Post Polio Flashcards
What % of polio is asymptomatic
95%
Polio affects what cells of the spinal cord?
Anterior horn cells
What countries still have wild polio
Afghanistan and Pakistan
Post polio can only happen after a patient has had neurological stability for atleast….
15 years
The onset of typical post polio syndrome happens 30-50 years after polio and is characterized by
New weakness
What is the pattern of weakness in polio
No pattern
For a diagnosis of post polio a person must have had polio confirmed by:
Spinal tap acutely
Giant motor units with EMG
No pattern to weakness
Motor deficits only
What is the typical compensation used by post polio patients
Use of weak muscles at very high levels of capacity (they will fatigue easy)
Use of ligaments for stability (results in hyper mobility)
For a person to receive a 4/5 on an MMT, it means that how many muscle cells remain
40%-10%.
T or F: the unaffected side in patients with post polio is still weaker than age and gender norms
T
Golden rule of post polio
If anything causes fatigue, pain, or weakness
Don’t do it or do much less of it
Goal for patients with PPS
self management
Increasing pain or numbness at night for PPS patients can indicate
Their mattress is too firm
When would we not want to stretch patients with PPS
If those shortened muscles provide stability
Main treatment for patients with PPS
energy conservation techniques
How should patients with PPS lose weight
Diet, it will be hard for them to do enough exercise to lose weight
When working with patients with PPS. Should we put them on warmup machines?
No, only do exercise for the targeted muscles and nothing else
General rule for PPS patients
If muscle is 3/5 and below don’t exercise it
3+ - 4 can be exercised cautiously
4+ can be exercises moderate to vigorously as long as there’s no signs of overuse
What exertion scale is valid to use in PPS patients
Borg
Safe exercises for post polio
Water exercise
Seated
UE bike
Isolated muscles without weights
Self stretching
Modified yoga and tai chi
Potentially unsafe exercises for PPS
riding stationary bike
Walking or jogging, or any stair steppers or ellipticals
Circuit training
Free weights
Aerobic or kickboxing
How should you typically start the exercise dosing for a patient with PPS
50% intensity of non PPS patient with twice as much rest time and go from there
Do essential exercises only
