Ability and perceived difficulty in daily activities in people with poliomyelitis sequelae

Polio involvement and its relation to ability in terms of independence and perceived difficulty in activities in daily living (ADL) were studied in ou tpatients (median age 57 years) with poliomyelitis sequelae (n = 133). The use and need of assistive devices and housing conditions were recorded. The subjects had a high degree of independence in personal ADL, whereas more t han 50% were dependent on cleaning, shopping and transportation. A consider able number of subjects independent in ADL reported difficulties in daily a ctivities. The majority of-interventions in the form of housing adaptation and assistive devices were provided for persons severely weakened by polio. Ratings of perceived difficulty indicated need of interventions to prevent overload and increased dependence in ADL. However, about half of the recom mended mobility assistive devices were rejected. The results indicate that polio subjects try to maintain their independence despite perceived difficu lties and may be reluctant to use assistive devices.