TY - CHAP M1 - Book, Section TI - Post-Polio Syndrome A1 - Goodman, Catherine A1 - Helgeson, Kevin PY - 2011 T2 - Exercise Prescription for Medical Conditions: Handbook for Physical Therapists AB - This condition is a slowly progressive disorder consisting of muscular atrophy, pain, and fatigue that occurs decades after an acute polio paralytic episode. This syndrome results when the motor neurons that provided re-innervation of muscle fibers begin to prune back their axonal sproutings due to their inability to maintain metabolic activity to the muscle fibers. The loss of muscle innervation results in decreased strength, endurance, and activity. Of those clients who have survived polio, 25% to 40% will experience the effects of post-polio syndrome.1 Loss of lower extremity strength can result in clients overusing their upper extremities to compensate for their loss in function. Clients may begin to be unable to perform daily activities independently and may need to rely more on assistive devices and a wheelchair for mobility. A decrease in daily activities can result in weight gain, which is deleterious for maintaining independence in mobility.2 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - fadavispt.mhmedical.com/content.aspx?aid=1133952240 ER -