PT Management of Guillain- Barre Syndrome

Question 1

GBS

Exercise Precautions

Answer 1

• During neural recovery, excessive exercise during early reinnervation can lead to further damage rather than to the usual exercise-induced muscle hypertrophy.
  
  • Avoid muscle fatigue/overuse
• Stop exercise at first signs of fatigue or muscle ache

Question 2

GBS

Any serial negative changes or plateaus in motor, sensory or respiratory impairments or functional status may be indicative of a_______

Answer 2

relapse

Question 3

GBS

Strictly avoid antigravity strain on muscles until strength improves to ____

Answer 3

3/5

Question 4

GBS

Acute/Early Progressive Phase:

Answer 4

• Prevent contracture, decubitus ulcers, injury to weak/denervated muscles
• Movements patient can make without pain or excessive fatigue
• Begin upright activities: gradual sitting program

Question 5

GBS

Chronic/Recovery Phase. After plateau of disease process & recovery has begun:

Answer 5

• Slow, graduated program of active exercise
• Strictly avoid antigravity strain on muscles until strength improves to 3/5
  
  • Progress to moderate to high-intensity exercise as strength and exercise tolerance increases
• Functional training