Cochrane · systematic review · CD007818

Treatment for postpolio syndrome

Koopman, FS, Beelen, A, Gilhus, NE, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Neuromuscular2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
25
current version
GRADE rated
11
No studies
6
Included studies
NR
No studies 6 · 24%Ungraded 8 · 32%Very low 1 · 4%Low 7 · 28%Moderate 2 · 8%High 1 · 4%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

IVIg versus placebo for postpolio syndrome

Population: people with postpolio syndrome
3 questions
OutcomeEffectEvidenceStatus / GRADE
(Change in) Activity limitations ≤ 3 months
IVIg vs placebo
no estimate extracted2 studies · 185 participantsModerate
Downgraded: risk of bias
Activity limitations > 3 months
IVIg vs placebo
no estimate extracted2 studies · 91 participantsLow
Downgraded: risk of bias
Adverse events
IVIg vs placebo
no estimate extracted3 studies · 212 participantsUngraded

Modafinil versus placebo for postpolio syndrome

Population: people with postpolio syndrome
2 questions
OutcomeEffectEvidenceStatus / GRADE
Activity limitations
Modafinil vs placebo
no estimate extracted1 study · 33 participantsHigh
Adverse events
Modafinil vs placebo
no estimate extracted2 studies · 50 participantsUngraded

Pyridostigmine versus placebo for postpolio syndrome

Population: people with postpolio syndrome
2 questions
OutcomeEffectEvidenceStatus / GRADE
Change in activity limitations
Pyridostigmine vs placebo
no estimate extracted1 study · 124 participantsModerate
Downgraded: risk of bias
Adverse events
Pyridostigmine vs placebo
no estimate extracted2 studies · 193 participantsUngraded

Lamotrigine versus control for postpolio syndrome

Population: people with postpolio syndrome
2 questions
OutcomeEffectEvidenceStatus / GRADE
Activity limitations
Lamotrigine vs control
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events
Lamotrigine vs control
no estimate extracted1 study · 30 participantsUngraded

Amantadine versus placebo for postpolio syndrome

Population: people with postpolio syndrome
2 questions
OutcomeEffectEvidenceStatus / GRADE
Activity limitations ‐ not measured
Amantadine vs placebo
no estimate extractedNRNo studies
Adverse events
Amantadine vs placebo
no estimate extracted1 study · 25 participantsUngraded

Prednisone versus placebo for postpolio syndrome

Population: people with postpolio syndrome
2 questions
OutcomeEffectEvidenceStatus / GRADE
Activity limitations ‐ not measured
Prednisone vs placebo
no estimate extractedNRNo studies
Adverse events
Prednisone vs placebo
no estimate extracted1 study · 17 participantsUngraded

Muscle strengthening versus control for postpolio syndrome

Population: people with postpolio syndrome
2 questions
OutcomeEffectEvidenceStatus / GRADE
Activity limitations ‐ not measured
Muscle strengthening vs control
no estimate extractedNRNo studies
Adverse events
Muscle strengthening vs control
no estimate extracted1 study · 10 participantsUngraded

Rehabilitation in cold climate versus usual care for postpolio syndrome

Population: people with postpolio syndrome
5 questions
OutcomeEffectEvidenceStatus / GRADE
Activity limitations at 3 months
Rehabilitation in cold climate vs usual care
no estimate extracted1 study · 53 participantsLow
Downgraded: risk of bias
Activity limitations at 6 months
Rehabilitation in cold climate vs usual care
no estimate extracted1 study · 53 participantsLow
Downgraded: risk of bias
Activity limitations at 3 months
Rehabilitation in cold climate vs usual care
no estimate extracted1 study · 53 participantsLow
Downgraded: risk of bias
Activity limitations at 6 months
Rehabilitation in cold climate vs usual care
no estimate extracted1 study · 53 participantsLow
Downgraded: risk of bias
Adverse events ‐ not measured
Rehabilitation in cold climate vs usual care
no estimate extractedNRNo studies

Rehabilitation in warm climate versus usual care for postpolio syndrome

Population: people with postpolio syndrome
3 questions
OutcomeEffectEvidenceStatus / GRADE
Activity limitations 3 months
Rehabilitation in warm climate vs usual care
no estimate extracted1 study · 57 participantsLow
Downgraded: risk of bias
Activity limitations 3 months
Rehabilitation in warm climate vs usual care
no estimate extracted1 study · 57 participantsLow
Downgraded: risk of bias
Adverse events ‐ not measured
Rehabilitation in warm climate vs usual care
no estimate extractedNRNo studies

Static magnetic fields versus placebo for postpolio syndrome

Population: people with postpolio syndrome
2 questions
OutcomeEffectEvidenceStatus / GRADE
Activity limitations ‐ not measured
Static magnetic fields vs placebo
no estimate extractedNRNo studies
Adverse events
Static magnetic fields vs placebo
no estimate extracted1 study · 50 participantsUngraded