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Catalogue [by source]

IMPORTANT NOTES FOR FIRST-TIME READERS

INDEX - H
Halstead, Lauro S., MD
Hartman, Janice
Harvest Center Library
Heatley F.W.
Hellawell D. J.
Holland, Henry, MD
Howard R.S.
Huber, Steven J.

Halstead, Lauro S., MD

Director of the Post-Polio Program at the National Rehabilitation Hospital and Outpatient Center in Washington DC, USA.

See also Managing Post-Polio A Guide to Living Well with Post-Polio Syndrome in Library Booklist

Title: Assessment and Differential Diagnosis for Post-Polio Syndrome

Author(s): Lauro S. Halstead, MD
Original Publication: Orthopedics November 1991 Vol 14 No. 11 1209-1217
Abstract/Extract: Proper assessment of post-polio patients presents both a challenge and a dilemma: a challenge because of the non-specific nature of many of the symptoms and the complex interplay between psychological and physical features; a dilemma because of the absence of specific diagnostic tests, the continuing uncertainty of the underlying cause or causes, and the lack of any curative therapeutic intervention. Nonetheless, despite these obstacles, there is still much that can be done to ameliorate symptoms and improve function in the long-term management of these patients.

Title: National Rehabilitation Hospital Limb Classification for Exercise, Research, and Clinical Trials in Post-Polio Patients

Author(s): Lauro S. Halstead, Anne Carrington Gawne, and Bao T. Pham
Original Publication: The Post-Polio Syndrome: Advances in the Pathogenesis and Treatment Volume 753 pp 343-353 of the Annals of the New York Academy of Sciences May 25, 1995.
Abstract/Extract: A need exists for an objective classification of polio patients for clinical and research purposes that takes into account the focal, asymmetric, and frequent subclinical nature of polio lesions. In order to prescribe a safe, effective exercise program, we developed a five-level (Classes I-V) limb-specific classification system based on remote and recent history, physical examination, and a four-extremity electrodiagnostic study (EMG/NCS). Class I limbs have no history of remote or recent weakness, normal strength, and a normal EMG. Class II limbs have no history of remote or recent weakness (or if remote history of weakness, full recovery occurred), normal strength and EMG evidence of prior anterior horn cell disease (AHCD). Class III limbs have a history of remote weakness with variable recovery, no new weakness, decreased strength, and EMG evidence of prior AHCD. Class IV limbs have a history of remote weakness with variable recovery, new clinical weakness, decreased strength, and EMG evidence of AHCD. Class V limbs have a history of severe weakness with little-to-no recovery, severely decreased strength and atrophy, and few-to-no motor units on EMG. In a prospective study of 400 limbs in 100 consecutive post-polio patients attending our clinic, 94 (23%) limbs were Class I, 88 (22%) were Class II, 95 (24%) were Class III, 75 (19%) were Class IV, and 48 (12%) were Class V. Guidelines for the use of this classification in a clinical/research setting are presented along with sample case histories and class-specific exercise recommendations.

Title: Post-Polio Syndrome

Author(s): Lauro S. Halstead, MD
Original Publication: Scientific American April 1998 Vol 278 Number 4:36-41
Abstract/Extract: Decades after recovering much of their muscular strength, survivors of paralytic polio are reporting unexpected fatigue, pain and weakness. The cause appears to be degeneration of motor neurons. In the first half of the 20th century, the scourge of paralytic poliomyelitis seemed unstoppable. A major polio epidemic hit the New York area in 1916, and in the following decades the epidemics grew in size and became more deadly. The epidemic of 1952, for instance, affected more than 50,000 Americans and had a mortality rate of about 12 percent. It is difficult to realize today the extent of the fear and panic that gripped the public. Polio haunted everyone: families stayed at home; swimming pools were closed; public events were canceled.
Special Note: Inclusion of artwork on pages 36, 37, 38, and photographs on pages 40 and 41 of Scientific American Journal is pending reprint permission from other copyright owners.

See also POLIO AFTERMATH Scientific American Letters Page August 1998, includes reply from Dr. Halstead.

For articles with Halstead, Lauro S., MD as co-author or contributor see the following catalogue entries:

Hartman, Janice

Janice Hartman has her own personal web site Jann's PA Dutch Kitchen. See her entry in our Polio Survivors on the Internet directory.

Title: Nutrition and Post Polio Syndrome

Author(s): Janice Hartman
Abstract/Extract: Let me first say that I am no expert here, but my training is in Nutrition and Education. I must caution all of you trying to lose weight to please do it sensibly. A low fat diet (with portion control) and exercise (to whatever degree you can do) works the best.

Harvest Center Library

For articles from the Harvest Center Library see the following catalogue entries:

Heatley F.W.

For articles with Heatley F.W. as co-author or contributor see the following catalogue entries:

Hellawell D. J.

For articles with Hellawell D. J. as co-author or contributor see the following catalogue entries:

Holland, Henry, MD

Henry Holland MD, is a polio survivor, a board certified psychiatrist and an associate clinical professor of psychiatry at the Medical College of Virginia who has led the Central Virginia (Richmond) PPS Support Group for the past two years.

He had a serious case of polio at age 11 in 1950 and accepted a permanent tracheostomy in 1970. His PPS symptoms started in 1990; and he was recently forced by them to give up his practice.

Tom Walter

For a detailed list of all articles by Henry Holland MD in our library see our catalogue Dr. Henry writes...... See also Henry Holland MD - Medical Credentials.

Howard R.S.

For articles with Howard R.S. as co-author or contributor see the following catalogue entries:

Huber, Steven J.

For articles with Huber, Steven J. as co-author or contributor see the following catalogue entries:

NOTES

It is the intention of the Lincolnshire Post-Polio Network to make all the information we collect available regardless of our views as to it's content. The inclusion of a document in this library should not therefore be in any way interpreted as an endorsement.

People who had polio and are experiencing new symptoms need to be assessed by medical professionals who are experienced in Post-Polio to determine what is wrong and to give correct advice. We can only make these documents available to you. YOU must then take what you believe to be relevant to the medical professional you are seeing. We are collecting and collating everything we can to enable medical professionals to make informed decisions. Other medical conditions must be looked for first, Post-Polio Syndrome is by diagnosis of exclusion.

"Source" in the context of this catalogue primarily means original author. In a few cases it will be an organisation or conference.

The Lincolnshire Post-Polio Network
Registered Charity No. 1064177
An Information Service for Polio Survivors and Medical Professionals

The Lincolnshire Post-Polio Network takes great care in the transcription of all information that appears at this site. However, we do not accept liability for any damage resulting directly or otherwise from any errors introduced in the transcription. Neither do we accept liability for any damage resulting directly or otherwise from the information available at this site. The opinions expressed in the documents available at this site are those of the individual authors and do not necessarily constitute endorsement or approval by the Lincolnshire Post-Polio Network.

© Copyright The Lincolnshire Post-Polio Network 1997 - 2009.

Document preparation: Chris Salter, Original Think-tank, Cornwall, United Kingdom.
Primary Document Reference: <URL:http://www.ott.zynet.co.uk/polio/lincolnshire/library/cs_h.html>
Secondary Document Reference: <URL:http://www.zynet.co.uk/ott/polio/lincolnshire/library/cs_h.html>
Last modification: 26th April 2009.
Last information content change: 26th April 2009.