What is post-polio residual paralysis?
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. Infection from the polio virus once caused paralysis and death.
What is the presentation of post-polio syndrome?
Symptoms of postpolio syndrome (PPS) usually appear earlier in patients who have very severe residual weakness, individuals who had early bulbar respiratory difficulty in the acute illness, and persons who were older when they contracted acute polio. PPS symptoms tend to occur first in the weaker muscles.
How do I manage PPS?
Treatment
- Energy conservation. This involves pacing your physical activity and resting frequently to reduce fatigue.
- Physical therapy. Your doctor or therapist may prescribe exercises for you that strengthen your muscles without fatiguing them.
- Speech therapy.
- Sleep disorder treatment.
- Medications.
How does polio cause paralysis?
Over 85% of paralytic infections are caused by the P1 virus strain, which unilaterally infects motor neurons in the anterior horn of the spinal cord and the brain stem. Destruction of infected neurons disrupts the transmission of nerve impulses to select muscle groups, causing a flaccid paralysis.
Is there a cure for PPS?
There’s currently no cure for post-polio syndrome, so treatment focuses on helping you manage your symptoms and improving your quality of life. People with the condition are often treated by a team of different healthcare professionals working together. This is known as a multidisciplinary team (MDT).
What are the symptoms of PPS?
Symptoms of post-polio syndrome
- persistent fatigue (extreme tiredness)
- muscle weakness.
- shrinking muscles.
- muscle and joint pain.
- sleep apnoea.
What type of paralysis is polio?
Paralytic poliomyelitis is classified into three types: spinal, bulbar, and bulbospinal poliomyelitis. Spinal poliomyelitis refers to the condition that affects the motor neurons of the body (Fig. 14.9A), most commonly the legs but also including the back and neck.
What is the difference between Type 1 type 2 and Type 3 polio?
Type 1 causes paralysis in about 1 in 200 infections; Type 2 was last recorded in 1999; Type 3 is less virulent than type 1, causing paralysis in about 1 in 1000 cases.
What are the 3 types of paralytic polio?
Paralytic poliomyelitis is classified into three types: spinal, bulbar, and bulbospinal poliomyelitis.
Is paralysis from polio permanent?
Paralysis is the most severe symptom associated with polio, because it can lead to permanent disability and death. Between 2 and 10 out of 100 people who have paralysis from poliovirus infection die, because the virus affects the muscles that help them breathe.
Is post-polio permanent?
The main symptoms of PPS are new progressive muscle weakness that gradually worsens, together with severe fatigue and pain in muscles and joints. It is often accompanied by decreased muscle endurance during activities. No cure exists for PPS.
Who can diagnose post-polio?
Your GP may suspect post-polio syndrome based on your medical history and the results of a physical examination. For example, it may be suspected if: you had polio in the past, followed by a long period (usually at least 15 years) of no symptoms.
What part of the brain is affected by polio?
Autopsies in some polio patients have found damage to the brainstem and motor cortex as well as to spinal motor neurons. Alternatively, polio may have spared the motor cortex, but the cortex reorganized in different ways to compensate for the loss of spinal motor neurons.
What are the 3 types of polio name?
There are three wild types of poliovirus (WPV) – type 1, type 2, and type 3. People need to be protected against all three types of the virus in order to prevent polio disease and the polio vaccination is the best protection.
Which type is paralytic polio?
What causes paralytic polio?
The polio virus enters the body through the mouth, usually from hands contaminated with the stool of an infected person. Polio is more common in infants and young children and occurs under conditions of poor hygiene. Paralysis is more common and more severe when infection occurs in older individuals.
Can you recover from polio paralysis?
Between 2 and 10 out of 100 people who have paralysis from poliovirus infection die, because the virus affects the muscles that help them breathe. Even children who seem to fully recover can develop new muscle pain, weakness, or paralysis as adults, 15 to 40 years later. This is called post-polio syndrome.
How does post-polio affect the nervous system?
The polio virus attacks specific neurons in the brain stem and spinal cord. Surviving cells sprout new nerve-end terminals and connect with other muscle fibers. These new connections may result in recovery of movement and gradual gain in power in the affected limbs.
Should post polio patients exercise?
If you have Post Polio Syndrome (PPS), it’s vital to exercise moderately every second day to keep the muscles we have and avoid obesity, diabetes, stroke and heart disease. Exercise also helps us accomplish more of those activities of daily living and can improve how we feel.
Is post-polio syndrome a neurological disease?
Post-polio syndrome (PPS) is a neurological condition that affects polio survivors decades after their initial infection.
What is polio type 2?
cVDPV type 2 (cVDPV2) are the most prevalent, with 959 cases occurring globally in 2020. Notably, since the African Region was declared to have interrupted transmission of the wild poliovirus in August 2020, cVDPV are now the only form of the poliovirus that affects the African Region.
Does post-polio syndrome affect brain?