Sequelae Of Poliomyelitis Research Articles

Late sequelae of paralytic poliomyelitis: a clinical and electromyographic study.

A prospective study was carried out on 24 volunteers who had suffered from paralytic poliomyelitis up to 51 years earlier. A quantitative EMG was carried out in each subject. Grossly raised mean amplitudes of the interference patterns were found in many strong muscles as well as in weak muscles. Such muscles frequently showed "contraction fasciculation", a manifestation of loss of normal small motor units. In many subjects the clinical and EMG evidence of chronic partial denervation were more widespread than the subjects had realised. It is suggested that if, with advancing age, minor damage occurs to the peripheral nervous system and the complement of motor neurones is already depleted by poliomyelitis, there will be an exaggerated response with increase in the lower motor neurone signs.

Premature pubarche and the growth of the trunk in paralysed children

In a hospital supervising prolonged orthopaedic treatment of children suffering from neurological affections, isolated premature pubarche appeared very frequently in children suffering from severe paralytic sequelae of acute anterior poliomyelitis. These subjects had a greater progression of scoliosis and segmental disproportion than comparable subjects of the same age. Supine length and crown-rump length were studied during growth in 16 paralysed boys and 22 paralysed girls with premature pubarche. The results were compared with those of two control populations, one normal group (274 girls, 246 boys), the other a paralysed group (49 boys and 38 girls). Paralysed children (group with premature pubarche and control group) all show considerable shortening of the legs. Up to age 11 for girls and 13 for boys, children with premature pubarche had longer trunks than normal, while supine length was normal. Premature slowing of growth then occurred, bringing the trunk to normal values and supine length to very low values for age. This is ascribed to premature pubertal growth of the trunk. The roles of hormonal changes and neurological damage are discussed.

Editorial Comment

Most physicians' first exposure to the musculoskeletal system is in the anatomy laboratory. Bones, muscles, origins and insertions, and nerve and blood supply are laboriously memorized and quickly forgotten. The biology of muscle function learned in physiology also becomes indistinct. The musculoskeletal system is a biological unit whose function is mechanical. Early application of the concept of the mechanical function of a biologic unit was perhaps best exemplified in the treatment of the sequelae of poliomyelitis. An unopposed muscle force produced functional or static deformity, and treatment often consisted of balancing these forces. The study of the biomechanics of the musculoskeletal system received great impetus immediately after World War II in attempting to solve the problems of prosthetic substitution from amputated extremities. From these beginnings the interest and application of biomechanical studies to other clinical problems has rapidly expanded. The increased interest in biomechanics has been evidenced by the institution

Arthrodesis of the ankle joint; indications, operative technic and clinical experience.

THE ankle joint — to function properly — must have smooth articular cartilage, proper weight- bearing alignment, intact supporting ligaments and good musculature under adequate voluntary control. A variety of pathologic changes are of frequent occurrence. Trauma, infection and certain other processes may cause such damage to the cartilaginous surfaces of the joint that a painful arthritis prevents normal function. Gross deformities of the foot — congenital or acquired — such as a clubfoot or the late sequelae of poliomyelitis and hemiplegia result in inability to place the sole of the foot flat on the floor and to carry out, . . .

Prophylaxis and therapy of the sequelae of poliomyelitis

Drug Prescribing for Patients with Chronic Kidney Disease in General Practice: a Cross-Sectional Study

Prophylaxis and therapy of the sequelae of poliomyelitis

Prophylaxis and therapy of the sequelae of poliomyelitis

SOME PROBLEMS OF ACUTE ANTERIOR POLIOMYELITIS AND ITS SEQUELAE. By Erik Skinhoj. 9 x 6 in. Pp. 183, with 20 figures. Bibliography. 1949. Copenhagen: Ejnar Munksgaard. Price Dan. Crs. 12

The Journal of Bone and Joint Surgery. British volumeVol. 33-B, No. 2 Book ReviewsFree AccessSOME PROBLEMS OF ACUTE ANTERIOR POLIOMYELITIS AND ITS SEQUELAE. By Erik Skinhoj. 9 x 6 in. Pp. 183, with 20 figures. Bibliography. 1949. Copenhagen: Ejnar Munksgaard. Price Dan. Crs. 12M. Forrester-BrownM. Forrester-BrownSearch for more papers by this authorPublished Online:1 May 1951https://doi.org/10.1302/0301-620X.33B2.296-aAboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetails Vol. 33-B, No. 2 Metrics Downloaded 7 times History Published online 1 May 1951 Published in print 1 May 1951 InformationCopyright © 1951, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download

Poliomyelitic hip deformity and the erector spinae transplant.

One of the most intractable sequelae of poliomyelitis is a complex deformity involving the knee, the hip and the lumbosacral portion of the spine. The hip deformity is characteristically one of flexion and abduction. The knee may be in flexion and valgus with external torsion of the lower leg on the femur. The lumbosacral region of the spine is in lordosis, and if only one extremity is involved there will be in addition to the lordosis a pelvic tilt, the contralateral iliac crest being high (fig. 1 A ). The affected leg is abducted, the unaffected leg is adducted, and there is a lumbar scoliosis convex toward the affected side. These deformities are by no means uncommon in poliomyelitis, and they also occur in connection with congenital malformations such as spina bifida and more infrequently after paraplegia due to trauma, infection or tumor. Growth plays an important role, for these deformities