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Association between post-polio syndrome and essential tremors

 
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Association between post-polio syndrome and essential t... - May 11, 2016 11:15:02 PM   
DreamPT

 

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Hi everyone,

I have a patient early 70's who was admitted with the primary diagnosis of post-polio syndrome. She was mostly at a wheelchair level prior to admission, but was able to perform stand pivot transfers with supervision and ambulate 5 - 10 feet with a rolling walker. Limited ambulation distances were due to weakness, decreased balance and essential tremors. Currently, she is able to sit to stand with max A x 2-3, but unable to maintain and upright position due to essential tremors present throughout the sit to stand transfer.

I have browsed the net and pubmed to find an association between post-polio syndrome and essential tremors and have been unsuccessful. I have found articles describing an association between post-polio syndrome and low dopamine levels which can cause tremors.

My question is if any one has seen patient's with post-polio syndrome and debilitating essential tremors. If so, is there anything that can be done from a PT perspective to minimize these tremors?

< Message edited by DreamPT -- May 11, 2016 11:16:50 PM >
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