Post-Polio Flashcards
when did post-polio syndrome arise
1970-80
what is the cause of PPS? any theories?
unknown cause
overworked motor units
age related changes imposed on limited motor neuron pools
mutation of polio virus in CSF
immune changes in CSF
after ____ years, recovery occurs. which means
8
the brain has compensated for motor neuron loss by sprouting out from the existing motor neuron
explain pathophysiology of PPS
sprouted nerves from remaining motor neurons in muscles are overworked and slowly degenerate
what muscles will be affected by post-polio syndrome?
new muscle paresis/paralysis in the muscles that were affected by polio infection
what are the clinical manifestations of PPS
muscle paresis/paralysis
fatigue
muscular/joint pain and cramps
cold intolerance
dysphagia
respiratory distress
explain what muscle twitches would be expected to be seen and how they would be found
fasciculations - visually
fibrillations - EMG
explain the contagiousness of PPS
it is not whereas polio is
what is considered before diagnosis of PPS
diagnosis of exclusion
history of polio with a
period of 15 or more years of neurological and functional stability
slow progressive / persistent new muscle weakness or dec endurance
muscle atrophy
muscle or joint pain
what are the medical management options of PPS
no pharm treatments
what are the recommended management strategies of PPS
supervised exercise
adaptive equipment / mobility aids
ADL modification
avoidance of pain causing activities
what interventions are indicated in PPS
education on energy conservation
AE prescription
- equipment that promotes energy conservation
goals of PPS intervention
alleviate/prevent pain
education
maintain/increase QOL
maintain/improve safety
what are the guidelines for exercise and PPS
no intense/heavy resistance ex
no DOMS
low intensity aerobic conditioning
short periods of activity
alternating days
what equipment can be used for aerobic conditioning in those with PPS
stationary bike
treadmill walking
swimming
