Post Polio Residual Paralysis

Post Polio Residual Paralysis

INTRODUCTION:-

Post polio syndrome or the PPS is a neurologic disorder that produces a cluster of symptoms in individuals who had acute paralytic poliomyelitis usually 30 to 50 years earlier.

The syndrome itself can be hard to diagnose unless other musculoskeletal or neurologic components are present.

 

Risk Factors:

Several risk factors predispose to the development of PPS.

One is the severity of the polio and resulting paralysis, another is the age at onset of the poliomyelitis. Acute poliomyelitis in adolescents and adults is more severe than in infants and small children, and the former patients are more likely to develop PPS.

Another risk factor is the amount of recovery; the greater the recovery, the more likely PPS will occur, suggesting that reinnervation is unable to be maintained 30 to 40 years later. In those who do recover totally or partially, excessive exercise or overuse appears to predispose them to PPS.

 

Signs and symptoms:

  • Progressive weakness

  • Fatigue: the most prominent manifestation, occurring in up to 80% of patients

  • pain of muscles and/or joints

  • muscle atrophy

  • breathing and swallowing difficulties

  • sleep disorders

  • cold intolerance

  • Fasciculation and cramps without weakness

  • muscle pseudo hypertrophy

  • tingling Paresthesias

  • psychological stresses

 

Possible etiology of the post-polio syndrome:

  • Chronic poliovirus infection.

  • Death of remaining motor neurons with normal aging, coupled with the previous loss from poliomyelitis.

  • Genetic predisposition of motor neurons to both poliomyelitis and premature degeneration.

  • Premature aging of cells permanently damaged by poliovirus.

  • Premature aging of remaining normal motor neurons due to an increased metabolic demand (increased motor unit size after poliomyelitis).

  • Poliomyelitis-induced vulnerability of motor neurons to secondary insults.

 

Treatment:-

  • Medical problems.

  • Respiratory insufficiency or failure: administer pneumovax and influenza vaccines, eliminate smoking, treat obstructive disease, assist ventilation.

  • Treat secondary cardiac failure.

  • Treat other complicating medical problems: anemia, thyroid disease, obesity, and others.

  • Excessive fatigue.

  • Institute energy conservation measures.

  • Provide pharmacologic treatment: amantadine, pyridostigmine, amitriptyline, pemoline.

  • Sleep disturbances.

  • Support respiratory insufficiency.

  • Treat sleep apnea.

  • Musculoskeletal pain and joint instabilities.

  • Decrease mechanical stress on joints and muscles with lifestyle changes: weight loss, decrease activities causing overwork, return to using assistive devices (including orthoses, wheelchairs, adaptive equipment).

  • Prescribe anti-inflammatory medications, heat, massage.

  • Evaluate and, infrequently, surgically repair orthopedic problems.

  • Muscle weakness — stable or progressive.

  • Avoid overwork of weakened muscle

  • Decrease stress on muscles and joints.

  • Institute stretching exercises.

  • Prescribe no fatiguing (submaximal, short duration) strengthening exercises.

DETAILED TREATMENT :- Kindly contact Physioline for the detailed assessment and treatment program which is individualised according to every patient.

Paralysis Patients get Combination Therapy

Physioline, a specialized physiotherapy and rehabilitation center of international repute in Manish Nagar, Andheri west, Mumbai introduced world’s best treatment protocol for the paralytic patients called Combination therapy. As the name suggests it is a combination of an array of therapies for the paralytic patients. Physioline in India is the first to bring such a intensive and result oriented treatment protocol of global standards right at your door step pioneered by Dr Sanjay Bakhshi, the founder and chief physiotherapist and rehabilitation consultant. 

Combination therapy consists of the usage of specialized and sophisticated electronic equipment from Germany namely ‘Mentamove’ in adjunction with all the best approaches and techniques used world wide for the treatment of paralysis, all which are FDA approved German & US Equipment. 

Combination therapy works on the principal of ‘Neuro-Plasticity’ i.e. the ability of the brain to reorganize its neuronal networks so that it functions by experience thus helping to relearn and adapt to new conditions. This  therapy can be used in the treatment of most of the causative factors of paralysis, to mention a few paralyses due to stroke,Facial Paralysis post-op for brain tumors, cranio cerebral trauma, spinal cord injuries, multiple sclerosis cerebral palsy etc. This form of therapy promises recovery at a faster pace with success rates scaling as high as 99% and with absolutely no side effects as well as a fair reduction in the cost of illness and medications.

With this innovative concept, the success ratio soars as high upto 99.99% in neurological conditions and 100% pain relief in orthopedic conditions. This has rewarded them with satisfied patients over the years. 

The overall goal of treatment or management at Physioline is to cater to the health needs of patients and strive hard to enhance their capacity to function and remain as independent as possible. The endeavor to be the best in the field has prompted Dr Sanjay Bakhshi to constantly look for new ways to improve the results for the patients. With each new patient he and his team try to gain greater knowledge for guiding the successful recovery of future patients with similar impairments and diseases. 

Post Polio Residual Paralysis

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