Post Polio Syndrome - Management & Treatment in Primary

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Occupational Therapy and Post Polio Syndrome 17 12. Burger H, Marincek C. (2000). The influence of post-polio syndrome on independence and life satisfaction. Disability & Rehabilitation, 22(7), 318-322 13. Nollet F, Beelen A, Prins MH, de Visser M, Sargeant AJ, Lankhorst GJ, de Long BA. (1999). Disability and functional assessment in former polio patients with and without post polio syndrome. Archives of Physical & Medical Rehabilitation, 80(2), 136-143. 14. Kling C, Persson, A, Gardulf A. (2000). The health related quality of life of patients suffering from the late effects of polio (post-polio). Journal of Advanced Nursing, 32(1), 164-173. 15. McNaughton HK, McPherson, M. (2003). Problems occurring late after poliomyelitis: a rehabilitation approach. Critical Reviews in Physical & Rehabilitation Medicine, 15(3&4), 295-308. 16. Klein MG, Whyte J, Keenan MA et al. (2000). The relationship with lower extremity strength and shoulder overuse symptoms: a model based on polio survivors. Archives of Physical and Medical Rehabilitation, 81, 789-795. 17. Wenneberg S, Ahlstrom G. (2000). Illness narratives of persons with post-polio syndrome. Journal of Advanced Nursing, 31, 354-361. 18. Young R. (1991). Energy conservation, occupational therapy and the treatment of post polio sequealae. Orthopedics, 14, 1233-1239. 19. Rodstein B, Kim D. (1999). Orthoses and adaptive equipment in neuromuscular disorders. In DS Younger (ed), Motor disorders. Philadelphia: Lippincott Williams & Wilkins. 20. Mann WC, Lane JP. (1995). Assistive technology for persons with disabilities. Bethesda MD: American Occupational Therapy Association. 21. McConnell PS. (2004). Powered mobility for polio survivors. In JK Silver & AC Gawne (eds.), Post polio syndrome. Philadelphia: Hanley & Brefus. 22. Klein MG, Whyte J, Keenan MA et al (2000). Changes in strength over time among polio survivors. Archives of Physical & Medical Rehabilitation, 81(8), 1059-1064. 23. Gordon PA, Feldman D. (2002). Post-polio syndrome: issues and strategies for rehabilitation counselors. Journal of Rehabilitation, 68(2), 28-32. 24. Hollingsworth L, Didelot MJ, Levington C. (2002). Post-polio syndrome: psychological adjustment to disability. Issues in Mental Health Nursing, 23(2), 135-156. 25. McFarlane JR. (2004). Polio - the late effects reality. Dublin: Post Polio Support Group Ireland. PPS Mngt and Treat.indb 17 02/07/2007 16:07:50
PhysiotheraPy and Post Polio Introduction syndrome Dara Meldrum and Deirdre Fitzgerald Physiotherapy is a cornerstone of management of prior polio and post polio syndrome. There is an increasing evidence base for the effectiveness of physiotherapy in alleviating PPS associated physical problems. 1 Patients with prior polio or post polio syndrome should have access to regular physiotherapy assessment, and treatment should be made available when needs are identified. These needs are likely to change with time, thus patient-centred, lifelong physiotherapy is recommended. Assessment A comprehensive and detailed assessment is necessary at the first consultation to establish a baseline from which future changes can be evaluated and a treatment plan developed. An assessment will usually have three components; ● neurological, ● musculoskeletal, and ● cardiorespiratory. A detailed subjective history should be taken first and important aspects of the subjective history are shown in Box 1. PPS Mngt and Treat.indb 18 02/07/2007 16:07:50
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