Guideline for Neuromuscular Rehabilitation in Guillain-Barré Syndrome

Abstract

Introduction. Originally described by Landry in 1859 and Guillain, Barré and Strohl in 1916, Guillain-Barré Syndrome (GBS) is the most common cause of acute neuromuscular paralysis selflimited in developed countries. The annual incidence of GBS is 1.5 per 100,000. Although it had a favorable prognosis (“maladie bénigne et spontanément curable”) it’s mortality rate is about 5% and 10% of patients remaining severely disabled one year after neurological onset. Specialist teams, intensive care and rehabilitation are essential for patient management and should be provided in appropriate hospital units. Objective. To guide the health professionals about the utilization of the physical and respiratory techniques in patients with GBS, as well as it’s indication. Method. Update of articles about GBS and Rehabilitation, on the last years of the data bases Bireme, ScienceDirect, PubMed and SciELO. Conclusion. There is currently no consensus on the management of these patients in the acute, sub-acute and chronic settings. Many of them are being discharged without access to rehabilitation services. Our results suggest that the rehabilitation makes a measurable and significant difference and should be available to all patients with GBS.

Updates in the management of Guillain Barre Syndrome

“…3 Common GBS variants include the classic acute motor axonal neuropathy (AMAN), acute motor and sensory axonal neuropathy (AMSAN), acute inflammatory demyelinating polyradiculoneuropathy (AIDP). 2, 3,5 Miller Fisher syndrome (MFS), another famous variant of GBS, consists of classic triad of ataxia, areflexia and ophthalmoplegia, without any weakness. 3,6 Another GBS variant is bulbar and pharyngeal-brachial variant.…”

Experience in the Use of Plasmapheresis in Acute Inflammatory Demyelinating Polyradiculoneuropathy Guillain – Barre Syndrome in the Patient With Chronic Hepatitis C Virus Infection and Type 2 Diabetes Mellitus

“…и упражнений для дыхательной мускулатуры при необходимости. Данные мероприятия позволяют уменьшить неврологический дефицит, а также предотвратить развитие осложнений, таких как тромбозы и пневмонии [33].…”

Use of Weighted Exercise and Gait Training To Improve Function in the Ataxic Patient: A Case Study on a Patient with Acute Motor-Sensory Axonal Neuropathy

“…Common symptoms include distal weakness, impaired joint proprioception and ataxia, with marked decreases in muscle action potentials and sensory nerve action potential amplitude [1]. Common treatments include: IVIG, high-dose methylprednisolone, plasmapheresis, and aggressive rehabilitation by physical therapy (PT) [2]. Recovery is often delayed and incomplete in this subtype [2].…”

“…Common treatments include: IVIG, high-dose methylprednisolone, plasmapheresis, and aggressive rehabilitation by physical therapy (PT) [2]. Recovery is often delayed and incomplete in this subtype [2]. Research is limited on PT protocols for management of this condition, specifically for the treatment of ataxia.…”