Diagnoses and symptoms

Polio/post-polio

Polio is an infectious disease caused by the polio virus. The polio virus primarily affects the central nervous system (brain and/or spinal cord). Paralysis occurs with 0.1 per cent of all infections.

Summary

Causes, symptoms and treatment

Polio is an infectious disease caused by the polio virus. The polio virus primarily affects the central nervous system (brain and/or spinal cord). Paralysis occurs with 0.1 per cent of all infections.

Causes

Causes

The infection is caused by the consumption of infected foods. The virus thus enters the mouth and pharynx and spreads from here to the intestinal tract, where it multiplies and is ultimately excreted with the stools.
The incubation period (time from infection to the onset of the disease) is about six to ten days. If the infection stops at this stage, this is known as asymptomatic or abortive polio. This is the case in about 4 to 8 per cent of those infected.

Symptoms

Symptoms

The early stage of the disease manifests itself in mild, non-specific symptoms that may also occur with other virus infections: malaise, headaches, fever and possibly diarrhoea. With about 1 per cent of all polio infections, the virus breaches the barrier of the intestinal tract and infects the spinal cord and brain via the bloodstream. This also leads to a non-paralytic form of polio that is manifested by headaches as well as neck and back pain. Only in about 0.1 per cent of all infections does the virus attack the nerve cells of the spinal cord and/or brain directly. This is the paralytic form because paralysis occurs in this case.
Symptoms of long-term consequences of polio/post-polio syndrome are:

  • A general lack of strength and endurance

  • Extreme fatigue

  • Difficulty breathing and swallowing

  • Intolerance to cold temperatures

  • Pain in the muscles and/or joints

  • Increased muscle weakness/muscle pain

  • Muscle atrophy (amyotrophia)

  • Progressively unstable joints/joint deformities

  • Cramps

  • Muscle convulsions (fasciculations)

  • Changes in the gait pattern and/or increased tendency to fall

Therapy

Therapy

Since no specific antiviral therapy is available, treatment is limited to symptomatic measures. These include bed rest with careful nursing, correct positioning and physical therapy. Aftercare includes appropriate physiotherapy and treatment with orthopaedic devices such as orthoses. This can improve mobility after the acute stage of the disease.

Back to everyday activities: three steps to an Ottobock orthosis

  1. Here you’ll find an overview of all the orthoses and supports that could potentially help you. Take the list with you to your next doctor’s appointment.
  2. Talk to your doctor about which orthosis is best suited to your symptoms and condition. Your doctor can then write you a prescription for the appropriate orthosis.
  3. Take your prescription to a medical supply company. They’ll give you your new orthosis and adjust it to fit your exact body measurements.
Solutions

Ottobock orthoses and supports for polio/post-polio

The illustrated products represent treatment examples. Many different factors determine whether a product is actually suitable for you and whether you are capable of taking full advantage of the functionality of the product. Based on a detailed examination (anamnesis), your doctor and O&P professional will work with you to determine the treatment that is likely to be most suitable for you. Please don’t hesitate to contact us if you have any questions.

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