Medical Rehabilitation in Patient with Guillain Barre Syndrome

Abstract

Abstract

Guillain-Barré Syndrome (GBS) is an autoimmune disorder affecting the peripheral nervous system, characterized by progressive muscle weakness, hyporeflexia, and sensory disturbances. This case report discusses the rehabilitation management of a patient with GBS, specifically the Acute Motor Axonal Neuropathy (AMAN) subtype. A 37-year-old female patient presented with progressive weakness in the upper and lower extremities following a febrile illness. Physical examination revealed decreased muscle strength (score 1-3), hyporeflexia, and complete dependence in daily activities (Barthel index score 5). Electromyography (EMG) confirmed the diagnosis of AMAN-type GBS. The rehabilitation program included physical therapy (ROM exercises, neuromuscular electrical stimulation [NMES], infrared therapy), occupational therapy (ADL training), and psychological support. Therapy was tailored to the disease phase (progressive, plateau, recovery) and the patient’s progress. After six months, the patient showed significant improvement: muscle strength increased (score 4-5), independence in daily activities was achieved (Barthel index score 18), and she could walk unaided (GBS disability scale score 1). Anxiety levels also decreased (Hamilton score 0). Structured, multidisciplinary rehabilitation plays a crucial role in functional recovery for GBS patients. The prognosis for this patient was categorized as ad vitam bonam, ad functionam dubia ad bonam, and ad sanationam bonam.