Anne Carrington Gawne and Lauro S.
The Post-Polio Program, National Rehabilitation Hospital, 102 Irving St., NW, Washington, DC 20010
Critical Reviews in Physical and
Rehabilitation Medicine, 7(2):147-188 (1995)
© 1995 by Begell House, Inc.
Lincolnshire Post-Polio Library copy by kind permission of Dr. Gawne.
|ABSTRACT: Post-polio syndrome (PPS) is a
progressive neuromuscular syndrome characterized by symptoms of weakness,
fatigue, pain in muscles and joints, and breathing and swallowing difficulties.
Survivors of poliomyelitis experience it many years after their initial
infection. Although the etiology for these symptoms is unclear, it may be due
to motor unit dysfunction manifested by deterioration of the peripheral axons
and neuromuscular junction, probably as result of overwork. An estimated 60% of
the over 640,000 paralytic polio survivors in the U.S. may suffer from the late
effects of polio. Their physical and functional rehabilitation care presents a
challenge for practitioners in all disciplines. To evaluate these symptoms, a
comprehensive assessment must be done, as frequently PPS is a diagnosis of
exclusion. Care of the patient with PPS is best carried out by an
interdisciplinary team of rehabilitation specialists. This article reviews the
epidemiology, pathophysiology, characteristics, assessment, and rehabilitation
care of the patient with PPS.
KEY WORDS: poliomyelitis, post-polio syndrome, weakness, fatigue, exercise, pain therapy, respiratory complications.
|IV.||PATHOPHYSIOLOGY IN ACUTE
|V.||PATHOLOGY IN CHRONIC
|VII.||CLINICAL FEATURES OF POSTPOLIO
|X.||EVALUATION OF THE POST-POLIO
|XI.||DIFFERENTIAL DIAGNOSIS AND
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