Effectiveness of focused and goal-oriented physiotherapy in the recovery of a patient with guillain - Barré syndrome

Shrutika Wankhade, Mohammed Irshad Qureshi, Rakesh Krishna Kovela*, Suchitra Menon, Ashish W Bele

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Guillain-Barré syndrome (GBS) is a rare condition in which the nerves of brain and spinal cord are attacked by the person’s own immune system. It can affect both males and females of any age, but it is more common in adults and in males. A bacterial or viral infection to gut or respiratory system is thought to predispose Guillain-Barré syndrome. Literature also proved that vaccine administration or surgery can also cause Guillain-Barré syndrome. Weakness and tingling sensation are usually the first symptoms which begins in legs and can extend to upper limbs. Diagnosis is confirmed by symptoms, Nerve Conduction Velocity studies and Lumbar Puncture and managed primarily by IV Immunoglobulins, plasmapheresis and Physiotherapy. Present case is a 50-year-old male came with history of weakness of lower extremities more than upper extremities. He was diagnosed as GBS based on symptoms, NCV and Lumbar Puncture. He was treated in ICU with IV Immunoglobulins and physiotherapy. He was given goal oriented and focussed Chest Physiotherapy to clear secretions and early limb mobilisations in ICU which were continued in ward. After 10 days his SPO2 levels increased and bed mobility was improved even his response to commands an exercise improved. We conclude by this case report that focused and goal-oriented Physiotherapy will definitely lead to fasten the recovery process.

Keywords:

Guillain - Barre syndrome; Chest Physiotherapy; Early Mobilisations; Physiotherapy Rehabilitation.