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Recognizing the Impacts of Poliomyelitis in Children and Planning the

Rehabilitation Strategies
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PoliomyelitisWeaknessPhysical ExerciseClinical MedicineMedical Specialties
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RECOGNIZING THE IMPACTS OFPOLIOMYELITIS IN CHILDREN ANDPLANNING THE

REHABILITATIONSRATEGIES
Ronald E. Pakasi, MD
Physical Medicine & Rehabilitation Dept.Jakarta, Indonesia

Terminology
�Greek:
polio
(gray) and
myelon
(marrow)
?
involvement in thespinal cord�Classic manifestation: paralysis�Michael Underwood
(1789): 1
st
?
a disease entity (�
Debility of thelower extremities�)
�Other terminologies:
poliomyelitis anterior acuta,fatty atrophic paralysis of infancy, essential
infantileparalysis,
and
Heine-Medindisease

History
�First recorded symptomssimilar to poliomyelitis:Egyptian stele datingfrom the
EighteenthDynasty (1580-1350B.C.)
?
�a
crippled young man,apparently a priest,with a withered &shortened left leg, witha
foot positioned typicalof flaccid paralysis,using his staff forsupport�

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