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- W1680685218 abstract "The chief disorders resulting from infantile paralysis have been considered in this paper. The principal and most crippling symptoms are muscle paralysis and paresis. This is result of lesions of anterior-horn cells. In affected muscles, neuromuscular degeneration can be accurately determined by chronaxia. The degree and extent of injury are evaluated by this test; this aids in diagnosis and prognosis. Inflammation of sensory protoneurons is not necessarily found at exactly same level as injuries to anterior-horn cells. Therefore, pain and tenderness of muscles are found in non-paralyzed as well as in affected muscles. Pain might be explained as a referred pain which is usually increased by stretching of muscles.The Kenny concept is fundamentally different. Three cardinal symptoms are described,—muscle spasm, mental alienation, and incoordination. To test this concept, a series of investigations have been carried out, since obviously a clear understanding of symptoms is of great importance for diagnosis, prognosis, and treatment of any disease. The various parts of concept have been considered.1. Spasm is not the most damaging symptom of disease; it is a complex and ill-defined phenomenon, under which several different conditions are included. Spasm does not lead to neuromuscular degeneration.2. In paralytic and paretic muscles called alienated, our observations showed that there was always some degree of neuromuscular degeneration. Among these muscles, some were partially denervated; these have a good chance to recover. Some others were totally denervated, and, therefore, will not recover.3. There is no clinical evidence of incoordination in ordinary sense. The patient attempts voluntarily or involuntarily to use a stronger muscle for a weak or paralyzed one. This abnormal use of an extremity is substitution and not incoordination." @default.
- W1680685218 created "2016-06-24" @default.
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- W1680685218 date "1944-01-01" @default.
- W1680685218 modified "2023-09-23" @default.
- W1680685218 title "ANALYSIS OF NEUROMUSCULAR DISORDERS IN POLIOMYELITIS" @default.
- W1680685218 hasPublicationYear "1944" @default.
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