Adult Neuro: Postpolio Syndrome Flashcards
Adult neuro: postpolio syndrome
What is poliomyelitis? Postpolio syndrome?
Poliovirus attacks motor neurons in the SC and brain resulting in asymmetrical flaccid muscle paresis LE more affected than UE.
in the 80’s, polio survivors developed new weakness (35 years later) in muscles previously affected by polio & in unaffected muscles. Metabolic exhaustion of giant motor units with pruning of axon sprouts to decrease the # of muscle fibers innervated by a single motor unit
Adult neuro: postpolio syndrome
Postpolio Syndrome - Prognosis
Symptoms of PPS slowly progressive
Adult neuro: postpolio syndrome
Postpolio Syndrome – Clinical Manifestations:
- Fatigue: most common, decreased muscular endurance, exhaustion
- New muscle weakness: asymmetric & scattered, muscle atrophy
- Muscle pain: high intensity
- Swallowing dysfunction
- Gait disturbances: vaulting gait
- ADL difficulties
- Respiratory dysfunction
- Sleep disorders
- Cold intolerance
Adult neuro: postpolio syndrome
outcomes measures for postpolio syndrome
- No diagnosis specific measures for postpolio
- TUG, 6-minute walk test
Adult neuro: postpolio syndrome
Exercise recommendations for postpolio syndrome
- Strengthening exercises should be non-fatiguing
- Decrease workload of muscles
- Muscle & Joint Pain
- Psychological considerations