{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T06:27:26Z","timestamp":1786775246256,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2026,8]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Late effects of polio (LEoP) are defined as new symptoms, for example, muscle weakness, fatigue, and pain, occurring many years after an acute polio infection. These impairments can lead to difficulties performing everyday activities (ie, activity limitations) that can reduce a person's ability to take part in society (ie, perceived participation restrictions). Yet, no study has explored how activity limitations are associated with participation restrictions in people with LEoP.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To explore the association between activity limitations and participation restrictions among people with LEoP.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross\u2010sectional descriptive study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Outpatient rehabilitation clinic.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n One hundred two people with LEoP.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n Not applicable.<\/jats:p>\n <\/jats:sec>\n \n Main outcome measure(s)<\/jats:title>\n Canadian Occupational Performance Measure (COPM) assessing performance with everyday activities (COPM Performance) and satisfaction with performance in everyday activities (COPM Satisfaction), and Reintegration to Normal Living Index (RNL\u2010I) assessing perceived participation.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean scores of COPM Performance and COPM Satisfaction with performance were 5.3 and 5.0, respectively, and the mean score for RNL\u2010I was 71.6, indicating mild to moderate disability among the participants. The linear regressions, adjusted for gender and age, showed significant associations between COPM Performance and RNL\u2010I (\n \u03b2<\/jats:italic>\n \u2009=\u20090.024, 95% confidence interval [CI] 0.001\u20130.039,\n p<\/jats:italic>\n \u2009=\u2009.015) and between COPM Satisfaction with performance and RNL\u2010I (\n \u03b2<\/jats:italic>\n \u2009=\u20090.024, 95% CI 0.003\u20130.046,\n p<\/jats:italic>\n \u2009=\u2009.029). Significant associations were also found between the COPM subgroup self\u2010care and the RNL\u2010I subscale Daily functioning.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The results show that people with LEoP perceive activity limitations as well as participation restrictions and that these concepts are only weakly associated. Therefore, during rehabilitation both activity limitations and participation restrictions need to be addressed in people with LEoP. This new knowledge may assist rehabilitation professionals when developing and implementing targeted interventions for people with LEoP.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmrj.70078","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T21:24:48Z","timestamp":1773005088000},"page":"893-901","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations between activity limitations and participation restrictions in people with late effects of polio"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3857-0183","authenticated-orcid":false,"given":"Nilla","family":"Andersson","sequence":"first","affiliation":[{"name":"Department of Health Sciences Lund University Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Appelin","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Lund University Lund Sweden"},{"name":"Department of Neurology, Rehabilitation Medicine, Memory disorders, and Geriatrics Sk\u00e5ne University Hospital Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5294-3332","authenticated-orcid":false,"given":"Jan","family":"E Lexell","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Lund University Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7243-4348","authenticated-orcid":false,"given":"Eva","family":"M\u00e5nsson Lexell","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Lund University Lund Sweden"},{"name":"Department of Neurology, Rehabilitation Medicine, Memory disorders, and Geriatrics Sk\u00e5ne University Hospital Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Essentials of Physical Medicine and Rehabilitation","author":"Lexell J","year":"2019"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.26168"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20259"},{"key":"e_1_2_11_5_1","unstructured":"The Association for Persons with Injuries from Accidents (RTP). 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