Post-polio Syndrome

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  • AOYAGI Yoichiro
    Department of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University
  • SAEKI Satoru
    Department of Rehabilitation Medicine, University of Occupational and Environmental Health
  • SAWADA Koshiro
    Department of Rehabilitation Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
  • MATSUSHIMA Yasuyuki
    Department of Rehabilitation Medicine, University of Occupational and Environmental Health
  • TOKI Megumi
    Department of Rehabilitation Medicine, Sapporo Medical University School of Medicine
  • WADA Emiko
    Chikamori Rehabilitation Hospital
  • KINOSHITA Atsushi
    Kagawa General RehabilitationCenter
  • KAWATE Nobuyuki
    Department of Rehabilitation Medicine, Showa University School of Medicine
  • KOBAYASHI Hirotaka
    Yokohama City Rehabilitation Counseling Offi ce for the Disabled People
  • KONDO Izumi
    The National Center for Geriatrics and Gerontology
  • SAITOH Eiich
    Department of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University

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Other Title
  • ポストポリオ症候群
  • ポストポリオ ショウコウグン

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Abstract

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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