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4-7) West Nile virus is of interest to physical therapists because WNND can cause injury to the anterior horn cell of the spinal cord, creating the need for physical therapy interventions for impairments of force generation (strength), functional deficits, and disability. Patients with flaccid paralysis have perivascular lymphocytic infiltration in the spinal cord, microglial nodules, and loss of anterior horn cells (9). Electromyography/nerve conduction studies performed on 14 patients with poliomyelitislike syndrome suggested a motor axonopathy and/or an anterior horn cell process. |
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