December 2006, Volume 36 Number 12 , p 17 - 17
GEVIRTZ, CLIFFORD MD, MPH
POLIO IS A DISTANT MEMORY for most health care providers, but post-polio syndrome (PPS) is becoming increasingly common in patients who survived the last polio epidemics in the 1950s and 1960s. As the survivors of polio age, their struggles with the disease's residual effects become more problematic.
These are the diagnostic criteria for PPS:
* prior poliomyelitis confirmed by history, neurologic exam, and electrodiagnostic test if needed to rule out other causes * a period of neurologic recovery from the acute illness followed by an extended interval of neurologic and functional stability * gradual or abrupt onset of new weakness accompanied by abnormal muscle fatigue, with or without generalized fatigue, muscle atrophy, or muscle or joint pain * exclusion of other medical, orthopedic, or neurologic causes of the problems listed above. 1
The cause of PPS isn't known, but researchers have several theories. One is that the ongoing process of denervation ...