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Aerobic Muscle Capacity in PPS.

Completed
Conditions
Postpoliomyelitis Syndrome, Neuromuscular diseases, Fatigue, Skeletal muscle, Aerobic capacityPostpoliomyelitis Syndroom, Neuromusculaire aandoeningen, Vermoeidheid, (Skelet)spieren, Aerobe inspanning
Registration Number
NL-OMON20931
Lead Sponsor
Academic Medical Center (AMC), Department of Rehabiliation
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
60
Inclusion Criteria

Patients: Diagnosis of PPS according to the criteria of March of Dimes (2000)*:

1. A confirmed history of paralytic poliomyelitis characterized by an acute illness with fever and a usually asymmetrically distributed, flaccid paresis of a varying number of muscle groups. Evidence of motor neuron loss on neurological examination with signs of residual weakness, atrophy, loss of tendon reflexes and intact sensation;

Exclusion Criteria

Patients and control subjects:

1. Disabling co-morbidity influencing the outcome parameters (including cardiopulmonary disease like chest pain, arrhythmia, pacemaker, cardiac surgery, severe dyspnoea d’effort or emphysema, epileptic seizures, poorly regulated diabetes mellitus);

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Variables for peripheral muscle properties include:<br /><br>1. Critical torque (Nm);<br /><br>2. Fatigue index (%);<br /><br>3. Rate of torque development/decline (%)These will be determined with maximal voluntary contractions and (submaximal) electrically evoked contractions of the knee extensor muscles. <br><br /><br /><br>Variables for aerobic exercise capacity include:<br /><br>1. VO2peak (ml/min/kg);<br /><br>2. VO2 at anaerobic threshold (ml/min/kg);<br /><br>3. Power output at anaerobic threshold (W);<br /><br>4. Heart rate at anaerobic threshold (bpm).<br /><br>These will be determined during graded exercise testing on a cycle ergometer.
Secondary Outcome Measures
NameTimeMethod
Multiple measures of muscle strength and muscle activation will be determined:<br /><br>1. Maximal Voluntary Contraction (MVC) (Nm);<br /><br>2. Voluntary Activation (%);<br /><br>3. Peripheral fatigue and Central fatigue (%).
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