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Post-Polio Syndrome (ICF (Physical Factors (Overweight, 55 years old, Use…

- - - - Compensation for the loss of motor neurons causes surviving cells to sprout new nerve-end terminals and connect with other muscle fibers (NINDS, 2012).
        
        Year of overworking muscles cause the nerves to lose ability to tolerate high work demands
        
        Overwork causes slow deteration of nerves leading to muscular loss
        
        Decrease muscular strengh leads to increased cardiovascular demands
        
        Increased fatigue, decreased endurance
        
        Leads to weakness of respiratory muscles
        
        Progressive muscle and joint weakness/pain
      - Respiratory compromise may be present
      - Decreased nerve connection with muscluar fibers causes decreased bone (femur) growth
        
        Length length differences
        
        Scoliosis
- - - - Low-Moderate Intensity
      - Full ROM
    - - Orthotics
      - Assistive Devices
    - - Endurance Training
        
        Stationary Bike
        
        Treadmill Training
    - - NMES
      - FES
    - - Aerobic Training
        
        3-4x/week ; >30 minutes each bout
    - - Self-monitoring/Symptom Exacerbation
- - - - Medical Imaging
        
        CVA
        
        MS
        
        ALS
      - Lab counts
      - Muscle biopsy or Spinal Fluid Analysis
    - - Nerve Conduction Studies
        
        NCV
        
        EMG
      - Pulmonary Function Tests
        
        Functional Vital Capacity
        
        FEV1
      - BMI
        
        Obesity
      - Review of Medical History
        
        Acute Paralytic Poliomyelitis
        
        Progressive decrease in muscular endurance;
        
        Gradual increase in fatigue
        
        Symptoms persistent > 1 year
    - - Anxiety
      - Depression
  - - - Pharmacologic
        
        Oral Pain Medications
        
        Aspirin
        
        Acetomenophin
        
        Ibuprofen
        
        Lamotrigine
      - Static Magnetic Field Therapy
      - Intravenous Immunoglobulin (IVIG) Therapy