1,122 results match your criteria: "Postpolio Syndrome"

Article Synopsis
  • Intravenous immune globulin (IVIG) is a therapy being used for neuromuscular disorders, but there is limited high-quality evidence for many specific diseases, leading to the AANEM's 2009 consensus on its use.
  • Since then, new research and FDA approvals have prompted an update to the guidelines, categorizing recommendations from Class I (strong evidence) to Class IV (weak evidence).
  • IVIG is strongly recommended for conditions like chronic inflammatory demyelinating polyneuropathy and Guillain-Barré Syndrome but not recommended for others like inclusion body myositis, with uncertain support for various other disorders.
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The Effects of Anthroposophic Medicine in Chronic Pain Conditions: A Systematic Review.

J Integr Complement Med

November 2023

Fakultät für Gesundheit (Department für Humanmedizin), Lehrstuhl für Medizintheorie, Integrative und Anthroposophische Medizin, Herdecke, Germany.

The currently available evidence is unclear in regard to pain-related outcomes of patients with chronic pain conditions who undergo treatment with anthroposophic medicine (AM). To identify and synthesize the evidence in patients with chronic pain before and after AM therapy. The following databases and search interfaces were searched on October 21, 2021: Embase (via Embase.

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The Fight against Poliovirus Is Not Over.

Microorganisms

May 2023

Laboratoire de Virologie URL3610, Université de Lille, CHU Lille, 59000 Lille, France.

Poliovirus (PV), the virus that causes both acute poliomyelitis and post-polio syndrome, is classified within the species, and there are three wild PV serotypes: WPV1, WPV2 and WPV3. The launch of the Global Polio Eradication Initiative (GPEI) in 1988 eradicated two of the three serotypes of WPV (WPV2 and WPV3). However, the endemic transmission of WPV1 persists in Afghanistan and Pakistan in 2022.

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Article Synopsis
  • The study analyzed the outcomes of total knee arthroplasties (TKAs) in patients with a history of poliomyelitis by comparing affected and unaffected limbs, drawing from a sample of 94 patients with 116 primary TKAs performed over nearly two decades.
  • It found that the ten-year survivorship rate for revisions was 91% for affected limbs and 84% for unaffected limbs, with specific complications like periprosthetic fractures and infections being notable in both groups.
  • The research concluded that TKAs in post-polio patients are challenging due to high rates of instability and complications like arthrofibrosis, with one in four affected limbs requiring additional support or constraints.
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The overall societal impact of poliomyelitis worldwide is decreasing, rendering it almost absent in most developed countries. However, even there, patients are still seen who contracted it in endemic areas or developed polio before vaccinations became widely available. Post-polio syndrome (PPS) causes skeletal and neurological changes that increase affected individuals' likelihood of fractures, including fractures requiring complex surgical treatment.

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Background: Post-polio syndrome (PPS) is characterized by new or worsening muscular weakness, atrophy, muscle and joint pain, and muscle fatiguability decades after paralytic poliomyelitis infection.

Case Description: A 56-year-old man was diagnosed with paralytic poliomyelitis at the age of five, which left him with flaccid paralysis and weakness of the right leg. One year before seeking chiropractic care, the patient saw his primary care physician with neck pain, low back pain, and fatigue.

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Article Synopsis
  • The study aimed to explore the relationship between heart rate and perceived exertion during maximal exercise tests and home-based aerobic training for individuals with neuromuscular diseases.
  • Participants included those with Charcot-Marie-Tooth disease, post-polio syndrome, or other neuromuscular conditions, who engaged in a 4-month aerobic training program monitored through heart rates and perceived exertion ratings.
  • Results showed a strong correlation between heart rate and perceived effort during testing, but notable differences in effort perception during training, suggesting potential issues with under- or over-training that healthcare professionals should consider.
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Post-Polio Syndrome Revisited.

Neurol Int

April 2023

Division of Neuropathology, Departments of Pathology and Laboratory Medicine, Neurology, and Neurosurgery, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI 02903, USA.

Article Synopsis
  • Post-polio syndrome (PPS) occurs when previous poliomyelitis survivors experience a return or worsening of motor neuron symptoms decades later.
  • It affects 25% to 40% of those who had polio and shows symptoms similar to other motor neuron diseases (MNDs) like amyotrophic lateral sclerosis (ALS).
  • The report discusses a 68-year-old man's case of PPS, compares it to ALS, and highlights key differences in their histopathological features.
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To examine the risk of post-polio syndrome (PPS) in immigrant groups using native Swedish-born individuals as referents. This is a retrospective study. The study population included all individuals aged 18 years and older registered in Sweden.

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Assessing pain-the invisible, long-haul polio symptom.

Nursing

March 2023

At Walla Walla University School of Nursing in Portland, Ore., Karen Tetz is a professor of nursing and Susan Schoenbeck is a mentor.

Chronic pain is a common problem for polio survivors. Nurses are on the front line to assess the scope, severity, and impact of reported pain. This article describes how nurses can advocate for patients experiencing post-polio syndrome pain.

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Article Synopsis
  • * Despite the progress, many polio survivors in China face unmet health and rehabilitation needs, raising ethical concerns about their management and support.
  • * The article emphasizes the importance of addressing these needs through ethical frameworks like Justice and Cooperation, ultimately providing practical recommendations for improving the lives of polio survivors.
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Background: Although surgical treatment for equinus foot has been widely described in the literature, less attention has been paid to orthopedic treatment with prostheses, which constitutes an interesting alternative approach. It has been described in the literature for treating lower-limb inequality, but not for equinus foot. The aim of this article is to report that the use of prosthetics can be a valid means of managing bilateral equinus foot.

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Article Synopsis
  • Poliomyelitis can lead to paralysis and long-term issues for survivors, such as post-polio syndrome (PPS), characterized by ongoing muscular weakness and fatigue.
  • A study compared exercise capacity among three groups: control individuals without polio, those with polio effects but no PPS, and those diagnosed with PPS, using various exercise tests.
  • Results showed that the PPS group had significantly lower exercise capacity and performance on functional tests compared to both the control and non-PPS polio groups, highlighting greater impairments in submaximal activities.
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There is nospecific designed diagnostic test for post-poliomyelitis syndrome. The most important symptoms of this syndrome are new loss of muscle strength and more fatigue. Previous studies have investigated muscle ultrasound parameters to distinguish neuromuscular disease patients from healthy controls.

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Post-Polio Syndrome in a Primary Care Setting: A Case Report.

Cureus

September 2022

Family Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, USA.

Article Synopsis
  • - Post-Polio Syndrome (PPS) occurs in individuals previously infected with poliovirus, leading to delayed muscle weakness and fatigue years after their initial polio infection.
  • - Diagnosis of PPS requires previous polio history, a stable period of at least 15 years, and recent, persistent new weakness.
  • - The report discusses a patient with worsening lower leg strength, outlines diagnostic tools like EMG, suggests prevention through vaccines, and explores treatments including exercises and various medications, while also highlighting the impact of social factors on diagnosis.
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Poliomyelitis is a current challenge: long-term sequelae and circulating vaccine-derived poliovirus.

Geroscience

April 2023

Instituto de Investigaciones Biomédicas en Retrovirus y Sida (INBIRS), Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina.

For more than 20 years, the World Health Organization Western Pacific Region (WPR) has been polio-free. However, two current challenges are still polio-related. First, around half of poliomyelitis elderly survivors suffer late poliomyelitis sequelae with a substantial impact on daily activities and quality of life, experiencing varying degrees of residual weakness as they age.

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Cross-Sectional Study of Knee Bone Mineral Density and Fragility Fractures in Patients with Neurological Injuries and Neuromuscular Disorders.

J Clin Densitom

November 2022

Department of Spinal Injury Rehabilitation, Rede SARAH de Hospitais de Reabilitação, Belo Horizonte, MG, Brazil.

Background: Patients with neurological injury and neuromuscular disorders are at increased risk for osteoporosis and fragility fracture. This cross-sectional study investigated whether knee bone mineral density (BMD) correlates with fragility fracture in patients with neurological injury and neuromuscular injuries.

Methodology: In this retrospective chart review, 435 participants underwent dual-energy X-ray absorptiometry (DXA) for BMD analysis.

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Purpose: To investigate the prevalence of fibromyalgia(FM) and to show its relations with symptoms, polio-related impairments (PRI), and quality of life (QoL) in persons with prior paralytic poliomyelitis (PsPP) with and without post-polio syndrome (PPS).

Materials And Methods: The study included 74 PsPP under 60 years of age, 60 of whom met the criteria for PPS. Presence and severity of FM were assessed by the American College of Rheumatology (ACR) 1990, 2010, and 2016 criteria, and Fibromyalgia Severity Score.

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Objectives: This study aims to understand the effectiveness of whole-body vibration (WBV) exercises performed with home exercise program in patients with post-polio syndrome (PPS) in terms of muscle strength, fatigue, the quality of life, and laboratory parameters.

Patients And Methods: Between October 2015 and March 2016, a total of 14 patients (7 males, 7 females; mean age: 45.1±6.

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Background: Femoral shaft fracture in patients of post-polio syndrome (PPS) represents an uncommon yet complex injury pattern. Poorly developed soft-tissue envelope, decreased muscle bulk, reduced vascularity, regional osteopenia, joint contractures, and altered bony anatomy impose significant surgical challenges. Thorough pre-operative planning is imperative as each case requires individualized approach and method of fixation.

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Objective: The purpose of this study was to critically appraise and summarize the evidence for reliability of muscle strength and muscle power assessment in patients with neuromuscular diseases (NMDs) using isokinetic dynamometry.

Methods: PubMed, CINAHL, and Embase electronic databases were searched from inception to March 8, 2022. Studies designed to evaluate reliability of muscle strength and power measurements using isokinetic dynamometry were included in this review.

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