Fysioterapeuten (Apr 2022)
A study of Medical and Psychosocial Challenges in Immigrants with Poliomyelitis
Abstract
Objective: To explore the health and psychosocial situation among non-Western immigrants to Norway with polio sequelae. Method: A retrospective study was performed in 74 persons, 34 men and 40 women, with the diagnosis poliomyelitis or post-polio syndrome (ICD-10 codes B91 or G14), with immigrant background from non-Western countries, registered in DIPS (digital patient record system) at Sunnaas Rehabilitation Hospital HF, Norway, in the period 2014–2020. Demographic data such as sex, age, country of birth, place of residence, education and occupational status were recorded, in addition to physical, psychosocial function and suggested therapeutic interventions. Results: The selection came from 23 different countries and had a mean age of 44 years. Mean age at acute polio was 2.6 years and post-polio symptoms were reported at mean age of 34 years. Decreased motor function was the predominant cause of referral (45%). Pain, increasing fatigue, anxiety and depression were reported by 40 % as contributing factors to the referral. There was an under-consumption of relevant technical aids and treatment facilities in the group, and more than 80 % were referred for follow-up by orthopedic engineer or physical– and occupational therapists for adaptation of orthoses and technical aids. Conclusion: Immigrants to Norway with polio sequelae reported extensive health and social problems, including fatigue and pain. They were younger than Western polio patients, and they also seemed to have more health and social problems from a younger age. They reported complex medical and psychosocial challenges, which require interdisciplinary assessment and treatment. Health professionals in Norway should have up-to-date knowledge about polio, in addition to having cultural sensitivity and experience in immigrant-specific health issues when dealing with this group.
