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Guillain-Barré Syndrome Rehabilitation

Muscle strengthening and functional recovery after acute inflammatory polyradiculoneuropathy.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Guillain-Barré Syndrome Rehabilitation?

Guillain-Barré Syndrome (GBS) is an acute symmetric paralysis due to autoimmune attack against peripheral nerves. The most common form is AIDP (acute inflammatory demyelinating polyneuropathy). Symptoms peak in 2-4 weeks; slow recovery begins after the plateau phase.

Rehabilitation includes acute, subacute and reconstructive phases. In the acute phase, positioning, passive ROM, respiratory support and DVT prophylaxis; in subacute, active assisted exercise and submaximal strengthening (avoiding overfatigue); in the reconstructive phase, gait training, balance and ADL are focused on.

Excessive exercise can delay recovery (overwork weakness); therefore objective monitoring of muscle strength (MMT, dynamometer) is important. 80% of patients recover fully or near-fully in 1 year; 20% have residual weakness.

Symptoms

Acute ascending paralysis
Sensory loss
Areflexia
Weakness in respiratory muscles
Autonomic dysfunction
Pain

Risk Factors

Preceding viral infection
Campylobacter jejuni infection
Post-vaccination (rare)
Surgery
Stress
Genetic predisposition

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • In acute symmetric weakness (emergency)
  • If respiratory difficulty develops
  • In loss of walking
  • When muscle weakness progresses
  • For rehabilitation planning

Treatment Methods

01
IVIG or plasmapheresis (acute)
02
Positioning and contracture prevention
03
Passive ROM exercises
04
Stepwise active strengthening
05
Avoidance of overwork weakness
06
Respiratory muscle training
07
Gait training
08
Psychological support

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.