Anisuddin Bhatti.
Post Poliomyelitis Syndrome.
Med Channel Jan ;5(1):39-48.

There are two facies of Poliomyelitis; one it commonly affects children under age of five years, some of them become crippled while majority of them live a productive and competent life. Secondly, years later i.e. 25-40 year after onset, 20-80% of polio survivors develop new symptoms, primarily of profound fatigue, pain, lack of endurance and progressively increasing weakness affecting Polio affected limb as well as non-affected limb, this complex problem is commonly known as Post Polio Syndrome or Sequelae. The progressive decrease in strength estimates to 0.2% to 0.6% per year. The normal aging process, chronic over use of muscle to compensate gait and postural abnormalities and psychological stress has been found to be the major contributing factors in patho-physiology of PPS. The most health professionals in our country are unfamiliar with these late complications of poliomyelitis. Review on this subject from current literature, therefore, will enable our health care professionals to accurately identify and manage such polio survivors with PPS.

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