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15 Cards in this Set
- Front
- Back
What is Polio?
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Inflammation of the gray matter of the spinal cord. A Virus caused by an acute infection
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Post Polio Syndrome (PPS), what is it?
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Polio survivors who experince additional weakness and other disabling symptons
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What is the etiology of PPS
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Not fully understood, but returns 10-40 years after initial onset.
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What are the PPS incidence?
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250K in the USA are survivors of Polio and 75000 experince PPS symptoms
Incidence increasing due to immigrant pop's from SE Asia and Latin Am |
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What are the Signs & Symptoms?
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MS weakness, Fatigue, Pain, Cold intolerance, "new" breathing disorders, joint/limb/or trunk deformities; nerve entrapment, degenerative arthritis
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What are the levels of PPS?
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mild to severe incapcities
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Which is the most debilitating symptom?
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Fatigue, because it is unapparent and teh ability to perform activities is implicated
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What is the course/progression?
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Weakness gets progressively worse.
Daily activities start to decrease. |
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How are activities implicated?
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Mobility declines: ataxic gait, falls occur and increase,using stairs is difficult, transfers harder to do.
BADLs: Dressing, Bowel & Bladder Mgmnt, Eating (swallowing implicated) |
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What is the Prognosis for PPS?
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Not life threatening unless severe pulmnary or swallowing deficits arise.
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What are the Medical Treatments?
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Medications: aspirin and anti-steroidal inflammatory meds for paid
Dr recommend health lifestyle and health diet |
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What are the precautions and contraindications
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Not to aggrevate fatigue
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What are the OT Goals, Treatment and AE
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-Prevent MS fatigue, conserve energy, improve body mechanics
-Strengthen MS, improve endurance, |
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What can OT do to alliviate pain?
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-show proper body mechanics, -support weakened MS
-orthoses may be used to support weakened MS |
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How can OT strengthen without fatiguing MS?
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-Gentle exercises
-long-term strengthening and maintenance through ADL performance -Guiding and facilitating lifestyle modifications |