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Polio/ Post-Polio syndrome 

Post-polio syndrome is a group of potentially disabling signs and symptoms that appear decades after the initial polio illness. These signs and symptoms usually appear between 30 to 40 years after having polio. Post-polio syndrome only affects people who have had polio.

Common signs and symptoms of post-polio syndrome include:

  • Muscle and joint weakness and pain that gets worse over time

  • Feeling easily fatigued and exhausted

  • Losing muscle tissue (atrophy)

  • Breathing or swallowing problems

  • Sleep-related breathing disorders, such as sleep apnoea

  • Decreased tolerance of cold temperatures

 

Post-polio syndrome progresses slowly in most people. They may experience new signs and symptoms followed by periods of stability.

Risk factors

 

Factors that can increase your risk of developing post-polio syndrome include:

  • Severity of initial polio infection. The more severe the initial infection, the more likely that you'll have signs and symptoms of post-polio syndrome.

  • Age at onset of initial illness. If you developed polio as an adolescent or adult rather than as a child, your chances of developing post-polio syndrome increase.

  • Recovery. The greater your recovery after acute polio, the more likely it seems that post-polio syndrome will develop. This may be because greater recovery places additional stress on motor neurons.

  • Excessive physical activity. If you often exercise to the point of exhaustion or fatigue, you might overwork already stressed-out motor neurons and increase your risk of post-polio syndrome.

Physiotherapy 

Physical therapy management for post-polio syndrome (PPS) involves a multidisciplinary approach to address the various symptoms and challenges faced by individuals with PPS.

Therapy will depend on the severity of symptoms, but the overall goal will be to retrain the muscles to move and function again through approaches such as the Bobath approach.

Therapy may include:

 

  • Exercise programmes to improve strength, endurance, and flexibility.

  • Incorporate exercises that target weakened muscles with a focus on gradual progression to prevent excessive fatigue.

  • In addition to traditional exercises, aquatic therapy can also be beneficial due to its low-impact nature and the buoyancy of water providing support.

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