2.23 PPS Flashcards

1
Q

Who developed first polio vaccines?

A

Salk and Sabin

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2
Q

polio transmission

A

fecal/oral

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3
Q

iron lung

A

creates negative pressure to help them breathe

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4
Q

Salk’s vaccine

A
  • dead virus (currently, we get this one in first world)

- not as stable, not a good shelf life

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5
Q

Sabin’s vaccine

A
  • attenuated virus
  • used more in underdeveloped areas now
  • takes 3 doses to get full immunity
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6
Q

What structure is affected with polio? Why is this problematic?

A
  • anterior horn cells affected

- during growth, need muscle growth to help strengthen bones and make them grow

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7
Q

Prior to vaccines, what was treatment for polio?

A
  • treatments initially didn’t do well, mostly wait and see

- used a lot of bracing

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8
Q

What do we usually treat nowadays?

A

post polio syndrome, not true polio

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9
Q

If a post polio patient is below 3/5 strength, what must be done for treatment?

A
  • must go slower (isometric, AAROM)
  • don’t just make them do a ton right off the bat, can do a lot of damage
  • SLOWLY build up strength
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10
Q

results of polio

A
  • scoliosis

- a lot of postural issues

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11
Q

Why did people get strong in certain muscles after having polio?

A

peripheral nerve regeneration

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12
Q

With polio, what happens when there’s a nerve still working, but it’s not getting enough activation?

A

collateral sprouting of nerves » giant motor units (GMUs)

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13
Q

Problem with collateral sprouting and GMUs in polio survivers

A
  • these begin to fail for polio survivors, don’t know why
  • like putting too many plugs into one outlet, overloaded
  • may or may not have an effect on the person
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14
Q

What must be considered with any new weakness in a polio survivor?

A

post polio syndrome

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15
Q

orthopedic issues with polio survivors

A

There will be a lot of orthopedic issues (aside from weakness) depending on how bad the polio was the first time

  • Long term bracing, crutch use
  • carpal tunnel, hand deformities, shoulder laxity, etc.
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16
Q

The typical polio survivor is (personality)

A
  • type AAAA go getters

- don’t like to take no for an answer

17
Q

If a post-polio patient is below 3/5 strength, what type of strengthening should be done?

A
  • isometrics
  • need to be in a biomechanically correct position to do isometrics
  • align them as much as possible to norms (esp if laxity)
18
Q

How often will you see a post-polio pt?

A
  • depends on severity

- Won’t usually see them a ton

19
Q

Pushing to fatigue in a post-polio patient with weakness

A
  • will make muscles “go bye bye”
  • More is no longer better for them
  • Taking a step back from what they’ve done their entire lives
20
Q

What may result from the cognitive issues that may be seen in post-polio?

A

may need a nap to reset their body so they can keep going

21
Q

What are the 5 P’s

A
  • planning
  • prioritizing
  • pacing
  • position
  • power
22
Q

What are the 5 P’s for?

A

energy conservation

23
Q

planning

A
  • day, week
  • being realistic about their day and what they can do
  • fatigue muscles/brain, put at risk for injury or fall
24
Q

prioritizing

A
  • What has to be done? (is it a want or a need)

- may need to delegate some tasks

25
Q

pacing

A
  • spreading out of activities, not rushing

- maintain energy throughout the day

26
Q

position

A
  • Can I do a task in a position that I normally wouldn’t do it in to save energy
  • i.e. sitting down to take a shower, brush teeth, etc.
  • proper positioning of joints during exercise
27
Q

power

A
  • (powered mobility and giving back power)
  • giving them back some of their power
  • may have to take some ambulation away from some
  • generally very difficult to talk them into something like this (once they get talked into it, they are typically happy with it)
28
Q

example of giving back power

A

switching from metal/leather KAFO to thermoplastics