Key result
Rehabilitation for post-polio syndrome patients should utilize a multiprofessional approach, advising patients to avoid both inactivity and overuse of affected muscles.
This review highlights the importance of a multidisciplinary rehabilitation approach for post-polio syndrome, focusing on avoiding both inactivity and muscle overuse.
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May support multidisciplinary post-polio rehab strategies; leaves open need for prospective validation.
Post-polio syndrome (PPS) is the term used to describe the symptoms that may develop many years after acute paralytic poliomyelitis( APP). In the case of PPS, the symptoms and signs include progressive muscle wasting and weakness, limb pain, and/or fatigue, occurring one or more decades after maximal recovery from APP. An overuse of enlarged motor units is suspected to cause the deterioration of some nerve terminals or the loss of the motor units themselves. This could in turn induce PPS symptoms such as new muscle weakness and atrophy. Electromyography (EMG) is often a strong tool to diagnose and evaluate PPS. Some studies have shown that mild to moderate intensity muscular strengthening has a positive effect in patients affected by PPS. Rehabilitation for PPS patients should utilize a multiprofessional and multidisciplinary approach. PPS patients should be advised to avoid both inactivity and overuse of the affected muscles. Finally, patient evaluation is often required to access the need of orthoses and assistive devices.
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Aoyagi et al. (2015) conducted a review in Post-polio Syndrome. Rehabilitation (exercise, orthoses) was evaluated. Rehabilitation for post-polio syndrome patients should utilize a multiprofessional approach, advising patients to avoid both inactivity and overuse of affected muscles.
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