GBS

Question 1

what does GBS effect?

Answer 1

GBS affects mixed peripheral nerves by damaging the myelin sheath

Question 2

what is the etiology of GBS

Answer 2

presumed autoimmune response - 60% follow respiratory or GI illness

Question 3

GBS sxs

Answer 3

1. progressive and rapidly developing ASCENDING motor weakness
2. symmetrical
3. distal to proximal progression
4. areflexia
5. may have sensory and autonomic component

Question 4

When do GBS patients hit nadir (worst point)

Answer 4

1-3 weeks

Question 5

the majority of GBS patients will have what degree of deficits

Answer 5

50% of patients will have minor neuro deficits without functional deficit

Question 6

3 primary tx methods for managing GBS

Answer 6

1. respiratory support
2. IVIG
3. plasmapheresis

Question 7

T/F: exercise/being active will not hasten/iprove nerve regeneration in GBS patients

Answer 7

true

Question 8

what are the two major PT implications for GBS

Answer 8

to be active without fatigue and adaptive equipment

Question 9

what is typical GBS recovery

Answer 9

sub clinical deficits may persist in patients demonstrating “clincially full recovery”

Question 10

at what exercise intensity would you Rx for GBS patients

Answer 10

moderate or sub max

Question 11

what is a neuro/ortho ailment that persists in GBS patients, typically

Answer 11

foot drop or distal weakness