyle is recommended to minimize the symptoms.