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Self-perceived mobility in immigrants in Sweden living with the late effects of polio

Journal article
Authors Helena Selander
Felicia Kjellgren
Katharina S Sunnerhagen
Published in Disability and Rehabilitation
ISSN 0963-8288
Publication year 2019
Published at Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
Language en
Keywords driving, independence, mobility, Poliomyelitis, transport
Subject categories Health Sciences

Abstract

© 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Purpose: To investigate outdoor mobility of immigrants in Sweden who are living with the late effects of polio. Materials and methods: A total of 145 patients with late effects of polio born outside the Nordic region were identified at an outpatient polio clinic. Of these, 74 completed a questionnaire about their mobility and independence in daily life, self-perceived pain and depression, vocational status, mobility assistive devices/aids, transportation modes and driving. Patient characteristics were based on medical records supplied by physicians. Results: Twice as many patients had lower extremities that were affected by polio than upper extremities. This affected their use of different transport modes and caused mobility and transfer problems. Indeed, 39% needed mobility aids and help from another person to move outdoors. Those who reported dependence for outdoor mobility were more often unemployed and more often depressed. Conclusions: Many respondents reported having difficulties with transport mobility, but a large proportion, 57%, were independent and active drivers. It is important to consider outdoor mobility when planning rehabilitation for patients with late effects of polio and foreign backgrounds. In addition to psychosocial factors, dependence on mobility-related activities can lead to dependency and isolation.Implications for rehabilitation Outdoor mobility and access to transport modes are important for independence and an active life and need to be included in the rehabilitation process. Both personal and environmental factors, can contribute to mobility problems of people with foreign backgrounds, who are living with the late effects of polio. Factors such as cultural, social and gender aspects are important when planning suitable and individualized rehabilitation.

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