summary Poliomyelitis is a disease caused by viral destruction of the anterior horn cells in the spinal cord and brain stem motor nuclei. Diagnosis is made clinically with presence of motor weakness with normal sensation in a patient with history of polio. Treatment may be nonoperative or operative depending on degree of functional limitation and presence of secondary contractures. Epidemiology Incidence has been eradicated in the United States with the use of a vaccine Etiology Associated conditions Postpolio syndrome an aging phenomenon where more nerve cells become inactive with time it does not represent reactivation of the virus occurs after middle age occurs in up to 50% of polio cases leads to increasing difficulty performing activities of daily living patients should exercise at sub-exhaustion levels to tone affected muscle groups without causing muscle breakdown Presentation Physical Exam hallmark is muscle weakness with normal sensation Treatment Postpolio Syndrome nonoperative limited exercise with periods of rest, +/-lightweight orthosis indications first line of treatment technique goal is to maintain but not overuse muscles operative tendon transfers, contracture releases, and arthrodesis indications used to optimize functional capacity Polio foot deformities nonoperative lightweight orthoses indications first line of treatment help patient remain functionally independent operative contracture release, tendon transfer, and arthrodesis indication if orthoses do not achieve satisfactory standard of living
QUESTIONS 1 of 2 1 2 Previous Next Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK (OBQ07.221) A newly adopted 7-year-old girl from Liberia has a history of poliomyelitis 2 years ago. She had flaccid paralysis of her legs that made her bedridden for 6 months. She has recovered all strength and has no complaints at this time. The parents would like to know if they should be concerned about any residual effects of the infection. How should they be counseled? QID: 882 Type & Select Correct Answer 1 The child has no risk of further paralysis or weakness from polio 7% (324/4373) 2 The child may experience muscle weakness and fatigue as an adult 84% (3680/4373) 3 If the child has no recurrent episodes of paralysis by the time she reaches skeletal maturity, then she will never have further weakness 4% (195/4373) 4 The child will certainly have weakness and possibly paralysis as an adult, and therefore she should abstain from sports to prevent further muscle injury 3% (122/4373) 5 The child will most likely be wheelchair bound by the age of 25 years. 1% (30/4373) L 2 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 2 Review Tested Concept Review Full Topic
All Videos (0) Podcasts (1) Foot & Ankle⎪Poliomyelitis Foot & Ankle - Poliomyelitis Listen Now 8:10 min 11/16/2020 94 plays 0.0 (0)