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.

Author: Tojashura Mezijar
Country: France
Language: English (Spanish)
Genre: Education
Published (Last): 23 April 2012
Pages: 224
PDF File Size: 6.86 Mb
ePub File Size: 18.87 Mb
ISBN: 248-3-20798-627-4
Downloads: 48545
Price: Free* [*Free Regsitration Required]
Uploader: Kern

Your physical therapist may show you how to use pillows to make your body position more comfortable in a chair or when lying down. Relapse can best be minimized or avoided by not overworking the body to the point of significant fatigue.

Moreover, although this study suggested using high-intensity exercise with GBSPs, other studies have shown that rapid increases in exercise guillain can result in strength reversals; consequently, exercise intensity should be closely monitored.

By the third week, she could get up from bed by herself, and walk with the help of her physical therapist and a walker. Eight papers without accessible electronic or printed full text were excluded. However, significant overall functional recovery had occurred within the general cohort [13] LoE 1B. Research shows that aerobic exercise, such as walking on a treadmill for at least 20 minutes 3 times per week, may help improve aerobic capacity, reduce fatigue, and optimize healing.

Get recommendations from family and friends or from other health care providers. The articles report present research and give an overview of the standards of practice for treatment both in the United States and internationally.

It is imperative that patients and nursing staff be alert for symptoms of fatigue to prevent a patient’s bare from regressing and to promote long-term functional independence.

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

We then included 88 abstracts using the reference lists of the reviews found in that search. The indirectness of the measures, physkotherapy as with volitional exhaustion, decreased the quality of the study.

In addition, having a single subject with chronic-relapsing GBS may have altered exercise outcomes compared with other patients, thereby creating selection bias.


Relapse of GBS cases has been known to xyndrome. Healthy Running Check out our resources for healthy running. This can be achieved through: Anemia is a frequent finding in the first few months of illness but does not appear to interfere with functional recovery.

FIS decreased significantly at 6 and 12 wk.

Guillain-Barre Syndrome

It can affect adults phsiotherapy children; its affects do not vary across race, ethnicity, or geographic location. Eight literature reviews were withdrawn. Little is known of the long-term implications of the disability caused by GBS. Compared with pre-testing, grip strength improved after cycling by 0. She plays on her college intramural basketball and soccer teams. By the second week, Mandy could breathe on her own, no longer needing the ventilator.

Symptoms generally have resolved by physiotherpy time the patient presents with the neurological condition. Physical fitness peak oxygen consumption, peak power output, muscular power. Future research should consider using higher quality study designs to confirm the results outlined in this article. Although bqrre usually recover from GBS with muscle re-innervation, it has been shown that overworking partially denervated muscles can cause further damage, including a loss of functioning motor units.

She moved to brare rehabilitation hospital, where she received 3 hours of physical therapy per day. Your physical therapist will check your skin frequently to make sure that it stays healthy and injury free during your recovery.

About 3 percent may guillajn a relapse of muscle weakness and tingling sensations many years after barrd initial attack. During your first visit with the physical therapist, be prepared to describe your symptoms in as much detail as possible, and say what makes your symptoms worse. The physical therapist will perform tests on your body to find physical problems, such as: Please review our privacy policy. In another study, progressive functional exercise rapidly improved muscle performance and FIM scores in a former marathon runner over the course of a 3-week intervention.

In most cases Physiopedia articles are a secondary source and so should not be used as references. They are normal in the early stages but show typical changes after a week or so with conduction block and multifocal motor slowing, sometimes most evident proximally as delayed F-waves.

A week bicycle intervention with severely fatigued patients with GBS and CIDP showed a significant increase in physical and isokinetic muscle strength and reduced fatigue scores. To minimize bias and errors, two reviewers RB, AS rated the levels of evidence independently, then met with a third reviewer SZ to discuss any discrepancy and reach consensus.


You can perform these motions on your own, when able, to help hasten improved motion and pain relief. Reviewed by the MoveForwardPT. This study has several limitations that should be kept in mind when interpreting the results. Intubation may be necessary in patients with substantial oro-pharyngeal dysfunction to prevent aspiration. This article has been cited by other articles in PMC. Early loss of reflexes may be due to desynchronization of afferent impulses in reflex arc due to non-uniform demyelination.

AIDP Acute inflammatory demyelinating polyneuropathy. When you are referred for physical therapy, your physical therapist will conduct a thorough evaluation that includes taking your health history.

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

For optimal recovery, a two-phase physiotherayp 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.

Functional mobility improved significantly. Function improved more in the intervention group than in control. This physical therapist has advanced knowledge, experience, and skills that may apply to your condition. The body’s immune system begins to attack the body itself, [3] The immune responses causes a guilain reaction with the neural tissue. Gaps and directions for further research To build on our findings, higher quality studies with high levels of evidence, such as RCTs and clinical controlled trials, are required.

Most cases will have subsequent arm weakness, and possibly the weakness of facial, ocular, and oropharyngeal muscles. According to Bensmanthe following four guidelines are to be followed for prescription of exercises: Up syndrmoe two thirds of patients with GBS report an antecedent illness or event weeks prior to the onset of weakness.

Her physical therapist let her begin some sports drills.