- Previous polio attack—the only absolute risk factor
- Severity of original polio attack
- Age at onset (worse for those who get polio later in life)
- Slowly progressive muscle weakness
- Muscular atrophy
- Muscle spasms
- Joint pain
- Muscle pain
- Difficulty swallowing, breathing, or sleeping
- Intolerance to heat or cold
- Speech problems
- Skeletal deformities (eg, scoliosis )
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- Prevent overuse of weak muscles
- Prevent disuse atrophy and weakness
- Protect joints left vulnerable from weak muscles
- Maximize function
- Minimize discomfort
- Physical therapy
- Occupational therapy
- Speech therapy
- Assistive devices
- Weight loss, if overweight
- Medicine to relieve muscle spasms and pain
- Occasionally, surgery to correct deformities that interfere with function
- Immunoglobulin—currently being studied to treat PPS
Canadian Orthopaedic Association http://www.coa-aco.org/
Health Canada http://www.hc-sc.gc.ca/index%5Fe.html/
Dalakas M. IVIg in other autoimmune neurological disorders: current status and future prospects. Journal of Neurology. 2008;255(Suppl 3):12-16.
Howard R. Poliomyelitis and the postpolio syndrome. BMJ . 2005;330:1314-1318.
The Post-polio program. National Rehabilitation Hospital website. Available at: http://www.nrhrehab.org/Patient+Care/Programs+and+Service+Offerings/Outpatient+Services/Service%5FPage.aspx?id=39 .
Post-polio syndrome. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/post-polio-syndrome/DS00494/DSECTION=symptoms . Updated March 2, 2008. Accessed February 9, 2009.
Rowland LP, ed. Merritt's Neurology . 11th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.
- Reviewer: Rosalyn Carson-DeWitt, MD
- Review Date: 12/2011 -
- Update Date: 12/30/2011 -