GBS

Question 1

What is GBS

Answer 1

Gillian-Bare syndrome is a poly neuropathy of the lower motor neurones. It is a rare and serious condition of the PNS, symptoms usually develop after a minor infection such as a cold, sore throat or gastroenteritis. It is where the immune system attacks motor neurones causing them to become inflamed and stop working

Question 2

Symptoms?

Answer 2

Pain numbness tingling progressive weakness coordination problems and unsteadiness
Peak at about week 4

Question 3

Prognosis

Answer 3

Good with 80% making a full recovery however may take up to a year. Can be some long term complications such as loss of sensation, loss of balance, not being able to walk unaided.

Question 4

Physiotherapy treatment

Answer 4

• stretching to prevent contracture all structures including the nervous system, patients should be encouraged to join in where possible
• use of a continuous passive motion machine
• pain management r.e. MDT
• positioning frequent changes to prevent contractures JD pressure sores e.g. Wedge placed under thoracic region to prevent scapula retraction
• respiratory care pt may be ventilated
• strengthening exercises
• orthosis
• mobility aids