Post-­‐Polio	  Syndrome	  Prof.	  dr.	  Frans	  Nollet	  	  Dept.	  Rehabilita:on	  Academic	  Medical	  Center	  Universi...
Post-­‐polio	  syndrome	  •  Polio	  in	  The	  Netherlands	  •  Post-­‐polio	  syndrome,	  aging	  with	  polio	  •  Care...
Polio	  in	  the	  Netherlands	                   14.762	  cases	  since	  1924	  2500200015001000                        ...
1959	  
50	  years	  later	  
Post-­‐polio	  syndrome	  Late	  decline	  in	  muscle	  func>on	                  2-­‐3%/yr	  
Before	  1995	  unrestricted	  	  1995	  Leg	  brace	  LeM	  2012 	           	  	  
Cause	  of	  post-­‐polio	  syndrome	  Premature	  metabolic	  exhaus:on	                 x                   x           ...
2011	  No	  Cure	  
Lancet Neurol 2010
Rehabilita:on	  Interven:ons	               •  Exercise	               •  Behaviour	               •  Adapta>ons	         ...
Care for post polio syndrome in EU1.  Knowledge	  among	  health	  care	  providers	  is	  low	  and	  there	  is	      li...
EU	  Brussels	  17-­‐18	  October	  2007	  
Developing	  countries	  	  No	  or	  liRle	  medical	  care	  and	  rehabilita>on	  for	  polio	  vic>ms	  to	      preve...
Challenge	  •  To	  improve	  care	  for	  polio	  vic>ms	  throughout	  life	     around	  the	  world	  •  To	  promote	...
2011	             	  2014	  	             	  Next	  congress	  in	                 Amsterdam	             	  Theme	       ...
?	  
Future:	  From	  vaccine	  to	  vic:m!	  
Nsri2012.trf.sem.frans nollet post polio syndrome
Nsri2012.trf.sem.frans nollet post polio syndrome
Nsri2012.trf.sem.frans nollet post polio syndrome
Nsri2012.trf.sem.frans nollet post polio syndrome
Nsri2012.trf.sem.frans nollet post polio syndrome
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Nsri2012.trf.sem.frans nollet post polio syndrome

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Nsri2012.trf.sem.frans nollet post polio syndrome

  1. 1. Post-­‐Polio  Syndrome  Prof.  dr.  Frans  Nollet    Dept.  Rehabilita:on  Academic  Medical  Center  University  of  Amsterdam  The  Netherlands  
  2. 2. Post-­‐polio  syndrome  •  Polio  in  The  Netherlands  •  Post-­‐polio  syndrome,  aging  with  polio  •  Care  and  research    •  Bridging  developed  and  developing  countries  •  Challenge  for  the  future  
  3. 3. Polio  in  the  Netherlands   14.762  cases  since  1924  2500200015001000 1957  vaccina>on  500 0 1924 1994 1924   1994  
  4. 4. 1959  
  5. 5. 50  years  later  
  6. 6. Post-­‐polio  syndrome  Late  decline  in  muscle  func>on   2-­‐3%/yr  
  7. 7. Before  1995  unrestricted    1995  Leg  brace  LeM  2012      
  8. 8. Cause  of  post-­‐polio  syndrome  Premature  metabolic  exhaus:on   x x x
  9. 9. 2011  No  Cure  
  10. 10. Lancet Neurol 2010
  11. 11. Rehabilita:on  Interven:ons   •  Exercise   •  Behaviour   •  Adapta>ons   www.facts2nmd.nl  
  12. 12. Care for post polio syndrome in EU1.  Knowledge  among  health  care  providers  is  low  and  there  is   liRle  interest  2.  Specialized  care  in  post-­‐polio  clinics  is  scarce  3.  In  more  than  half  of  the  countries  insufficient  access  to  social   work,  psychologists,  adapta>ons  at  home  and  work,   transporta>on  and  housing  4.  Research  should  focus  in  the  first  place  on  symptom   management  (pain,  fa>gue)  and  therapies  (medica>on  and   rehabilita>on)  
  13. 13. EU  Brussels  17-­‐18  October  2007  
  14. 14. Developing  countries    No  or  liRle  medical  care  and  rehabilita>on  for  polio  vic>ms  to   prevent  and  treat  deformi>es,  to  provide  braces.    
  15. 15. Challenge  •  To  improve  care  for  polio  vic>ms  throughout  life   around  the  world  •  To  promote  research  on  PPS  •  To  transfer  knowledge  between  developed  and   developing  countries    
  16. 16. 2011    2014      Next  congress  in   Amsterdam    Theme    ‘Bridging  knowledge’  
  17. 17. ?  
  18. 18. Future:  From  vaccine  to  vic:m!  

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