Post Polio

Question 1

describe polio

Answer 1

Acute flaccid myelitis (AFM)

Destruction of anterior horn cells and brainstem

Question 2

What kind of disease is polio

Answer 2

LMN disease causing flaccid paralysis

Question 3

Physio process of strength recovery

Answer 3

Neurons develop terminal axon sprouts to reinnervation muscle fibers that turn out 5x big and giant

Question 4

Recovery %

Answer 4

50% in first 3 months and 75% in first 6 months

Question 5

Criteria Dx of post polio

Answer 5

Previous Dx with full or almost full recovery
15 years neurologically stable
New Sx

Question 6

Pain due to

Answer 6

Overuse

Question 7

Main new Sx

Answer 7

Cold intolerance
Fatigue
Weak
Function loss

Question 8

Functional issues

Answer 8

Gait (steppage gait common)
Muscles work at full capacity —> compensation
Increased energy expenditure

Question 9

Clinical features of post polio (7)

Answer 9

1- asymmetrical muscle weak
2- overuse
3- compensation and substitution (loftstrand crutches)
4- muscle imbalance and joint issues
5- postural alignment issues
6- pain
7- increased energy expenditure during functional activities

Question 10

Psychosocial issues

Answer 10

Relief and despair with Dx
Childhood experience
Compulsive
Hide body and weaknesses
Overly push to fatigue

Question 11

3 keys of treatment

Answer 11

Physical activity
Individualized program!!!!!
Lifestyle mods

Question 12

Other treatments (7)

Answer 12

Joint protection
Pain mgmt
Breathing exercises
Postural exercises
Teach them to listen to their body (know when fatigue/pain starts)
Weight loss
Assistive device/orthoses mgmt

Question 13

Increase VO2 max
No overuse issues
Decreased HR with submax exercise
3x/week
No negative effects

Answer 13

Aerobic exercise is shown to do these things

Question 14

Exercise guideline for post polio (5)

Answer 14

Submax workload
Warm environment
Avoid overuse 
Have warm up and cold down
Rest/alternate days 
INDIVIDUALIZED PROGRAM

Question 15

Other interventions

Answer 15

Non swimming aquatics
YOGA
BWSTT
group sessions for those with post polio

Question 16

No clinical polio

Answer 16

Class 1

Question 17

Severely strophic polio

Answer 17

Class 5

Question 18

Clinically unstable polio

Answer 18

Class 4

Question 19

Subclinical polio

Answer 19

Class 2

Question 20

Clinically stable polio

Answer 20

Class 3

Question 21

Strength levels for polio classification

Answer 21

1= normal
2= 4/5 - 5/5
3= 3/5 - 4/5 maybe atrophy 
4= 2/5 - 4/5 def atrophy
5= 0/5 - 2/5

Question 22

Limb muscles affected most severely by acute poliomyelitis and showed little recovery

Answer 22

Class 5

Question 23

no history of past or new weakness

Answer 23

Class 1

Question 24

History of prior decrease in strength during acute polio with subsequent improvement

Answer 24

Class 3

Question 25

No history of past or new weak

If they got affected, they recovered

Answer 25

Class 2

Question 26

Recent onset of weak or decreased function of limb that was affected less affected before

Answer 26

Class 4

Question 27

Goal = to prevent further weak or improve status of limbs through energy conservation techniques

Answer 27

Class 4

Question 28

Exercise usually contraindicated

Answer 28

Class 4

Question 29

Goal = energy conservation and joint protection

Answer 29

Class 5

Question 30

What’s the goal of class 2 polio?

Answer 30

Increase strength and promote fitness

Question 31

For 3/5 MMT in class 3, what do u do?

Answer 31

Exercise from how they normally use the limb might be fine- have to pace and avoid fatigue