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Post-Polio Syndrome (PPS) (PT eval (Ambulation, Reflexes, Strength,…
Post-Polio Syndrome (PPS)
ICF
Personal factors
55 y.o. man
Diagnosed with polio at 7 y.o.
22 pounds overweight
Walks with long leg brace
Uses cane
Motivated to improve health status
Non-smoker
PMH of ventilatory compromise
Sedentary job
Participation
Difficulty exercising
Unable to participate in sport/recreation
Unable to grocery shop
Body function/structure
Decreased strength
Decreased endurance
3cm leg length discrepancy
SOB
Moderatley severe scoliosis
Increased Pain
Environmental factors
Lives with wife and two children
Lives in small home
Activities
Difficulty walking long distances
Difficulty ascending/descending stairs
Difficulty getting up in am
PT intervention
PT Ed
Energy conservation
Ambulation
Low-intensity strengthening
Breathing techniques
Stretching
Submax aerobic training
Aquatic Therapy
Orthotic trial
Supplemental O2
Risk factors
Severity of initial polio
Age of onset of polio
Excessive physical activity
Recovery of polio
Poliomyelitis
Infectious viral disease that affects children
affects the nervous system
Damages or destroys neurons
Neuron shortage
Neuron sprouting
Deterioration of nerve fibers
Can cause paralysis
small ribonucleic acid (RNA) virus
enters the nervous system
crossing the blood brain barrier
axonal transportation from peripheral nerve
nerve cells undergo central chromatolysis
inflammatory reaction while multiplication of the virus
Gliosis post inflammation
Surviving neurons show full recovery
symptoms
Vomiting
fever
headache
stiffness in neck
painful limbs
paralysis
PT eval
Ambulation
Reflexes
Strength
Sensation
ROM
Auscultation
Functional Mobility
Patient goals/limitations
Scoliosis assessment
Orthotic evaluation
Breathing assessment
Medical management
Diagnosis
EMG / Nerve conduction velocity test
MRI/CT scan R/O spinal disorders
Muscle biopsy
Blood tests
Gradual onset of weakness
Previous diagnoses of Polio
Medications
Pain relievers
Muscle relaxers
Prevention
Vaccine
Definition
a condition that affects polio survivors years after recovery from an initial acute attack of the poliomyelitis virus
Pathophysiology
Compensatory neuronal sprouting during polio recovery
Enlarged motor units easily fatigued
15+ years later, Gradual deterioration of motor units
Neurons deteriorate
Fatigue, weakness, loss of function
Slow progression, periods of plateau and decline
Overwork weakness can exacerbate
Complications
Difficulty swallowing = malnutrition and pneumonia
Chronic respiratory failure
Falls
Osteoporosis
Severe muscle weakness
Symptoms
Muscle atrophy
Weakness
Breathing/swallowing problems
Muscle and joint pain
Decreased exercise tolerance
Aubrey Elstad
Leticia Antunes Neil Toussaint
Jessica Nguyen
Joseph Dubato