Do you have any information on exercise and polio?
Thank you for your question. Most of the research regarding poliomyelitis and exercise involves studies of the quadriceps group. This is mainly a research design feature. The studies are looking at strength and endurance, and the quadriceps muscle group is easily tested on many laboratory isokinetic devices. The studies were quite conclusive in their findings. General strength training improved strength, local endurance, and in some cases, muscular hypertrophy was recorded in the muscle groups affected with polio. This is due to the “vital” muscle fibers compensating for the damaged muscle fibers. The main effect of exercise on the tested subjects was muscle fatigue. Electrophysiologically, muscle fibers fatigue slimiliarly, but the muscle groups affected by polio were shown to fatigue early.
An Integrated Training approach would be ideal for your client. This program would simultaneously address core stabilization strength, balance training, functional flexibility, and integrated strength training. This integrated approach would increase the recruitment of the vital muscle tissue, which would adapt to the imposed balance demands, and help movement patterns efficiency and reduce fatigue. For more information, check out on PtontheNet:
- Stability Ball Training – Juan Carlos Santana
- What is Functional Exercise – Paul Chek
- Low Back Pain: A Functional Perspective – Mike Clark
- Agre JC, Rodriguez AA, Franke TM, Swiggum ER, Harmon RL, Curt JT: Low-intensity, alternate-day exercise improves muscle performance without apparent adverse effect in postpolio patients. Am J Phys Med Rehabil. 1996. Jan-Feb; 75(1):50-8
- Agre JC, Rodriguez AA: Neiromuscular function in polio survivors at one-year follow-up. Arch Phys Med Rehabil. 1991. Jan;72(1):7-10
- Agre JC, Rodriguez AA, Franke TM: Strength, endurance, and work capacity after muscle strengthening exercise in postpolio subjects. Arch Phys Med Rehabil. 1997. Jul;78(7):681-6
- Einarsson G: Muscle condition in late poliomyelitis. Arch Phys Med Rehabil. 1991. Jan;72(1):11-14
- Ernstoff B, Wetterqvist H, Kvist H, Grimby G: Endurance training effect on individuals with postpoliomyelitis. Arch Phys Med Rehabil. 1996. Sep;77(9):843-8