A "post-postpoliomyelitis syndrome" is characterized by newly developing muscular weakness and decreasing functional abilities as late complications of paralytic poliomyelitis and the clinical features are quite different form those of other neuromuscular disorders.

We recently experienced a 39 year-old man who considered to have postpoliomyelitis syndrome and report this case in view of the necessity of prompting the disease entity and its management.

The clinical presentation include slowly progressive muscular weakness, decreased function, and previous history of poliomyelitis, The electromyographic findings and the pathologic findings are compatible with those of postpoliomyelitis syndrome, We employed the comprehensive rehabilitative management including modification of his environment and life style.

Keywords :postpoliomyelitis, Diagnosis. Rehabilitation