Shared peer advice from polio survivors about what works for them.

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News about people who have made significant contributions to the disability community.

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Canes – Pick the Right Stick

Brian Tiburzi

A cane may be adequate if you need minimal support. First determine the correct length of the cane. If it is too long and your elbow stays bent when you lean on the cane, the triceps muscle at the back of the elbow has to stay contracted. This can lead to muscle fatigue and pain in your shoulder. To prevent …

How to Use Crutches on Stairs

Brian Tiburzi

Approach the stairs and have your therapist stand by for safety until confident of abilities. Keep crutches down on lower level and do not place upward on the steps. Push down hard on the crutches with your arms. This lifts the body upward. Then, step up first with your strong leg to the first step! Bring up your weak leg …

Of Crutches and Canes

Brian Tiburzi

Have you thought about using a cane or crutch but dismissed the idea because you’d be self-conscious? Think you’ll look “disabled”? Figure that you’ve gotten along okay without walking aids so far, so why start now? Good question.I know that feeling well and talked about it in “Facing Reality.” But ask yourself if you are really getting along okay. Do …

Walkers

Brian Tiburzi

If you’re at risk of falling or have some balancing problems you might want to consider using a walker. It is imperative that your walker is properly fitted with comfortable handgrips and that it is the correct height for you. To determine the correct height, stand inside the walker, let your arms rest at your sides and match the crease …

Roll Models: Scooters and Wheelchairs

Brian Tiburzi

Many of us who had polio used canes, wheelchairs and bracing on our path to recovery and gradually were able to relinquish them. Others of us have developed different chronic conditions that have managed just fine until now without mobility equipment. But as we get older our bodies change, our symptoms escalate and daily activities use so much more energy …

Brace Yourself!

Brian Tiburzi

Along with wheelchairs, nothing conjures up as much anxiety as the idea of having to use new—or long-ago discarded—splints, braces, canes or crutches. Using supportive devices may seem like sending a beacon to the world that we are disabled. After years of functioning without obvious aids, it seems like stepping backwards. I know how difficult these transitions are. I had …

Weakness

Brian Tiburzi

New muscle weakness is the hallmark of post-polio syndrome and can significantly impact activities of daily living. Some amount of new muscle weakness is likely to occur in about half of post-polio individuals (Jubelt & Drucker, 1999). Muscle weakness is most likely to occur in muscles previously affected during the acute poliomyelitis followed by a partial or full recovery (Cashman …

Ergonomics

Brian Tiburzi

Ergonomics is an interdisciplinary field concerned with the performance and safety of individuals at work, how people cope with the work environment, interact with machines, and, in general, negotiate their work surroundings. Applying this knowledge to all environments, tools, tasks, and jobs produces ones that are safe, comfortable, and effective. As strength and endurance decrease, the use of ergonomic principles …

Why Should You Consider Seeing a PT? Choosing a PT.

Brian Tiburzi

One excellent reason for seeing a PT in the absence of declining physical function is to undergo a well-rounded baseline evaluation against which future problems might be measured. Individuals who have not experienced recent functional decline may seek the services of a PT so that they may be educated in ways to minimize the effects of their polio problems on …

Fatigue

Brian Tiburzi

Jane Dummer, Maryland I am qualified to speak about fatigue because I fade right after lunch. When I agreed to speak, I realized very quickly I was going to discuss something which is global, yet something I really cannot define for you. So what am I going to say? Fatigue is a normal part of living. Perhaps I can say …