GBS Flashcards
___% of those with GBS have no preceding illness.
27
About ___% have preceding GI or respiratory illness.
70
What is the mortality rate of GBS?
10%
GBS affects ________ and _______.
Peripheral nerves and nerve roots.
GBS may occur days to weeks following ________ or _______, immunizations.
Respiratory or GI viral infections.
GBS presents as a rapidly evolving, relatively SYMMETRICAL/ASYMMETRICAL ascending weakness or flaccid paralysis.
Symmetrical
Identify three ways GBS may present:
Tingling sensation in legs.
Rapidly evolving, relatively symmetrical ascending weakness.
Pain
Identify 4 ways GBS is diagnosed:
Subjective history
Clinical presentation
Nerve conduction velocity
Spinal tap
The prognosis for GBS is GOOD/BAD.
Good
___% experience persistent residual deficits (GBS).
15
___% experience a lasting severe disability (GBS).
20
__% of cases are fatal due to organ failure/respiratory problems or infection.
5%
Identify three medical interventions for GBS:
ICU/Acute care
Immunoglobulin therapy
Plasmaphoresis
Identify the three steps of disease progression with timelines (GBS):
Progression phase (days to weeks)
Plateau phase (days to months)
Recovery phase (weeks to years)
Physical therapy focus during the progressive phase (GBS):
Positioning
ROM
Physical therapy focus during the plateau phase (GBS):
Position and ROM continued
Light AROM
Physical therapy focus during the recovery phase (GBS):
Gentle progressive exercise program.
Low resistance, low reps, high sets spread throughout the day. functional activities as tolerated. AVOID mm fatigue. Frequent rest periods.
Motor characteristics of GBS:
Ascending weakness: greater in LE than UE.
Sensory characteristics of GBS:
Ascending sensory loss
Autonomic characteristics of GBS:
Cardiovascular/respiratory autonomic dysfunction.
What would a spinal MRI show for GBS?
Normal
What is GBS?
A rare autoimmune disease attacking the peripheral nervous system. It’s characterized by the rapid onset of weakness and often paralysis of the legs, arms, breathing muscles, and face.
