The Clinical Management of Poliomyelitis: A Current View 2020

Hugh G. Watts MD, Editor; Contributors: Benjamin Joseph MS Orth, MCh.Orth, FRCS Ed, John Fisk MD, Sharon K. DeMuth DPT, MS, Helen Cochrane MSc. CPO(c), Mathew Varghese MD, Sanjeev Sabharwal MD, MPH. Book. GHO Publications. 2020. 52 Pages.


Though the number of new cases of poliomyelitis worldwide has dwindled considerably, the disease is by no means eradicated. There are also millions of people all over the world with untreated sequelae of poliomyelitis who would benefit from rehabilitative services, orthoses and surgery. In addition, the incidence of “poliomyelitis-like diseases” including acute flaccid paralysis (AFP) and acute flaccid myelitis (AFM) has increased. These children need essentially the same orthopedic care as those with confirmed poliomyelitis. In order to treat these patients effectively, it is important to understand the natural history of the original disease and also the altered biomechanics of a paralyzed limb or trunk. Comprehensive treatment of the effects of poliomyelitis entails inputs from a team that includes rehabilitation therapists, orthotists and surgeons. Not every statement is referenced. This manual is designed to be a useful summary of a clinical experience cumulated over many decades to help those faced with dealing with what is to many a new and strange disease.


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