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.

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

What is your current activity level? However, significant overall functional recovery had occurred within the general cohort [13] LoE 1B. You can perform these motions on your own, when able, to help hasten improved motion and pain relief. Of the seven articles that we reviewed, only two attempted to separate patients with chronic GBS from those with acute or recovering GBS, 28 and both found similar results in those two categories.

Mandy was discharged to go home, and was able to return to school part-time. The PubMed database was searched for articles published up to and including February The absence of CIs, in conjunction with the heterogeneity of both the outcome measures and the exercise interventions of the studies, limited our ability to compare the effectiveness of the interventions.

GBS is not inherited, nor is it contagious. The incline was built up over the first 30 s to top speed, at which point the podiatron performs rotational exercises. What this study adds This systematic review aimed to examine recent research on the effects of exercise on GBSPs.

She moved to a rehabilitation hospital, where she received 3 hours of physical therapy per day. 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

It is referred to as syndrome because it represents a broad group of demyelinating inflammatory poly radiculo-neuropathies. Retrieved from ” https: Can this Injury or Condition be Prevented? Patient became independent doing all bed-mobility tasks. 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.


Campylobacter jejuni, cytomegalovirus, Epstein-Barr virus and Mycoplasma pneumoniae syndeome commonly identified antecedent pathogens. Physical fitness peak oxygen consumption, peak power output, muscular power. Weakness or tightness in the muscles Loss of skin sensation in some areas numbness Loss of reflexes Joint stiffness Poor posture Balance problems Breathing difficulty Skin problems If your physical guiloain finds any of the above problems, physical therapy treatment may begin right away to help get you phyaiotherapy the road to recovery and back to your normal activities.

The article fuillain are listed by year and linked either to a PubMed abstract of the article or to free full text, so that you can read it or print out a copy to bring with you to your health care provider. Your therapist will also ask you detailed questions about your condition, such as:.

Only one study demonstrated non-direct associations between physical fitness and GBS progression. The lack of randomization in non-RCT studies may prevent balancing confounders such as age and disease severity. Our searches yielded one randomized controlled trial RCT. 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.

Eight literature reviews were withdrawn. This study has several limitations that should be kept in mind when interpreting the results. Assessment of methodological quality Assessment of methodological quality was completed using Sackett’s rules of physitherapy, a modified version of the levels of evidence developed gillain the Centre for Evidence-Based Medicine CEBM. For optimal recovery, a two-phase rehabilitation 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.

Although little is known about how to prevent all cases of GBS, research shows that it may be prevented in some cases by: Finally, the treatment patients significantly barrr in self-care and mobility domains compared phgsiotherapy the controls.


Find a PT Search our national database of physical therapists. Individualized, high-intensity outpatient exercise, including strengthening, endurance training, gait training, and functional physiotherapyy. Your physical therapist can assess your aerobic capacity and determine the best aerobic activities for you.

Guillain-Barré Syndrome

Your physical therapist will determine if any muscles are tight, start helping you to stretch them, and teach you how to stretch them on your own.

Sustained hypertension managed by angiotensin-converting enzyme inhibitor or beta blocking agent. 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.

Study selection and inclusion—exclusion criteria Titles and abstracts obtained from the original search were reviewed independently by two authors NSA, POVwho selected relevant articles for guullain analysis. Your physical therapist can help you return to your preferred recreational activities over time, using a rehabilitation program designed just for you. It is imperative that patients and nursing staff be alert for symptoms of fatigue to prevent a patient’s rehabilitation from regressing and to promote long-term functional independence.

Anemia is a frequent finding in the first few months of illness but does not appear to interfere with functional recovery. GBS can cause damage that results in serious health problems.

In the acute inflammatory demyelinating polyneuropathy AIDP form, immune system reactions against target epitopes in Schwann cells or myelin result in demyelination; however, the exact target molecules in the case of AIDP have not yet been identified [2].

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. Three papers not translated into English were removed.