RT Book, Section
A1 Goodman, Catherine
A1 Helgeson, Kevin
SR Print(0)
ID 1133952240
T1 Post-Polio Syndrome
T2 Exercise Prescription for Medical Conditions: Handbook for Physical Therapists
YR 2011
FD 2011
PB McGraw-Hill Education
PP New York, NY
SN 9780803617148
LK fadavispt.mhmedical.com/content.aspx?aid=1133952240
RD 2024/04/25
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