Guillain-Barré syndrome (GBS) is an autoimmune disorder that affects nerves and how they function in the body. Guillain Barré syndrome is a rare condition in which your immune system attacks your nerves. Learn about the condition and the Shepherd Center program. Guillain-Barré syndrome (GBS) is an acute, inflammatory, post-infectious Rehabilitation outcomes of patients who have developed Guillain-Barré syndrome.

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Data are presented qualitatively and quantitatively using numerical values and percentages.

She began to practice jumping. Second, the heterogeneity of the study designs described in those articles made it difficult to compare the studies. Hyper-carbia later finding; arterial blood cases may be misleading. However, this limitation cannot be avoided because it is unethical to implement control groups with sub-optimal care in the initial stages of GBS.

First, because there was little high-quality literature, only seven articles were included in the final review. GBS is considered to be an autoimmune disease triggered by a preceding bacterial or viral infection.

Before the intervention, the patient was being treated with a combination of immunoglobulins, plasmapheresis, and corticosteroids, all of which affected patient scores. Quite often, GBS occurs after a viral or bacterial infection, such as: Up to two thirds of patients with GBS report an antecedent illness or event weeks prior to the onset of weakness.

Your physical therapist physiothfrapy check your physiotheeapy frequently to make sure that it stays healthy and injury free during your recovery. A progressive programme using functional exercises was used.

Guillain-Barré Syndrome –

Your physical therapist will determine if any muscles are tight, start helping you to stretch them, and teach you how to stretch them on your own. Progressive decline of these functions indicate an impending need or ventilatory assistance.

Individualized, high-intensity outpatient exercise, including strengthening, endurance training, gait training, and functional exercises. Your therapist will also ask you detailed questions about your condition, such as: Tracheostomy may be needed in patients intubated for 2 weeks who do not show improvement. Urinary difficulties may require intermittent catheterization. Facial and oropharyngeal weakness usually appears after the trunk and limbs guillakn affected. Nevertheless, ghillain devised outcome measure of area under the elevated foot may prove invalid and create information bias by not reflecting the body-function domains necessary for our analysis.


Guillain-Barre Syndrome – Physiopedia

That is usually the journal article where the information was first stated. For optimal recovery, a two-phase rehabilitation process should take place—the first in the early stages of recovery to diminish the disability burden and the second in the later stages of the disease to support reconditioning. GBS is rare, and occurs in fewer than 4 perpeople worldwide, and slightly more often in men.

Zika virus West Nile virus Lyme disease Food-borne organisms also have been known to trigger GBS in people who have ingested contaminated food. However, research has shown that approximately two-thirds of GBS cases occur following bacterial or viral infections, or after immunizations.

Physical Therapist’s Guide to Guillain-Barré Syndrome

The content on or accessible through Physiopedia is for informational purposes only. Axonal can be further classified into:. Her doctor admitted her to the hospital for tests. These exercises will be designed specifically for your needs, to help restore your ability to perform daily activities. Practicing safe sex to prevent transmission of viruses and bacteria related to GBS onset. The resulting title and abstract review provided us with 84 relevant articles for full-text review.

The podiatron is a motorized, variable-pitch wobble board, with a control panel and handrails, designed to mobilize and strengthen the ankles, knees, hips, and back.

She stumbled frequently, and was very tired. But it has been shown to be less effective than plasmapheresis. Please review our privacy policy. Further medical management can be done according to the symptoms and the complications: Multiple medical complications, including deep venous thrombosis, joint contractures, hypercalcemia of immobilization, and decubitii, may develop in the early stages of recovery and interfere with the rehabilitation program.

Influence of Exercise on Patients with Guillain-Barré Syndrome: A Systematic Review

All authors designed the study; or collected, analyzed, or interpreted the data; and drafted or critically revised the article and approved the final draft. Physical therapy will help you return, as much as possible, to your normal lifestyle and activities. The absence of control groups in most studies reduced internal validity and prevented them from determining whether temporal factors caused GBS symptoms to improve from spontaneous remittance.


To build on our findings, higher quality studies with high levels of evidence, such as RCTs and clinical controlled trials, are required. Other issues that affect rehabilitation are dysautonomia, cranial nerve involvement, and various medical complications associated with GBS. Four studies that implemented cycling exercise showed significant improvements in the participants’ respective outcomes, 2489 and three studies incorporating exercise programmes with physiotherapy treatments also showed improvements.

Fall ; 68 4: As her endurance improved, she was able to practice the drills more quickly, and for longer periods of time. MRC SS score range 0— In the United States, diagnoses of GBS peak in young adulthood ages 15 to 35 yearsand at a second higher peak in persons aged 50 to 75 years. This systematic review aimed to examine recent research on the effects of exercise on GBSPs.

Researchers observed the patient’s post-intervention independent mobility and reported a positive influence of exercise on this GBSP’s muscle performance.

After reviewing the articles and applying the criteria independently, both reviewers met with a third reviewer AS to reach a final consensus.

For the ACE test, the subject began by arm cranking at 10 W for 2 min. It can affect adults gyillain children; its affects do not vary across eyndrome, ethnicity, or geographic location. Muscle performance improved considerably.

Your physical therapist can assess your aerobic capacity and determine the best aerobic activities for you. The exact cause of the disorder is not known.