Post-Polio Health, Volume 29, Number 2, Spring 2013
Ask Dr. Maynard
Frederick M. Maynard, MD
Question: Several years ago my right ankle muscles gave out after a cortisone shot. I wear a brace to steady this leg. Now, after two bad falls, my left hip will need replacement. My current orthopedic physician wanted to give me a cortisone shot, and I refused, recalling the reaction from my ankle.
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Post-Polio Health, Volume 28, Number 3, Summer 2012
Ask Dr. Maynard
Frederick M. Maynard, MD
Question: I had polio in 1948, and I am now 65. Adapting was less difficult due to the helpful information gathered at support group meetings. However, I am not finding information or answers that address this issue: Has breast reduction and surgical reduction of abdominal fat been suggested and utilized with other post-polio women?
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Barbara C. Sonies, PhD, CCC, BRS-S, College Park, Maryland
A major polio epidemic in the mid-20th century left many survivors with a wide variety of physical limitations including problems swallowing foods. Many persons with swallowing problems also had original bulbar signs of polio including difficulty breathing, clearing the throat, speaking and singing.
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Rehabilitation Research and Training Center (RRTC) on Aging with a Physical Disability (2011)
Muscular Strengthening is one of the most common recommendations of physical medicine and rehabilitation for people with PPS struggling with symptoms. However, historically, any type of exercise was once thought to be bad for people with neuromuscular diseases (such as muscular dystrophy, post-polio syndrome, cerebral palsy, etc.).
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From the series, Polio Survivors Ask, by Nancy Baldwin Carter, B.A, M.Ed.Psych, from Omaha, Nebraska, is a polio survivor, a writer, and is founder and former director of Nebraska Polio Survivors Association.
Q: A friend who had polio told me that since he uses a cane, people give him more room so he has less fear of being bumped by others. He wishes he used it a few years earlier. Me, too! How can we help people “get over” the fear of looking disabled?
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From the series, Polio Survivors Ask, by Nancy Baldwin Carter, B.A, M.Ed.Psych, from Omaha, Nebraska, is a polio survivor, a writer, and is founder and former director of Nebraska Polio Survivors Association.
Q: I need to lose weight. My longtime post-polio weakness limits my choices of exercise. How can I enjoy going the nutritional route?
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One excellent reason for seeing a PT in the absence of declining physical function is to undergo a well-rounded baseline evaluation against which future problems might be measured.
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Ergonomics is an interdisciplinary field concerned with the performance and safety of individuals at work, how people cope with the work environment, interact with machines, and, in general, negotiate their work surroundings. Applying this knowledge to all environments, tools, tasks, and jobs produces ones that are safe, comfortable, and effective. As strength and endurance decrease, the use of ergonomic principles will assist polio survivors in remaining employed, living in their own homes, and accessing their communities.
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New muscle weakness is the hallmark of post-polio syndrome and can significantly impact activities of daily living. Some amount of new muscle weakness is likely to occur in about half of post-polio individuals (Jubelt & Drucker, 1999). Muscle weakness is most likely to occur in muscles previously affected during the acute poliomyelitis followed by a partial or full recovery (Cashman et al., 1987; Dalakas & Illa, 1991).
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Many of us who had polio used canes, wheelchairs and bracing on our path to recovery and gradually were able to relinquish them. Others of us have developed different chronic conditions that have managed just fine until now without mobility equipment. But as we get older our bodies change, our symptoms escalate and daily activities use so much more energy that we don’t have the get-up-and-go to do what we have to do, much less enjoy the fun stuff. When walking becomes difficult, we have to compromise, reduce activities or eliminate them.
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