Polio is very dangerous
disease and there is no cure for polio, only treatment to alleviate the
symptoms. Heat and physical therapy is used to stimulate the muscles and
antispasmodic drugs are given to relax the muscles. While this can improve
mobility, it cannot reverse permanent polio paralysis. Polio can be prevented
through immunization. Polio vaccine, given multiple times, almost always
protects a child for life. Although improved public sanitation and careful
personal hygiene may help reduce the spread of polio, the most effective way to
prevent the disease is with polio vaccine. IPV can cause an allergic reaction
in some people. Because the vaccine contains trace amounts of the antibiotics
streptomycin, polymeric B and neomycin, it shouldn't be given to anyone who's
had a reaction to these medications. Signs and symptoms of an allergic reaction
usually occur within minutes to a few hours after the shot and may include Difficulty
breathing, Weakness, Hoarseness or wheezing, rapid heart rate, Hives, Dizziness,
Unusual paleness and Swelling of the throat. If you or your child experiences
an allergic reaction after any shot, get medical help immediately. It is a
serious disease affecting a person’s brain and spinal cord. Infection with the
poliovirus can lead to a life-threatening muscular paralysis of the body. In
the last 20 years the number of polio cases around the world has reduced. This
is largely due to global vaccination programs that aim to immunize people
against the poliovirus. Countries such as North and South America, the western
Pacific region including Australia, and Europe are now all polio free, however
cases are still being reported in some parts of Asia and Africa. Polio is an illness
that causes sudden weakness/lameness of the limbs and sometimes death in
children. The polio virus can be passed easily from one person to another. The
polio virus affects mostly children below 5 years. Polio can be prevented by
immunization with polio drops at birth, 6 weeks, 10 weeks, 14 weeks, 18 months
and 5 years of age. There is currently no cure for post-polio syndrome, so
treatment focuses on helping you manage your symptoms and improving your
quality of life. People with PPS are often treated by a team of different
healthcare professionals working together. This is known as a multidisciplinary
team. An effective way to manage fatigue and pain is a type of physical therapy
known as pacing. This involves recognizing when you become exhausted doing
certain activities and learning to stop and rest before you reach that point
again. Activities are therefore broken up into smaller ones with rests in
between. By stopping before you are tired, you may be able to accomplish more
activities over the space of a day than if you tried to do things without
taking a break. While pain and fatigue can often be reduced using pacing,
various medications to help relieve pain are available if you need them. These
include over-the-counter painkillers. Over the counter, OTC, remedies should
not be used on a long-term basis without discussion with your GP. This is
because some of them can cause complications, such as stomach ulcers, if taken
over long periods. In a pilot study of post polio syndrome ,PPS, patients, a
multidisciplinary rehabilitation approach involving tailored physiotherapy
exercises has shown to have significant benefit on muscle endurance, exertion,
and depression levels for up to 6 months. The basic management principles for
individuals with PPS include energy conservation and pacing one's activities. Although basic, these activity modifications may be difficult for
some patients to accept. Psychological interventions, such as cognitive
behavior therapy, may also be initiated to help reduce fatigue. Certain
psychological issues have been studied in relation to post polio syndrome. Most
studies reveal that depression is not related to post polio syndrome symptommatology
or to the level of residual physical disability. Type A behavior is
significantly higher in the polio population than in a control population.
Overall, normal psychological and emotional functioning has been found in
patients with post polio syndrome compared with controls. Before looking at a
scooter or power chair, and other mobility devices, such as canes, walkers and
crutches, should be considered for effectiveness first. Choosing between a
scooter and power chair requires special considerations. When I choose between
a scooter vs. a power chair, you have to look at the posture of the individual
and if they're able to get out of it for long periods of time or not. Because
if someone's able to get up and move around let's say, on Lofstrand crutches or
whatever a scooter might be fine. But if someone is unable to be ambulatory,
many times a power chair has better posture for full time positioning and
greater options.
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