An exploratory international survey of the assessments and interventions used by occupational therapists and physiotherapists during the hospitalization of people with Guillain‐Barré syndrome

Abstract

Guillain‐Barré syndrome is a rare neurological condition. Although some people make a substantial functional recovery, almost half require intensive rehabilitation. Data were collected using a cross‐sectional survey which investigated the assessments and interventions used by occupational therapists and physiotherapists for people with Guillain‐Barré syndrome. Seventy valid responses were received from 10 countries. The survey highlighted four factors about current practice: (i) practitioners did not identify the use of formal clinical guidelines or protocols for Guillain‐Barré Syndrome treatment of the upper limb; (ii) a range of standardized and non‐standardized assessment and goal‐setting tools are utilized; (iii) interventions include passive and active range of motion exercises, and the prescription of upper limb/hand splints; and (iv) interdisciplinary practice is common in the intensive care unit and during acute phases of Guillain‐Barré syndrome, whereas discipline‐specific work is more common during rehabilitation. A range of goal‐setting and assessment tools are used by occupational therapists and physiotherapists during the hospitalization of people with Guillain‐Barré syndrome. The type and duration of interventions vary and may reflect the lack of international protocols for Guillain‐Barré syndrome rehabilitation.