Improving Mobility in Post-Polio Patients: Rehabilitation Options

Polio issues

Hello, my father contracted polio as an infant, resulting in atrophy and weakness in one of his legs.
He seemed to have worn a metal brace for a period when he was around thirty, and at that time, he was still able to walk with the support of one leg.
He is now 53 years old and has been unable to stand or walk for about five years.
I have not seen him undergo any rehabilitation.
I would like to know what proactive methods can be taken to improve or prevent further deterioration of his condition.
Should he see a rehabilitation specialist, or is there a more appropriate department to consult? Thank you.

angel, 20~29 year old female. Ask Date: 2016/02/28

Dr. Li Weiqiang reply Rehabilitation

Dear Angel,
Hello, my father contracted polio during infancy, resulting in atrophy and weakness in one leg.
It seems that around the age of thirty, he wore a leg brace for a period, during which he was still able to walk with the support of one leg.
He is now 53 years old and has been unable to stand or walk for about five years.
The symptoms described can be considered as post-polio syndrome, which includes muscle weakness, joint pain, and easy fatigue.
This condition typically manifests about 30 years after the initial polio infection.

Currently, we can assess what my father is still able to do and consider lifestyle modifications.
We can utilize assistive devices to reduce excessive physical exertion.
Rehabilitation can also be pursued to alleviate symptoms.
With proper care, the condition should not worsen.
The Department of Rehabilitation at Taoyuan Hospital, Ministry of Health and Welfare, provides professional services in this area.
Thank you! Wishing you peace and health.
Sincerely,
Li Wei-Chiang
Director, Department of Rehabilitation
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2016/02/28

More Info

Improving mobility in post-polio patients is a multifaceted approach that requires careful consideration of the individual's unique medical history and current physical condition. Given your father's history of polio and the subsequent muscle weakness he has experienced, it is crucial to focus on rehabilitation strategies that can help him maintain or improve his mobility and overall quality of life.

Rehabilitation Options for Post-Polio Patients
1. Physical Therapy: Engaging in a structured physical therapy program is one of the most effective ways to improve mobility. A physical therapist can design a personalized exercise regimen that focuses on strengthening the remaining muscles, improving flexibility, and enhancing balance. This may include low-impact exercises, stretching, and resistance training tailored to his capabilities.
2. Assistive Devices: Depending on his current level of mobility, the use of assistive devices such as braces, walkers, or canes can provide support and stability. These devices can help him move more safely and confidently, reducing the risk of falls.

3. Occupational Therapy: An occupational therapist can assist in adapting daily activities to make them easier and safer for your father. This may involve recommending modifications to his home environment, teaching him energy conservation techniques, and helping him learn new ways to perform tasks that require mobility.

4. Aquatic Therapy: If accessible, aquatic therapy can be beneficial for post-polio patients. The buoyancy of water reduces stress on the joints and allows for greater freedom of movement, making it easier to perform exercises that might be difficult on land.

5. Pain Management: Many post-polio patients experience pain due to muscle overuse or joint issues. A comprehensive pain management plan, which may include medications, physical modalities (like heat or cold therapy), and alternative therapies (like acupuncture), can help improve overall function and comfort.

6. Regular Monitoring: Regular follow-ups with healthcare providers are essential to monitor your father's condition and adjust the rehabilitation plan as needed. This may include visits to a neurologist, rehabilitation physician, or a physical medicine and rehabilitation specialist.

7. Education and Support: Educating both your father and the family about post-polio syndrome and its implications is crucial. Support groups can also provide emotional support and practical advice from others who have similar experiences.

Seeking Medical Advice
To initiate this process, it would be advisable to consult a physiatrist (a doctor specializing in physical medicine and rehabilitation) or a neurologist who has experience with post-polio patients. They can conduct a thorough assessment of your father's current condition and recommend an appropriate rehabilitation plan.

Conclusion
While your father has not engaged in rehabilitation thus far, it is never too late to start. With the right interventions, it is possible to improve mobility, enhance independence, and prevent further deterioration of his condition. Encouraging him to seek medical advice and participate in a rehabilitation program can significantly impact his quality of life. Remember, the goal is to focus on what he can do rather than what he cannot, fostering a positive outlook on his rehabilitation journey.

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