Which signs are indicative of post polio syndrome




















Barnhart M, Rhines R. Distribution of lesions of the brain stem in poliomyelitis. Arch Neurol Psychiatry. A study of the midbrain. Luhan JA.

Epidemic poliomyelitis; some pathologic observations on human material. Arch Pathol Chic. Miller DC. Post-polio syndrome spinal cord pathology. Case report with immunopathology. Concomitant CNS pathology in a patient with amyotropic lateral sclerosis following poliomyelitis in childhood.

Clin Neuropathol. Amyotrophic lateral sclerosis in an adult following acute paralytic poliomyelitis in early childhood. Acta Neuropathol. Bede P, Hardiman O. Lessons of ALS imaging: pitfalls and future directions — a critical review. The changing landscape of motor neuron disease imaging: the transition from descriptive studies to precision clinical tools.

Curr Opin Neurol. Spinal cord imaging in amyotrophic lateral sclerosis: historical concepts-novel techniques. Front Neurol. Brain volume and fatigue in patients with postpoliomyelitis syndrome. Presymptomatic and longitudinal neuroimaging in neurodegeneration—from snapshots to motion picture: a systematic review. Halstead LS. Assessment and differential diagnosis for post-polio syndrome. March of Dimes. Farbu E. Update on current and emerging treatment options for post-polio syndrome.

Ther Clin Risk Manag. Intravenous immunoglobulin treatment of the post-polio syndrome: sustained effects on quality of life variables and cytokine expression after one year follow up. J Neuroinflamm. Morphologic changes in the muscles of patients with postpoliomyelitis neuromuscular symptoms. Muscle adaptive changes in post-polio subjects. Revisiting the spectrum of lower motor neuron diseases with snake eyes appearance on magnetic resonance imaging.

Waterskier's Hirayama syndrome. How to interpret normal electromyographic findings in patients with an alleged history of polio. Motor unit size estimation of enlarged motor units with surface electromyography. Electrophysiology and electrodiagnosis of the post-polio motor unit.

On AY, Sungur U. Patients with post-polio syndrome are more likely to have subclinical involvement as compared to polio survivors without new symptoms. Ann Indian Acad Neurol. Electrophysiologic study of the quadriceps muscles during fatiguing exercise and recovery: a comparison of symptomatic and asymptomatic postpolio patients and controls.

Electromyographic and neuromuscular variables in unstable postpolio subjects, stable postpolio subjects, and control subjects. Late denervation in patients with antecedent paralytic poliomyelitis. Strength and endurance of knee extensors in subjects after paralytic poliomyelitis. Disabil Rehabil. Dysphagia and dysphonia among persons with post-polio syndrome - a challenge in neurorehabilitation.

Acta Neurol Scand. Laryngeal function in postpolio patients. Risk factors for post-polio syndrome among an Italian population: a case-control study. Neurol Sci. Sensory physiology assessed by evoked potentials in survivors of poliomyelitis. The neuropsychology of post-polio fatigue. Word finding difficulty as a post-polio sequelae. Am J Phys Med Rehabil. A neuropsychological study of the postpolio syndrome: support for depression without neuropsychological impairment. Neuropsychiatry Neuropsychol Behav Neurol.

Pathophysiology of a central cause of post-polio fatigue. Restless legs syndrome and post polio syndrome: a case-control study.

Assessment of subjective and motor fatigue in Polio survivors, attending a Postpolio clinic, comparison with healthy controls and an exploration of clinical correlates. Physiother Theory Pract. Duncan A, Batliwalla Z. Growing older with post-polio syndrome: social and quality-of-life implications. Circadian variation of fatigue in both patients with paralytic poliomyelitis and post-polio syndrome.

Arq Neuropsiquiatr. Restless legs syndrome is highly prevalent in patients with post-polio syndrome. Sleep Med. Restless legs syndrome in post-polio syndrome: a series of 10 patients with demographic, clinical and laboratorial findings.

Parkinsonism Relat Disord. Restless legs syndrome in patients with sequelae of poliomyelitis. Restless legs may be associated with the post-polio syndrome. Mayo Clin Proc. Respiratory function during wakefulness and sleep among survivors of respiratory and non-respiratory poliomyelitis.

Eur Respir J. Sleep disorders frequency in post-polio syndrome patients caused by periodic limb movements. Romigi A, Maestri M. Circadian fatigue or unrecognized restless legs syndrome? The post-polio syndrome model. Circadian variation of fatigue in paralytic poliomyelitis and postpolio syndrome: just fatigue or masked restless legs syndrome?

Comparative sleep disturbances in myotonic dystrophy types 1 and 2. Curr Neurol Neurosci Rep. Restless legs syndrome—theoretical roles of inflammatory and immune mechanisms. Sleep Med Rev. A patient with postpolio syndrome developed cauda equina syndrome after neuraxial anesthesia: a case report. J Clin Anesthesia. Renal failure in a patient with postpolio syndrome and a normal creatinine level. Am J Emergency Med.

Disability in a 4-year follow-up study of people with post-polio syndrome. Change in physical mobility over 10 years in post-polio syndrome. Changes in strength over time among polio survivors. Predictors of changes in gait performance over four years in persons with late effects of polio.

Men with late effects of polio decline more than women in lower limb muscle strength: a 4-year longitudinal study. A fatal neuromuscular disease in an adult patient after poliomyelitis in early childhood: consideration of the pathology of post-polio syndrome.

Nollet F, Trojan DA. Finding causes of and managing fatigue in PPS. Test-retest reliability of the 6-min walk test in patients with postpolio syndrome. Int J Rehabil Res. SF36 physical functioning scale and 2-minute walk test advocated as core qualifiers to evaluate physical functioning in patients with late-onset sequelae of poliomyelitis.

Podsiadlo D, Richardson S. J Am Geriatr Soc. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test.

Phys Ther. Quantitative muscle ultrasound and quadriceps strength in patients with post-polio syndrome. Measuring fatigue in polio survivors: content comparison and reliability of the Fatigue Severity Scale and the Checklist Individual Strength. The physical activity scale for the elderly PASE : evidence for validity.

J Clin Epidemiol. Post polio syndrome: fatigued patients a specific subgroup? Multidimensional fatigue inventory and post-polio syndrome - a Rasch analysis. Health Qual Life Outcomes. Testing the measurement invariance of the University of Washington Self-Efficacy Scale short form across four diagnostic subgroups.

Qual Life Res. Analysis of sleep characteristics in post-polio syndrome patients. Currents issues in cardiorespiratory care of patients with post-polio syndrome.

Non-invasive assessment of respiratory muscle strength in patients with previous poliomyelitis. Respir Med. Natterlund B, Ahlstrom G. Problem-focused coping and satisfaction with activities of daily living in individuals with muscular dystrophy and postpolio syndrome. Scand J Caring Sci.

Workplace disability management in postpolio syndrome. J Occup Rehabil. Cardiopulmonary endurance training also is helpful. Exercise should be considered under the supervision of an experienced health professional. Mobility aids, ventilation equipment, and revising activities of daily living activities can help to avoid rapid muscle tiring and total body exhaustion.

Counseling may help individuals and families adjust to the late effects of poliomyelitis. Support groups that encourage self-help, group participation, and positive action can be helpful. Lifestyle changes, such as weight control, the use of assistive devices, and taking certain anti-inflammatory medications, may help with some of the symptoms of PPS. NIH is the leading supporter of biomedical research in the world. Scientists are working on a variety of investigations that may one day help individuals with PPS.

Some basic researchers are studying the behavior of motor neurons many years after a polio attack. Others are looking at the mechanisms of fatigue and are trying to learn more about its possible causes. Researchers also are developing and refining interventions to help people with chronic conditions more effectively manage fatigue and sleep disturbances. Determining if there is an immunological link in PPS also is an area of interest. Researchers who discovered inflammation around motor neurons or muscles are trying to find out what causes this immunological response.

Some of these have, or will develop, post-polio syndrome. It's not known exactly how many polio survivors are or will be affected by post-polio syndrome. The exact cause of post-polio syndrome is unclear. It's not known whether anything can be done to prevent it. The leading theory is that it's the result of the gradual deterioration of nerve cells in the spinal cord motor neurones that were damaged by the polio virus. This would explain why the condition can take years to appear.

Post-polio syndrome isn't contagious. The theory that the polio virus may lie dormant in your body, causing post-polio syndrome when it becomes reactivated at a later stage, has been disproven. It's not clear why only some people who've had polio develop post-polio syndrome. This promotes recovery of the use of your muscles, but it also pushes the nerve cell body to nourish the additional fibers.

Over the years, this stress may be more than the neuron can handle, leading to the gradual deterioration of the sprouted fibers and, eventually, of the neuron itself. Post-polio syndrome is rarely life-threatening, but severe muscle weakness can lead to complications:.

Malnutrition, dehydration and pneumonia. People who've had bulbar polio, which affects nerves leading to muscles involved in chewing and swallowing, often have difficulty with these activities and have other signs of post-polio syndrome.

Chewing and swallowing problems can lead to inadequate nutrition and to dehydration, as well as to aspiration pneumonia, which is caused by inhaling food particles into your lungs aspirating. Chronic respiratory failure. Weakness in your diaphragm and chest muscles makes it harder to take deep breaths and cough, which can cause fluid and mucus to build up in your lungs. Obesity, smoking, curvature of the spine, anesthesia, prolonged immobility and certain medications can further decrease your breathing ability, possibly leading to a sharp drop in blood oxygen levels acute respiratory failure.

You might then need treatment to help you breathe ventilation therapy.



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