Muscle Strength Recovery in Treated Guillain-Barré Syndrome

Mhandi, Lhassan El; Calmels, P.; Camdessanché, J.-P.; Gautheron, V.; Féasson, Léonard

doi:10.1097/phm.0b013e31813e0b67

Cited by 29 publications

(7 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, baseline and post-intervention mean differences (MDs) indicated significant improvements in peak oxygen uptake (MD ¼ 5.0 mL/kg/min, SD ¼ 6.0 mL/kg/min); peak power output, measured in watts (MD ¼ 38. 6 A case report showed the effects of 7 days of exercise in a 10-month post-onset patient using the podiatron (described in Table 3 online). 12 The results showed improvements from baseline in walking confidence (b44% using the VAS) and the surface area of the elevated left foot (63%) and right foot (92%).…”

Section: Articles Retrievedmentioning

confidence: 99%

“…[3][4][5] Altered soft-tissue length, muscle weakness, and sensory changes affect balance, posture, joint mobility, and gait. 1,2,6,7 Studies have shown that physical fitness can positively influence not only outcomes such as mobility and fatigue levels in GBS patients (GBSPs) but also mental functioning. 8 Although some articles have noted beneficial effects of exercise on GBSPs, some have reported the contrary, stating that this population has had unfavourable responses to exercise.…”

mentioning

confidence: 99%

See 1 more Smart Citation

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

Arsenault

Vincent

et al. 2016

Physiotherapy Canada

View full text Add to dashboard Cite

Purpose: To evaluate the effects of exercise interventions on improving physical outcomes in patients with Guillain-Barré syndrome (GBS). Methods: The PubMed database was searched for articles published up to and including February 2015. Randomized controlled trials (RCTs), case reports, and quasiexperimental and single-subject designs published in English-language, peer-reviewed journals that assessed the impact of physical exercise on patients with GBS were included; study quality was assessed using Sackett's rules of evidence. Data are presented qualitatively and quantitatively using numerical values and percentages. Results: Seven articles were included in the systematic review. One RCT showed that high-intensity relative to lower intensity exercise significantly reduced disability in patients with GBS, as measured with the FIM (p < 0.005, r ¼ 0.71). Overall, various types of exercise programmes improve physical outcomes such as functional mobility, cardiopulmonary function, isokinetic muscle strength, and work rate and reduce fatigue in patients with GBS. Conclusion: Because of insufficient high-quality literature, making confident conclusions about the effects of exercise interventions on physical outcomes in patients with GBS is not possible. Future research should consider using higher quality study designs to confirm the results outlined in this article.Key Words: exercise; Guillain-Barré syndrome; physical exertion; rehabilitation; systematic review. RÉ SUMÉObjectif : é valuer les effets des programmes d'exercice sur l'amé lioration des capacité s physiques des patients atteints du syndrome de Guillain-Barré (SGB). Mé thode : une recherche a é té effectué e dans la base de donné es PubMed sur les articles publié s jusqu'en fé vrier 2015. Des essais contrô lé s randomisé s (ECR), des é tudes de cas, des modè les quasi expé rimentaux et des é tudes individuelles publié s dans des revues anglophones ré visé es par les pairs qui é valuaient l'effet de l'exercice physique sur les patients atteints du SGB ont é té inclus ; la qualité des é tudes a é té é valué e à l'aide de la rè gle des preuves de Sackett. Les donné es ont é té pré senté es de maniè re qualitative et quantitative à l'aide de valeurs numé riques et de pourcentages. Ré sultats : sept articles ont é té inclus dans la revue systé matique. Un ECR a montré que l'exercice à haute intensité par rapport à l'exercice à faible intensité ré duisait de maniè re significative les incapacité s des patients atteints du SGB, mesuré es par la mesure d'indé pendance fonctionnelle (p < 0,005, r ¼ 0,71). Globalement, divers types de programmes d'exercice amé liorent les capacité s physiques, dont la mobilité fonctionnelle, la fonction cardiopulmonaire, la force musculaire isociné tique et le rythme de travail, et ré duisent la fatigue chez les patients atteints du SGB. Conclusion : en raison du manque d'é tudes de qualité , il n'est pas possible de tirer de conclusions dé finitives sur les effets des programmes d'exercice sur les capacité s physiques de...

show abstract

Section: Articles Retrievedmentioning

confidence: 99%

mentioning

confidence: 99%

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

Arsenault

Vincent

et al. 2016

Physiotherapy Canada

View full text Add to dashboard Cite

show abstract

“…Dysphagia and facial weakness are impending sings of respiratory failure. 5,6 Optimal management and treatment of GBS is critically important because the stakes are life or death. Although many patients with GBS are desperately ill and paralyzed, their chances of a full recovery are high if they can overcome the acute stages.…”

Section: Discussionmentioning

confidence: 99%

“…Recovery usually begins 2-4 weeks after the progressive phase. 5,6 CSF studies are helpful for the diagnosis. CSF proteins are elevated to more than twice the upper normal limits.…”

Section: Introductionmentioning

confidence: 99%

Percentage of Patients Who Show Agreement Between Emg and CSF Findings for the Diagnosis of GBS

Hussain

Baloch

Fatima

et al. 2015

Pak Postgrad Med J.

View full text Add to dashboard Cite

Objective: to determine the percentage of patients who show agreement between EMG and CSF findings for the diagnosis of GBS. Study Design: Cross sectional survey. Setting: This study was conducted in the Department of Neurology and Medical ICU, The Children Hospital Lahore, from 01-10-2011 to 31-03-2012. Methodology: 120 patients fulfilled the inclusion criteria were enrolled in the study. EMG was conducted and conduction velocities of motor and sensory nerves of lower and upper limbs and amplitude of compound motor action potential (CMAP’s) were checked. After ten days of start of disease lumbar puncture was done with aseptic measures by the researcher and was sent to the central laboratory of the hospital for analysis of CSF. Results: The mean age of the patients was 5.6±2.8 years. There were 72 (60.0%) male patients and 48 (40.0%) female patients. 116 (96.7%) patients had positive EMG findings and 4 (3.3%) patients had negative EMG findings. 66 (55%) patients had positive CSF findings and 54 (45%) patients had negative CSF findings. Thus at least 64 (53.3%) patients had an agreement between CSF and EMG findings. Conclusion: It is concluded from this study that there is strong agreement between EMG findings and CSF findings for the diagnosis of Guillain Barre Syndrome in children.

show abstract

“…The demyelination of peripheral nerve axons produces symmetrical motor paralysis, which progressively ascends from the lower limbs and causes tingling, burning sensations and areflexia [1,2]. Altered soft-tissue length, muscle weakness and sensory change affect balance, posture, joint mobility and gait [1,3]. A study reported that among 556 patients with GBS, 9% walked independently without walking aid, 21% walked with a walker and 23% were pushed in a wheelchair [4].…”

Section: Introductionmentioning

confidence: 99%

Berg balance scale as a tool for choosing the walking aid for patients with Guillain-Barré syndrome or polyneuropathy

Zupanc

Vidmar

2021

International Journal of Rehabilitation Research

View full text Add to dashboard Cite

Berg balance scale (BBS) is a widely used outcome measure in rehabilitation. We wanted to check if it can discriminate among levels of use of walking aid in patients with Guillain–Barré syndrome or polyneuropathy. A retrospective audit of 109 such patients (aged 16–85 years) who had completed inpatient rehabilitation in the period 2012–2017 was conducted. Receiver operating characteristic curve analysis was used to estimate the thresholds that optimise the prediction of the patient’s walking aid. Statistically, significant threshold BBS score was estimated for the ability to walk without walking aid (≥49 points, yielding 88% sensitivity, 68% specificity and 83% classification accuracy) and the necessity to walk with a walker (≤37 points, yielding 62% sensitivity, 83% specificity and 78% classification accuracy). BBS score thresholds can therefore help clinicians choose the appropriate walking aid for patients with Guillain–Barré syndrome or polyneuropathy undergoing rehabilitation.

show abstract

Muscle Strength Recovery in Treated Guillain-Barré Syndrome

Abstract: Until 18 months of recovery, dynamometric measures still showed significant strength improvement. This underscores the need for a minimal 24 months of clinical follow-up with an individualized rehabilitation management program.

Cited by 29 publications

References 28 publications

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

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

Percentage of Patients Who Show Agreement Between Emg and CSF Findings for the Diagnosis of GBS

Berg balance scale as a tool for choosing the walking aid for patients with Guillain-Barré syndrome or polyneuropathy

Contact Info

Product

Resources

About