China
Africa
Explore chapters and articles related to this topic
Neuroinfectious Diseases
Published in Philip B. Gorelick, Fernando D. Testai, Graeme J. Hankey, Joanna M. Wardlaw, Hankey's Clinical Neurology, 2020
Jeremy D. Young, Jesica A. Herrick, Scott Borgetti
Post-polio syndrome is the onset of functional deterioration after a prolonged period of stability in a patient with a history of polio, and may occur many years after the initial episode. It generally manifests as progressive muscle pain, weakness, wasting, and fatigue. It occurs in about 25–30% of patients who previously experienced paralysis.8 Approximately two-thirds of these patients have another potential contributing cause identified (e.g. osteoarthritis, weight gain, atrophy from lack of use); however, one-third of patients have no other explanation.
Polio
Published in Rae-Ellen W. Kavey, Allison B. Kavey, Viral Pandemics, 2020
Rae-Ellen W. Kavey, Allison B. Kavey
Post-polio syndrome (PPS) is a serious constellation of symptoms that can occur in polio survivors many years after recovery from their initial episode of paralytic poliomyelitis. The syndrome was first described in the 1960s and criteria for diagnosis were established in 1972: (1) prior paralytic poliomyelitis with evidence of motor neuron loss; (2) a period of partial or complete functional recovery after the acute illness, followed by an interval of at least 15 years of stable neuromuscular function; (3) slowly progressive, persistent new muscle weakness or decreased endurance, with or without generalized fatigue, muscle atrophy, or muscle and joint pain; (4) symptoms lasting at least a year; and (5) exclusion of other neuromuscular, medical, and skeletal causes. Approximately half of all patients with paralytic polio go on to develop PPS, with an average time to symptoms from the original polio episode of 35 years. Risk factors for development of PPS include more severe acute poliomyelitis paralysis, older age at acute polio attack, and greater physical activity in the intervening years.93
Central nervous system
Published in Brian J Pollard, Gareth Kitchen, Handbook of Clinical Anaesthesia, 2017
Following a period of stability some patients notice a further deterioration in function, associated with fatigue, joint and muscle pains. This is the post-polio syndrome, is poorly understood and not due to ‘reactivation’ of the polio virus.
A health and lifestyle framework for management of post covid-19 syndrome based on evidence-informed management of post-polio syndrome: a narrative review
Published in European Journal of Physiotherapy, 2022
Elizabeth Dean, Monika Fagevik Olsén
As the post-polio cohort aged, underlying NCDs and their risk factors complicated the clinical picture and course, as well as the diagnosis of post-polio syndrome, largely one of exclusion. Thus, comparable to patients with post-polio syndrome, a focus on overall health, multi-morbidity and NCD risk factors is justifiable. Whether SARS-CoV-2 infection can persist even when the patient is seemingly recovered or whether an individual who has been diagnosed with covid-19 can be re-infected with SARS-CoV-2 is being studied. Even with polio, until recently the virus was believed to be dormant [23]. The implications of this new evidence are yet unclear. Nonetheless, it is prudent that immune status is supported and strengthened in both cohorts by maximising their general health and wellbeing, and that clinicians appreciate that the functional status of patients with either syndrome may be worsened with injudicious interventions including injudicious exercise prescription.
Whole body vibration on people with sequelae of polio
Published in Physiotherapy Theory and Practice, 2019
Carolyn P. Da Silva, C. Lauren Szot, Natasha deSa
Survivors of polio with post-polio syndrome (PPS) present with increased muscle weakness and reduced functional capacity, and they frequently have pain, fatigue, and sleep disturbances (Bruno, 2002; Halstead, 2011; Quiben, 2013). They may have difficulty finding ways in which to exercise for wellness or to maintain bone mineral density due to their weakness or other PPS symptoms. Significant concern has been expressed that exercise can overly fatigue already overused muscles and exacerbate PPS symptoms of pain, fatigue, and increased weakness (Bruno, 2002; Quiben, 2013). People with PPS generally have fewer options for exercise than other people, due to weakness patterns. Little available literature exists about the use of exercise in symptomatic and asymptomatic people with PPS; however, a few small studies have found exercise to be safe and beneficial in this population (Agre, Rodriquez, and Franke, 1997; Chan et al., 2003; Ernstoff, Wetterqvist, Kvist, and Grimby, 1996; Klein et al., 2002; Koopman et al., 2011; Kriz et al., 1992).
Polio survivors perceptions of a multi-disciplinary rehabilitation programme
Published in Disability and Rehabilitation, 2019
Anita Atwal, Helen Duncan, Claire Queally, S. H. Cedar
A significant achievement of world health policy has been the elimination of polio in many countries. However, disability related to polio continues amongst polio survivors. Post-polio syndrome refers to a late complication of the poliovirus infection where new health problems or the exacerbation of existing symptoms occur [1]. The prevalence of post-polio syndrome affecting previous polio patients has been reported to be between 20 and 85% [2,3]. The major clinical features of post-polio syndrome include progressive muscle weakness, increased muscle atrophy, abnormal muscle fatigue, generalised fatigue, muscle and joint pain, muscle cramps, and cold intolerance [4,5]. Symptoms of post-polio syndrome often affect an individual’s performance of activities of daily living, such as bathing, dressing, cooking and housework as well as walking, and climbing stairs [5]. Adaptation can be a difficult process which involves strategies to cope with negative symptoms and reduced capabilities [6].