babies at 2, 4 and 6 months – immunisation in the form of a diphtheria, tetanus, whooping cough, hepatitis B, polio and Haemophilus influenza type b (Hib) vaccine (6-in-1 vaccine), children at 4 years – a booster dose in the form of a diphtheria, tetanus, whooping cough, polio vaccine (4-in-1 vaccine), children up to and including 9 years of age – catch up immunisation with combination vaccines is available, Aboriginal and Torres Strait Islander people, refugees and asylum seekers from 10 years of age –, people intending to travel to Afghanistan or Pakistan, where polio is still endemic (known as wild poliovirus), people intending to travel to areas where there has been a recent outbreak of circulating vaccine-derived poliovirus (see the, healthcare workers who have been in contact with people who may have had the poliovirus in the past 10 weeks. (2013) 261:235–7. Infections of the Central Nervous System - Page 108 (2006) 38:138–40. (2005) 85:1034–45. The symptomatic management of non-motor symptoms in PPS also has considerable quality of life benefits. IV. Other studies however could not confirm these findings (34). Lancet Neurol. Orthopedics. Silverman AM, Molton IR, Alschuler KN, Ehde DM, Jensen MP. Trojan DA, Collet JP, Shapiro S, Jubelt B, Miller RG, Agre JC, et al. The main indicators for response to IVIg include severe pain, fatigue, <65 years of age, and paresis mainly affecting the lower extremities (194, 195, 198). Miller DC. (2010) 35:167–75. Joining a support group may help. Fatigue is thought to exhibit circadian variations throughout the day (90). doi: 10.1111/j.1600-0404.2009.01315.x, 80. Chung H, Kim J, Park R, Bamer AM, Bocell FD, Amtmann D. Testing the measurement invariance of the University of Washington Self-Efficacy Scale short form across four diagnostic subgroups. Non-motor symptoms of PPS have considerable quality of life implications and are notoriously challenging to manage. Kaponides G, Gonzalez H, Olsson T, Borg K. Effect of intravenous immunoglobulin in patients with post-polio syndrome – an uncontrolled pilot study. Am J Phys Med Rehabil. Found inside – Page 1083Arch Phys Med Rehabil 80:130–135, 1999. Agre JC: The role of exercise in the patient with postpolio syndrome. Ann N Y Acad Sci 753:321–324, 1995. Einarsson G: Muscle conditioning in late poliomyelitis. Two countries are currently polio endemic — Afghanistan and Pakistan. Treatment of patients with postpolio syndrome in a warm climate. Silbergleit AK, Waring WP, Sullivan MJ, Maynard FM. J Rehabil Med. Post-polio syndrome spinal cord pathology. Lebouteux MV, Franques J, Guillevin R, Delmont E, Lenglet T, Bede P, et al. (2018) 31:431–8. (1991) 14:1243–6. Mayo Clin Proc. 28. Tseng WC, Wu ZF, Liaw WJ, Hwa SY, Hung NK. Kosaka T, Kuroha Y, Tada M, Hasegawa A, Tani T, Matsubara N, et al. 114. Pomeroy IM, Tennant A, Young CA. (2004) 85:1174–82. Acta Neurol Scand. doi: 10.1097/00002060-198912000-00002, 167. Postpolio syndrome: poliovirus persistence is involved in the pathogenesis. J Neurol Neurosurg Psychiatry. Borg K, Borg J, Edstrom L, Grimby L. Effects of excessive use of remaining muscle fibers in prior polio and LV lesion. 1. Found inside – Page 341The use of nonfatiguing strengthening exercises in post-polio syndrome. Birth Defects Original Article Ser. ... Strength, endurance, and work capacity after muscle strengthening exercise in postpolio subjects. Arch Phys Med Rehabil. (2016) 74:574–9. 85. Viana CF, Pradella-Hallinan M, Quadros AA, Marin LF, Oliveira AS. 10:773. doi: 10.3389/fneur.2019.00773. (2011) 17:563–4. doi: 10.1016/j.apmr.2003.08.101, 17. Da Silva CP. Clin Rehabil. (2011) 79:408–10. Acta Anaesthesiol Scand. Found inside – Page 25Progressive Disorders When postpolio syndrome has been identified , you should recommend exercises in conjunction with the advice of a physician or therapist . Previously inactive individuals benefit from a baseline fitness assessment ... A neuropsychological study of the postpolio syndrome: support for depression without neuropsychological impairment. Deconditioning of the cardiorespiratory system (145) may limit the effectiveness of aerobic training in PPS (146), therefore aerobic regimens must be carefully tailored to individual fitness levels (147). No specific anti-muscle or anti-neuronal autoantibodies have been associated with PPS (44). doi: 10.1002/mus.880040610, 12. N Engl J Med. J Rehabil Med. Farbu E, Gilhus NE, Barnes MP, Borg K, de Visser M, Driessen A, et al. Front Neurol. doi: 10.1097/MRR.0b013e32835b669b, 112. Dalakas MC. (2018) 63:532–41. Parkinsonism Relat Disord. A good example of this is the poliovirus. Clin Neuropathol. Skeletal muscle biopsies also exhibit inflammatory changes and increased expression of prostaglandin E2 synthetic pathway enzymes (41). doi: 10.2106/00004623-199508000-00002. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). Muscle Nerve. (2009) 60:197–201. They identified no cerebral involvement at all, but selective spinal cord pathology affecting the anterior roots with dorsal root sparing. doi: 10.1016/j.smrv.2011.09.003, 102. Symptoms vary from mild flu-like symptoms to life-threatening paralysis. Adults do not need a booster dose unless they are at special risk. doi: 10.1111/j.1440-1789.2012.01327.x, 110. Scand J Caring Sci. Arch Pathol (Chic). doi: 10.1080/16501970410025135, 72. Table 1. (2015) 7:677–84. Neuropsychiatry Neuropsychol Behav Neurol. Scholz H, Trenkwalder C, Kohnen R, Riemann D, Kriston L, Hornyak M. Dopamine agonists for restless legs syndrome. doi: 10.1016/0022-510X(95)00138-R, 30. Fillyaw MJ, Badger GJ, Goodwin GD, Bradley WG, Fries TJ, Shukla A. Late denervation in patients with antecedent paralytic poliomyelitis. Spinal Cord Gray Matter Imaging in Post Polio Syndrome. Neurology. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (1996) 77 (Pt 7):1469–76. Treatment aims to manage the effects of the disease. Following the introduction of the polio vaccine in the mid-1950s and early 1960s, there has been a dramatic decline in the number of new polio cases and it is estimated to be 99% eradicated today. A large study of 118 participants compared the brain volume profile of 42 PPS patients, 49 multiple sclerosis patients and 27 controls, and no statistically significant volume reductions were identified in PPS (59). Take your cell phone with you on walks. As a result, despite the rarity of acute polio infection in the modern world, PPS is likely to persist for the next few decades. What are the symptoms of piriformis syndrome? Cochrane Database Syst Rev. Ostlund G, Wahlin A, Sunnerhagen KS, Borg K. Post polio syndrome: fatigued patients a specific subgroup? (2011) 2011:CD006009. Silva TM, Moreira GA, Quadros AA, Pradella-Hallinan M, Tufik S, Oliveira AS. doi: 10.1080/09638280801973206. The postpolio syndrome. J Rehabil Med. Muscle Nerve. Less commonly, bulbar dysfunction or respiratory weakness occurs. (1994) 75:498–504. Post-mortem studies are conflicting with regards to cerebral involvement in post-polio syndrome. Sleep Med. Polioenterovirus type 1 is the main cause of meningeal, spinal cord and brain inflammation as it can cross the blood-brain barrier independently from poliovirus receptors (6, 7). 20. Several randomized controlled clinical trials (RCT) were conducted in PPS (Table 1). J Infect Dis. Fundamental questions regarding the neurobiology of the motor neurones previously affected by the poliovirus, the ongoing changes of the reinnervating process, and the potential role of the poliovirus in generating a chronic immune ... For example: It is thought that PPS is caused by the breakdown of ‘sprouts’ (extra nerve branches that formed to compensate for nerves that were destroyed or damaged by the poliovirus). Winds SSW at 10 to 15 mph. doi: 10.1016/j.parkreldis.2008.02.005, 95. Flansbjer UB, Brogardh C, Horstmann V, Lexell J. PMR. Clin Orthop Relat Res. (2007) 68:1680–6. View all
(1994) 26:121–30. doi: 10.1001/jama.261.22.3255, 141. PPS is diagnosed on the basis of: The late effects of polio are not caused by re-infection with the poliovirus, but by a range of factors related to the original polio infection. moderate exercise; massage; physiotherapy; heat treatments; a nutritious diet. Due to the combination of motor disability (88) and non-motor symptoms, many patients engage less in social activities (89) which may lead to social isolation. Arch Phys Med Rehabil. Supervised training is advised in those with significant disability (141). This hypothesis originates from post mortem observations of inflammatory changes in the spinal cord of PPS patients (35, 36). 139. Jubelt B, Cashman NR. doi: 10.1016/S0003-9993(96)90268-3, 134. doi: 10.1136/jnnp-2014-309888, 61. (2008) 38:1266–71. Walters AS, LeBrocq C, Dhar A, Hening W, Rosen R, Allen RP, et al. Instrumental modalities such as ultrasonography and videofluoroscopy (161) and clinical instruments (162) can be used to detect progressive bulbar dysfunction and appraise the risk aspiration. Effects of the use of MIG3 bioceramics fabrics use–long infrared emitter–in pain, intolerance to cold and periodic limb movements in post-polio syndrome. Disabil Rehabil. (2010) 10:8. doi: 10.1186/1471-2377-10-8, 171. (1994) 75:770–7. (2016) 16:23. doi: 10.1186/s12883-016-0544-0, 170. Clinical tests used to assess motor disability include the 6-min walking test (6MWT) (111) at self-preferred speed, the 2-min walking test (2MWT) at maximal speed (112), Timed-Up-and-Go test (TUG) (113), 10 meters walking test (10MWT), Sit-Stand-Sit test (SSS) (114). Bickerstaffe A, Beelen A, Nollet F. Change in physical mobility over 10 years in post-polio syndrome. (1995) 753:296–302. Ann N Y Acad Sci. doi: 10.1590/S0004-282X2010000400011, 123. Acta Anaesthesiol Scand. J Rehabil Med. Sandberg A, Stalberg E. Changes in macro electromyography over time in patients with a history of polio: a comparison of 2 muscles. (2002) 34:191–7. (2005) 27:791–9. doi: 10.1111/j.1399-6576.2004.00566.x, 168. Spencer GT, Reynolds F. Postoperative respiratory arrest in a post poliomyelitis patient. doi: 10.1016/j.apmr.2016.11.012, 180. Treatment with L-citrulline in patients with post-polio syndrome: study protocol for a single-center, randomised, placebo-controlled, double-blind trial. (2015) 23:789–93. Sonies BC, Dalakas MC. Acta Neuropathol. (1991) 14:1209–17. (2016) 40:689–95. doi: 10.1111/j.1471-6712.1999.tb00511.x, 128. Fatigue is thought to be more severe in PPS with RLS, and correlate to the severity of RLS (87). doi: 10.1212/WNL.38.1.99. PPS is characterized by new neurological deficits after a long period of neurological stability, typically at least 15 years after the initial polio infection. Cellular adaptation in the muscles, such as fiber alteration from type II (fast) to type I (slow) (28), changes in contractile properties (29–31), and muscle hypertrophy (9) are likely to contribute to muscular fatigue and myalgia in PPS. Gonzalez H, Khademi M, Borg K, Olsson T. Intravenous immunoglobulin treatment of the post-polio syndrome: sustained effects on quality of life variables and cytokine expression after one year follow up. doi: 10.1212/01.wnl.0000261912.53959.b4, 189. (1988) 1988:145–62. Prospective 15-year study of neuromuscular function in a cohort of patients with prior poliomyelitis. See also disease and sickness. Physiother Theory Pract. doi: 10.1037/rep0000231, 174. J Neuroimmunol. Disabil Rehabil. (2008) 40:387–94. (2015) 289:162–7. 191. Prolonged benefit in post-polio syndrome from comprehensive rehabilitation: a pilot study. Male gender is thought to be a negative prognostic indicator (108), but PPS is more common in females (12). Ann Indian Acad Neurol. Bruno RL, Sapolsky R, Zimmerman JR, Frick NM. A multicenter, randomized, double-blinded trial of pyridostigmine in postpolio syndrome. Changes in muscle morphology, strength and enzymes in a 4-5-year follow-up of subjects with poliomyelitis sequelae. Ann N Y Acad Sci. doi: 10.5414/NPP30111, 55. (2019) 21:101618. doi: 10.1016/j.nicl.2018.101618, 47. (2000) 13:112–8. Prokhorenko OA, Vasconcelos OM, Lupu VD, Campbell WW, Jabbari B. Sensory physiology assessed by evoked potentials in survivors of poliomyelitis. (1987) 3:199–220. doi: 10.2340/16501977-2247, 172. Kaminska M, Browman F, Trojan DA, Genge A, Benedetti A, Petrof BJ. doi: 10.1111/j.1749-6632.1995.tb27555.x, 185. BMC Neurol. doi: 10.1016/j.apmr.2014.01.015, 148. Despite being one of the most devastating neurodegenerative conditions in the world, surprisingly limited research is undertaken in post-polio syndrome. doi: 10.1053/apmr.2000.3890, 107. (2016) 32:32–44. J Neurol. (2010) 89:213–24. (2014) 46:67–72. Rodriquez AA, Agre JC. The estimates of the percentage of polio patients affected by PPS are inconsistent, varying between 20 and 85% (4, 5) depending on the diagnostic criteria applied (2). Eur J Neurol. Arazpour M, Ahmadi F, Bahramizadeh M, Samadian M, Mousavi ME, Bani MA, et al. Eur Respir J. doi: 10.3109/09593985.2013.862890, 89. Prosthet Orthot Int. doi: 10.1080/09638280400020623, 79. (2011) 43:335–41. Cashman NR, Trojan DA. Semin Neurol. Found inside – Page 284Poliomyelitis and the post - polio syndrome : exercise capacities and adaption - current research , future directions , and widespread applicability . Med Sci Sports Exerc 1993 ; 25 : 466–472 . 2. Smith LK , Mabry M. Poliomyelitis and ... Careful prescribing of antibiotics will minimise the emergence of antibiotic resistant strains of bacteria. Neurological manifestations of the post-polio syndrome. doi: 10.1016/S1053-8135(96)00212-0, 4. Araujo MA, Silva TM, Moreira GA, Pradella-Hallinan M, Tufik S, Oliveira AS. Muscle strength is typically appraised by manual muscle testing using the MRC scale, or more objectively using a dynamometer during maximal isokinetic and isometric voluntary contraction. J Neurol Sci. Randomized controlled trial of modafinil for the treatment of fatigue in postpolio patients. Hsu AA, Staats BA. (2015) 22:472–8. J Neuroimmunol. (2005) 64:1070–2. doi: 10.1016/j.clinph.2013.11.003, 15. Arch Phys Med Rehabil. “Sand-watch” spinal cord: a case of inferior cervical spinal cord atrophy. Clin Neurophysiol. (2004) 36:169–76. Sleep disturbances (97) and respiratory function can be formally assessed through polysomnography and pulmonary function tests (PFT) (122, 123). Heim M, Yaacobi E, Azaria M. A pilot study to determine the efficiency of lightweight carbon fibre orthoses in the management of patients suffering from post-poliomyelitis syndrome. A person with post-polio syndrome should discuss bone-density screening with their physician. Immunisation Unit, Department of Health, Victorian Government Email. Renal failure in a patient with postpolio syndrome and a normal creatinine level. The putative link between RLS and neuroimmunological alterations (100, 101) may also suggest shared pathophysiological processes between PPS and RLS (99). Muscle Nerve. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. doi: 10.1016/j.ctim.2015.09.002. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. Trials. (2002) 186:1840–3. The identification of the key “fatigue-factors” in individual patients is indispensable for the effective pharmacological and non-pharmacological management of fatigue. 67. Suppl Clin Neurophysiol. Late effects of polio (including post-polio syndrome) The ‘late effects of polio’ (LEoP) is an umbrella term used to describe symptoms related to a history of poliomyelitis. Perry J, Fontaine JD, Mulroy S. Findings in post-poliomyelitis syndrome. Gonzalez H, Khademi M, Andersson M, Wallstrom E, Borg K, Olsson T. Prior poliomyelitis-evidence of cytokine production in the central nervous system. death – in severe cases, when breathing and swallowing muscles are paralysed. Murray D, Hardiman O, Meldrum D. Assessment of subjective and motor fatigue in Polio survivors, attending a Postpolio clinic, comparison with healthy controls and an exploration of clinical correlates. doi: 10.1002/mus.10327. Disability in a 4-year follow-up study of people with post-polio syndrome. Piriformis syndrome can also be caused by stiffness in the joints between the pelvis and the lower back or pronated (or flat) feet. You are most at risk of infection with the poliovirus if you haven’t been immunised against polio. A double-blind, placebo-controlled trial of high-dose prednisone for the treatment of post-poliomyelitis syndrome. Larsson L, Li X, Tollback A, Grimby L. Contractile properties in single muscle fibres from chronically overused motor units in relation to motoneuron firing properties in prior polio patients. J Neurol Neurosurg Psychiatry. This revised edition of The New Parkinson’s Treatment: Exercise is Medicine is a must read if you, or someone you know, has been diagnosed with Parkinson’s. doi: 10.2340/16501977-0634, 119. (2002) 81(11 Suppl):S148–50. This compression can cause a deep aching pain in the buttock and down the leg (also known as sciatica). doi: 10.1016/j.pmrj.2015.04.001, 165. Arq Neuropsiquiatr. The post-polio syndrome model. Reinnervation in clinically unaffected muscles of patients with prior paralytic poliomyelitis. (1999) 52:643–51. doi: 10.1056/NEJM199109123251101, 37. Julien J, Leparc-Goffart I, Lina B, Fuchs F, Foray S, Janatova I, et al. (1995) 77:1148–53. Neurol Sci. (1992) 73:49–54. Ensuing anterior horn degeneration, and apoptosis post infection has been widely recognized as the hallmark feature of paralytic poliomyelitis. Arch Phys Med Rehabil. Evaluation, treatment, and follow-up results of post polio patients with dysphagia. (2012) 12:157. doi: 10.1186/1471-2377-12-157, 151. JAMA. (2017) 2017:1–10. Bede P, Hardiman O. Front Neurol. (1991) 325:749–55. National Immunisation Program – Department of Health, Australian Government. Oncu J, Durmaz B, Karapolat H. Short-term effects of aerobic exercise on functional capacity, fatigue, and quality of life in patients with post-polio syndrome. An overuse phenomenon. Weinstock LB, Walters AS, Paueksakon P. Restless legs syndrome–theoretical roles of inflammatory and immune mechanisms. doi: 10.2340/16501977-0245, 190. Furthermore, a reduction of physical demands at work and ergonomic adaptations at the workplace not only help PPS patients to maintain their occupational activities but enjoy their work (181). Arch Phys Med Rehabil. PPS is therefore a clinical diagnosis supported by laboratory tests. doi: 10.2174/1874205X01610010077, 13. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. J Neuroinflamm. Post-polio syndrome patients treated with intravenous immunoglobulin: a double-blinded randomized controlled pilot study. Da Silva CP, Szot CL, deSa N. Whole body vibration on people with sequelae of polio. (1995) 753:390–3. A person may develop symptoms within 3 to 21 days of coming into contact with the virus and will be most infectious 7 to 10 days before and after the beginning of symptoms. Maturitas is an international multidisciplinary peer reviewed scientific journal of midlife health and beyond publishing original research, reviews, consensus statements and guidelines. Bartholdi D, Gonzalez H, Borg K, Melki J. Despite the enormous progress in the eradication of the polio virus, 15–20 million people across the world still suffer from the sequelae of the infection (2). doi: 10.1007/s10072-012-0931-2, 82. A double-blind, placebo-controlled trial of amantadine for the treatment of fatigue in patients with the post-polio syndrome. Psychosocial factors and adjustment to pain in individuals with postpolio syndrome. J Rehabil Med. doi: 10.1177/0269215516661225, 150. Physical symptoms may emerge 15 years or more after the first polio infection. (1996) 16:365–70. Romigi A, Franco V, Placidi F, Liguori C, Rastelli E, Vitrani G, et al. The physical activity scale for the elderly (PASE): evidence for validity. Arch Phys Med Rehabil. doi: 10.1177/1545968315600271, 173. Am J Emergency Med. Regular doctors visits are important as we age. (2012) 16:341–54. Dysphagia in patients with the post-polio syndrome. (2017) 31:913–25. (2009) 31:309–17. (2018) 6:2050312118793563. doi: 10.1177/2050312118793563, 90. (2001). Onset may at times follow trauma, surgery, or a period of inactivity. doi: 10.1007/BF00920572, 14. (1992) 32:728–32. Arch Phys Med Rehabil. Am J Phys Med Rehabil. Clin Rehabil. (1991) 39:142–8. doi: 10.1002/mus.24272, 116. There is no specific treatment for LEoP or PPS. Emeryk B, Rowinska-Marcinska K, Ryniewicz B, Hausmanowa-Petrusewicz I. Disintegration of the motor unit in post-polio syndrome. There have been consistent reports of cognitive deficits (83) in PPS including word finding difficulties (84), poor concentration, limited attention, memory impairment (85), and mood disturbances (86). The infected person may or may not have any symptoms, but can still spread the virus. Ongoing denervation can be detected on conventional EMG by the presence of fibrillation and fasciculation potentials and increased jitter on SFEMG in newly weakened muscles (73). Whole body vibration (WBV) has been proposed as an alternative to exercise in PPS (151) and improved mobility was reported in a small study (152), but no improvement was noted in muscle strength or gait performance (153). Overuse of functioning muscle units is thought to induce detrimental structural alterations (27, 28). NeuroRehabilitation. Detection of poliovirus antibodies and poliovirus genome in patients with the post-polio syndrome. (1997) 8:73–81. Respir Med. Marin LF, Carvalho LB, Prado LB, Quadros AA, Oliveira AS, Prado GF. doi: 10.1016/j.sleep.2017.06.025, 92. (2015) 37:2233–7. Physicians diagnose post-polio syndrome after completing a comprehensive medical history and physical examination, and by excluding other disorders that could explain the symptoms. doi: 10.1086/345769. Bede P, Walsh R, Fagan AJ, Hardiman O. Werhagen L, Borg K. Effect of intravenous immunoglobulin on pain in patients with post-polio syndrome. doi: 10.1002/ana.410320605, 35. Strength, endurance, and work capacity after muscle strengthening exercise in postpolio subjects. (2017) 389:1503–4. doi: 10.1016/j.rmed.2005.02.035, 127. During WWII, the family lived in Newport where her father, Ernest, worked at t…. Bruno RL, Galski T, DeLuca J. Otolaryngol Head Neck Surg. These new symptoms are called the ‘late effects of polio’. People with PPS typically undergo detailed spinal imaging to rule out alternative structural, neoplastic, compressive, or inflammatory spinal etiologies which could manifest in lower motor neuron dysfunction (58, 68–70). If you are a polio survivor, make sure this is noted in your medical records and discuss with your doctor what you should watch for given your personal history. Through her years as a trainer, Jodi developed the exercises detailed in this book to bring enjoyment to people of all ages as they moved their bodies to enhance muscular strength, build endurance, and gain many other inherent health ... Fcgamma receptor IIIA polymorphism as a risk factor for acute poliomyelitis. (1990) 30:451–8. The Victorian Government acknowledges Aboriginal and Torres Strait Islander people as the Traditional Custodians of the land and acknowledges and pays respect to their Elders, past and present. Bertolasi L, Frasson E, Turri M, Gajofatto A, Bordignon M, Zanolin E, et al. Fall prevention hints include: Tracy Arabian is the communications officer at SeniorCare Inc., a local agency on aging that serves Gloucester, Beverly, Essex, Hamilton, Ipswich, Manchester-by-the-Sea, Rockport, Topsfield and Wenham. (1996) 75:50–8. Osteoporosis due to prolonged inactivity and immobility. Trojan DA, Cashman NR, Shapiro S, Tansey CM, Esdaile JM. 146. Sandberg A, Stalberg E. How to interpret normal electromyographic findings in patients with an alleged history of polio. 3. Neuropathology. PMR. The effects of long-term non-fatiguing resistance exercise in subjects with post-polio syndrome. Matzke HA, Baker AB. Severity of polio infection. doi: 10.1055/s-2008-1040995, 161. (2017) 98:1158–64. 136. Depression, for example, is … Available online at: https://www.cvppsg.org/wp-content/uploads/2012/02/findingcausesmanagingfatiguepps.pdf, 111. Koopman FS, Brehm MA, Heerkens YF, Nollet F, Beelen A. Vallbona C, Hazlewood CF, Jurida G. Response of pain to static magnetic fields in postpolio patients: a double-blind pilot study. The most common symptoms include: slowly progressive muscle weakness doi: 10.1016/j.jneuroim.2004.01.010, 39. One study identified high titres of PV antibodies concurrently with high levels of regulatory T cells (42), while another study (43) found normal levels of immune complexes in PPS patients. (1995) 753:257–75. Overcoming barriers to work participation for patients with postpoliomyelitis syndrome. Despite its high prevalence, the etiology of PPS remains elusive, mechanisms of progression are poorly understood, and the condition is notoriously under-researched. Found inside – Page 177Post-polio syndrome: Clinical experience with 132 consecutive outpatients. In Halstead LS, Weichers DO (editors): Research and ... The response of the quadriceps femoris to progressive resistance exercises in poliomyelitis patients. (2003) 74:1655–61. doi: 10.1007/s004150050386, 33. Learn more: Mayo Clinic facts about coronavirus disease 2019 (COVID-19) Our COVID-19 patient and visitor guidelines, plus trusted health information Latest on COVID-19 vaccination by site: Arizona patient vaccination updates Arizona, Florida patient vaccination updates Florida, Rochester patient vaccination updates Rochester and Mayo Clinic Health … Natterlund B, Ahlstrom G. Problem-focused coping and satisfaction with activities of daily living in individuals with muscular dystrophy and postpolio syndrome. (2006) 50:580–5. Kriz JL, Jones DR, Speier JL, Canine JK, Owen RR, Serfass RC. (2014) 72:475–6. Brogardh C, Lexell J, Hammarlund CS. Electrophysiological findings in patients with post-polio syndrome. Despite its prevalence, post-polio syndrome remains surprisingly under-researched and poorly characterized. Electromyography (EMG) is an invaluable tool to assess suspected post-polio cases, as it allows the confirmation of a prior history of poliomyelitis while excluding differential diagnoses (71). Evaluation of gait symmetry in poliomyelitis subjects: comparison of a conventional knee-ankle-foot orthosis and a new powered knee-ankle-foot orthosis. A large proportion of polio survivors has been presenting with a constellation of new neurological symptoms that has been described as Post-Polio Syndrome (PPS). Immunisation Program, Department of Health, Victorian Government Tel. De Grandis E, Mir P, Edwards MJ, Bhatia KP. (2015) 86:1089–96. Motoneuron and muscle fiber properties of remaining motor units in weak tibialis anterior muscles in prior polio. Part II. The changing landscape of motor neuron disease imaging: the transition from descriptive studies to precision clinical tools. (2013) 33:93–101. Farbu E, Rekand T, Tysnes OB, Aarli JA, Gilhus NE, Vedeler CA. Eur J Neurol. People who have had polio may experience effects later in life called the late effects of polio, when physical symptoms emerge 15 years or more after the first polio infection. 2. (1999) 53:1225–33. Flansbjer UB, Lexell J, Brogardh C. Predictors of changes in gait performance over four years in persons with late effects of polio. Identified publications were categorized into “academic” papers discussing pathophysiology, genetic susceptibility, biology, and “clinical” papers focusing on diagnostic criteria, management, rehabilitation, and clinical trials. (1996) 77:843–8. Experiences of falls and strategies to manage the consequences of falls in persons with late effects of polio: a qualitative study. Correlation of electrophysiology with pathology, pathogenesis, and anticholinesterase therapy in post-polio syndrome. Spector SA, Gordon PL, Feuerstein IM, Sivakumar K, Hurley BF, Dalakas MC. Cognitive behavioural therapy for reducing fatigue in post-polio syndrome and in facioscapulohumeral dystrophy: a comparison. Skough K, Broman L, Borg K. Test-retest reliability of the 6-min walk test in patients with postpolio syndrome. "The aim of this thesis was to expand the body of knowledge on the diminished aerobic capacity of individuals with post-polio syndrome (PPS). Restless legs syndrome/Willis-Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria–history, rationale, description, and significance. (1991) 54:236–40. Washburn RA, McAuley E, Katula J, Mihalko SL, Boileau RA. Health professionals such as social workers, psychologists or occupational therapists can help you manage any concerns you have due to increased or changing needs brought on by LEoP. Wiechers DO, Hubbell SL. doi: 10.1007/s00415-011-6046-5, 71. Muscle Nerve. Available in the US, Canada, Latin America, and South East Asia (except Japan) only. Not distributed by LWW in Europe. Generalized fatigue is one of the most distressing symptoms of PPS and is likely to be multifactorial due to weight-gain, respiratory compromise, poor sleep, and polypharmacy.
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