Feb 6, 2013

Therefore, protein-rich meals may be the best choice for PPS patients.

Polio is caused by a virus that attacks nerve cells and sometimes produces muscle paralysis. It was once a common disease that reached a peak in the 1950s, according to MayoClinic.com. Vaccines were developed that are very effective, and few Americans contract polio today. However, some people who had polio years ago may experience new symptoms of muscle weakness and other changes that constitute post-polio syndrome, also called post-polio sequelae, or PPS. Lifestyle changes that may help relieve symptoms of PPS include conserving strength, avoiding activities that cause pain and eating a diet high in protein. Former polio patients should always consult a doctor before making changes to lifestyle or diet.


According to the New Mobility website, there are 1.8 million polio survivors in North America. Of these former polio patients, 76 percent experience some of the symptoms of PPS. Because of the new muscle weakness that accompanies this condition, many PPS sufferers use assistive devices such as canes, braces and crutches. Using these devices demands more activity from muscles that are often already weak. PPS sufferers require a steady supply of energy to fuel their muscles and are at greater risk for the effects of low blood sugar, according to Dr. Susan Creange at the Post Polio Institute.

In 1998, a national post-polio survey was conducted in the United States. The results indicated PPS patients who ate a low-protein breakfast had more severe weakness and fatigue than those who ate a protein-rich breakfast. According to Dr. Creange, post-polio patients need higher-than-normal levels of blood sugar to support function of the polio-damaged nervous system. Protein is converted into sugar in a steady, slow-release way that keeps the level of blood sugar at a constant, relatively high level. Therefore, protein-rich meals may be the best choice for PPS patients.

According to Dr. Richard Bruno, the best dietary plan for PPS patients is one that includes a healthy, balanced blend of protein and carbohydrate. He states breakfast is a crucial meal to give PPS patients energy to start the day. He describes a "Post-Polio Protein Power Diet" and recommends breakfast should include about 16 g of protein; the recommended daily allowance of protein for a 150-lb. person is 70 g. Each meal or snack later in the day should also contain protein in balance with healthy sources of carbohydrate and low levels of fat. A PPS patient should always check with a doctor before changing diets and should have yearly measurements of blood cholesterol and kidney function.


Dr. Bruno recommends a diet mainly consisting of low-fat sources of protein. Good choices are low-fat cottage cheese, with 28 g of protein and 2 g of fat in 1 cup; egg whites, with 6.8 g of protein and no fat in the white of one egg; salmon, with 17 g of protein and 5 g of fat in 3 oz. Some snack bars may provide suitable options for between meals, many with 15 to 25 g of protein and very low amounts of fat.


Other foods high in protein and moderately high in fat may also be useful in moderation. For example, cheeses such as swiss chess with 8 g of protein and 8 g of fat in 1 oz. may be consumed once in a while. Higher-protein cereals such as oatmeal or some prepared cereals have lots of protein and a modest amount of fat and may also be included. Choices that are not recommended, especially at breakfast, are high-fat meats such as bacon with 17 g of protein but 32 g of fat.Read more:

Post Polio Litaff, Association A.C _APPLAC Mexico

Feb 2, 2013

Management of Postpolio Syndrome

Henrik Gonzalez MD a , Tomas Olsson MD bKristian Borg MD a
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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Postpoliolitaff.- Asociación Post Polio Litaff A.C Primera Organización oficial sobre Síndrome de Post Poliomielitis En México.

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