Term
| An acute disorder caused by the poliovirus. The virus is orally ingested and can be detected in the blood. Onset of symptoms may be nausea, headaches, diarrhea, sore throat, fever, flu-like, etc or may be asymptomatic |
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Definition
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Term
| Less than 1% of polio pts develop what? |
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Definition
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Term
| Invades and damages large motor neurons, with a tendency to involve those of the SC more than the brainstem, and more often those of the lumbosacral and cervical regions. Usually asymmetric, more severe proximal than distal, and affects the legs more than the arm. It may be that one limb is totally paralyzed and the other limbs unaffected. Ms atrophy may develop within 1 week with little or no tendon reflexes. |
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Definition
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Term
| Is sensation affected with polio? |
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Definition
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Term
| Usually the result of bulbar involvement and is due to respiratory, cardiac, or autonomic dysfunction. |
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Definition
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Term
| How did PT's treat polio pts in the past |
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Definition
No pain no gain theory
Braces
Hypermobile (taught pts to hang on ligaments)
Strengthening
Stretching |
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Term
| Up to 2/3 of all persons who had paralytic polio may experience additional health problems decades after their initial attack. What is this called? |
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Definition
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Term
| Name 5 dianostic criteria for postpolio |
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Definition
1. Confirmed history of paralytic polio
2. Partial to complete ms strength and functional recovery
3. A period of at least 15 years of neurological and functional stability
4. Onset of 2 or more new health problems
5. No other medical condition to explain the new problems |
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Term
| The cause for postpolio is not known for sure but what do we think? |
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Definition
| The result of a decline in the enlarged motor units that are created by collateral sprouting during the re-innervation period following the original attack. During the decades, following their formation, these motor units were overworked, placing excessive demands on axonal sprouts of the remaining motor neurons, which ultimately caused their premature exhaustion |
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Term
| Name the 3 coping styles based on severity of ms involvement. |
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Definition
1. Those with little or not physical involvement-hide the atrophy with clothing and avoided activities that revealed the weakness
2. Those with obvious physical involvement such as a limp usually pushed themselves to function at a normal or supernormal level (slow to acknowledge new pain b/c they have dealth with pain their whole life)
3. Those individuals with severe disability - this group integrated their disability into their self-image and have led productive lives, often involved with disabled rights and independent living movements |
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Term
| Name 6 things to include in your PT evaluation for polio pts |
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Definition
1. Complete history - very thorough, when they were diagnosed, when therapy was recieved, any surgeries, any medical treatment, growth and development, highest functional level attained after dx, social hx, living environment, history of current condition.
2. MMT of entire body
3. Accurate measurement of hyper/hypomobile joints and contractures
4. History and analysis of physical activity by type, time, intensity in home, work, travel, etc.
5. Detailed evaluation of sleeping, sitting, standing, and walking posture
6. Eval for orthotic and assistive equipment interventions. |
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Term
| Only muscles that test grade 4 or 5 should be considered for __. Be very careful not to over fatigue muscles. |
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Definition
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Term
| What is a good rule of thumb for an exercise program |
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Definition
| The therapist should estimate the intensity that the pt can tolerate and then apply one half, reduce the estimated repetitions to one half and double the time of rest periods. If fatigue does not last longer than 30 min or appear in the next 2 days with no pain increase, then the program can be continued and gradually increased. |
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Term
| Name some of the most common health probelms in pts with PPS |
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Definition
Fatigue
Ms pain
Joint pain
Weakness
Cold intolerance
Atrophy
ADL deficits (walking, climbing stairs, dressing, etc)
Poor sitting and standing posture |
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Term
| Name 6 types of ventilation for PPS |
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Definition
1. Frog Breathing (glossopharyngeal breathing)
2. Iron-lung negative pressure ventilator
3. Chest shell portable iron lung
4. Pneumobelt positive pressure ventilator
5. Mouthpiece positive pressure
6. Nosepiece positive pressure |
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Term
| Can produce adequate breathing for short periods. It used the tongue and pharyngeal ms to force air by repeated swallowing into the lungs |
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Definition
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Term
| Ventilates by enclosing the whole pt except for the head. A negative pressure is created in here which causes the aire to flow into the lung. Very large and not portable. |
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Definition
| Iron-lung a negative pressure ventilator |
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Term
| Shell over chest and abdomen and connected by a hose to a negative pressure ventilator |
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Definition
| Chest shell portable iron lung |
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Term
| Uses an inflatable bladder, supporting abdominal corset, and hose connected to a positive pressure ventilator. The bladder inflates, causing the abdominal contents to displace upward, and produce exhalation. Must be sitting upright. When the bladder deflates, gravity causes the diaphragm to fall back into place which causes inhalation. Very portable. May be used in conjunction with other types of ventilation. |
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Definition
| Pneumobelt Positive Pressure Ventilator |
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Term
| What is a good program for PPS |
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Definition
1. Pool therapy (warm water)
2. Teach pt about priorities:
-List what is most important
-Tell ways to decrease fatigue
3. Need more frequent rest times
4. Avoid weight gain due to weakened ms |
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