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Late effects of polio: critical review of the literature on neuromuscular function

Agre, J C ; Rodríquez, A A ; Tafel, J A

Archives of physical medicine and rehabilitation, October 1991, Vol.72(11), pp.923-31 [Periódico revisado por pares]

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Título:
Late effects of polio: critical review of the literature on neuromuscular function
Autor: Agre, J C ; Rodríquez, A A ; Tafel, J A
Assuntos: Postpoliomyelitis Syndrome -- Physiopathology
É parte de: Archives of physical medicine and rehabilitation, October 1991, Vol.72(11), pp.923-31
Descrição: Many individuals who have had poliomyelitis are now complaining of several new problems attributed to their former illness including muscle atrophy; fatigue; progressive weakness; and muscle, back, and joint pain. This paper critically examines the literature regarding the neuromuscular effects of poliomyelitis. Weakness resulting from poliomyelitis was due to destruction of anterior horn cells. After the illness, muscle strength was partially recovered as a result of several physiologic adaptive mechanisms including terminal sprouting and reinnervation, myofiber hypertrophy, and, possibly, myofiber type transformation. Several pathophysiologic and functional etiologies have been proposed for late neuromuscular deterioration, but none has been proven. In fact, to date, there is no objective evidence documenting progressive loss of strength in polio survivors. Studies attempting to differentiate polio survivors with and without symptoms of deterioration have resulted in conflicting results;...
Idioma: Inglês

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