GBS

Question 1

___% of those with GBS have no preceding illness.

Answer 1

27

Question 2

About ___% have preceding GI or respiratory illness.

Answer 2

70

Question 3

What is the mortality rate of GBS?

Answer 3

10%

Question 4

GBS affects ________ and _______.

Answer 4

Peripheral nerves and nerve roots.

Question 5

GBS may occur days to weeks following ________ or _______, immunizations.

Answer 5

Respiratory or GI viral infections.

Question 6

GBS presents as a rapidly evolving, relatively SYMMETRICAL/ASYMMETRICAL ascending weakness or flaccid paralysis.

Answer 6

Symmetrical

Question 7

Identify three ways GBS may present:

Answer 7

Tingling sensation in legs.

Rapidly evolving, relatively symmetrical ascending weakness.

Pain

Question 8

Identify 4 ways GBS is diagnosed:

Answer 8

Subjective history
Clinical presentation
Nerve conduction velocity
Spinal tap

Question 9

The prognosis for GBS is GOOD/BAD.

Answer 9

Good

Question 10

___% experience persistent residual deficits (GBS).

Answer 10

15

Question 11

___% experience a lasting severe disability (GBS).

Answer 11

20

Question 12

__% of cases are fatal due to organ failure/respiratory problems or infection.

Answer 12

5%

Question 13

Identify three medical interventions for GBS:

Answer 13

ICU/Acute care
Immunoglobulin therapy
Plasmaphoresis

Question 14

Identify the three steps of disease progression with timelines (GBS):

Answer 14

Progression phase (days to weeks)
Plateau phase (days to months)
Recovery phase (weeks to years)

Question 15

Physical therapy focus during the progressive phase (GBS):

Answer 15

Positioning
ROM

Question 16

Physical therapy focus during the plateau phase (GBS):

Answer 16

Position and ROM continued
Light AROM

Question 17

Physical therapy focus during the recovery phase (GBS):

Answer 17

Gentle progressive exercise program.
Low resistance, low reps, high sets spread throughout the day. functional activities as tolerated. AVOID mm fatigue. Frequent rest periods.

Question 18

Motor characteristics of GBS:

Answer 18

Ascending weakness: greater in LE than UE.

Question 19

Sensory characteristics of GBS:

Answer 19

Ascending sensory loss

Question 20

Autonomic characteristics of GBS:

Answer 20

Cardiovascular/respiratory autonomic dysfunction.

Question 21

What would a spinal MRI show for GBS?

Answer 21

Normal

Question 22

What is GBS?

Answer 22

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.