9/03/2013

Rehabilitation in Patients with Postpolio Syndrome Should take a Multiprofessional and Multidisciplinary


The Lancet Neurology, Volume 9, Issue 6, Pages 634 - 642, June 2010 doi:10.1016/S1474-4422(10)70095-8Cite or Link Using DOI This article can be found in the following collections: Infectious Diseases (Neurological infections, Infectious diseases-other).

 Neurology (Neurological infections, Neurology-other, Neuromuscular disorders) Management of postpolio syndrome Henrik Gonzalez MD Tomas Olsson MD b, Kristian Borg MD a Summary Postpolio syndrome is characterised by the exacerbation of existing or new health problems, most often muscle weakness and fatigability, general fatigue, and pain, after a period of stability subsequent to acute polio infection.
 Diagnosis is based on the presence of a lower motor neuron disorder that is supported by neurophysiological findings, with exclusion of other disorders as causes of the new symptoms.
 The muscle-related effects of postpolio syndrome are possibly associated with an ongoing process of denervation and reinnervation, reaching a point at which denervation is no longer compensated for by reinnervation. 
The cause of this denervation is unknown, but an inflammatory process is possible.
 Rehabilitation in patients with postpolio syndrome should take a multiprofessional and multidisciplinary approach, with an emphasis on physiotherapy, including enhanced or individually modified physical activity, and muscle training.
 Patients with postpolio syndrome should be advised to avoid both inactivity and overuse of weak muscles. Evaluation of the need for orthoses and assistive devices is often required.
Post Polio Litaff, Association A.C _APPLAC Mexico

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