Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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A Pilot Study to Compare between Effectiveness of Functional Mobility and Strengthening Exercises and Strengthening Exercises alone in Guillian Barre Syndrome Patients


Affiliations
1 Department of Neurophysiotherapy,KLE University’s Institute of Physiotherapy, Belgaum, India
2 KLE University’s Institute of Physiotherapy, Belgaum, India
     

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Introduction

Guillian Barre Syndrome (GBS) is an acute inflammatory demyelinating polyradiculopathy that affects nerve ischolar_mains and peripheral nerves leading to motor neuropathy and flaccid paralysis. Rehabilitation helps an individual become functionally independent.

Objective

1. To evaluate the effectiveness of functional mobility training and strengthening exercises in GBS patients. 2. To evaluate the effectiveness of strengthening exercises alone in GBS patients. 3. To compare the effectiveness of combined functional mobility training and strengthening exercises and strengthening exercises alone in GBS patients.

Material and Methods

Data was collected from KLES Dr. Prabhakar Kore hospital, Belgaum. 8 patients both males and females diagnosed with GBS were conveniently taken into the study. 2 groups were done consisting of 4 patients in each group. Group A received only strengthening exercises only and group B received combined functional mobility training and strengthening exercises. Outcome measures Overall Disability Sum Score and MMT will be measured before and after completion of therapy.

Result

After 15 days of treatment, after comparing both the groups, group B showed higher significance than group A for ODSS (P 0.003) but MMT showed no significant difference in the p values.

Conclusion

Hence, combined functional mobility training and strengthening exercises showed improvement in GBS patients.


Keywords

Functional Mobility Training, Strengthening Exercises, Gbs, Overall Disability Sum Score
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  • Kleopas A. Kleopa, M.D., Neuromuscular Fellow Mark J. Brown, M.D., Professor. Disability After “Recovery” From GBS

  • R. Van Koningsveld, MD, P.A. Van Doorn, MD, PhD, P.I. M. Schmitz, PhD, C.W. Ang, MD. Mild forms of Guillain-Barré syndrome in an epidemiologic survey in the Netherlands. October 2, 1999

  • Darcy A. Umhred.Neuromuscular diseases.Neurological Rehabilitation. 5th ed pg 498

  • Maria L. Urso, Maria A. Fiatarone Singh et. al. Exercise training effects on skeletal muscle plasticity and IGF-1 receptors in frail elders. Volume 27, Number 2117-125.

  • I S J Merkies, P I M Schmitz, F G A van der Meché, J P A Samijn, P A van Doorn . Clinimetric evaluation of a new overall disability scale in immune mediated polyneuropathies. J Neurol Neurosurg Psychiatry 2002;72:596–601 6. Fisher, Tara Beth DPT, CSCS; Stevens, Jennifer E. MPT, PhD. Rehabilitation of a Marathon Runner with Guillian- Barre Syndrome


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  • A Pilot Study to Compare between Effectiveness of Functional Mobility and Strengthening Exercises and Strengthening Exercises alone in Guillian Barre Syndrome Patients

Abstract Views: 691  |  PDF Views: 0

Authors

Venu V. Dombale
Department of Neurophysiotherapy,KLE University’s Institute of Physiotherapy, Belgaum, India
Sanjiv Kumar
KLE University’s Institute of Physiotherapy, Belgaum, India

Abstract


Introduction

Guillian Barre Syndrome (GBS) is an acute inflammatory demyelinating polyradiculopathy that affects nerve ischolar_mains and peripheral nerves leading to motor neuropathy and flaccid paralysis. Rehabilitation helps an individual become functionally independent.

Objective

1. To evaluate the effectiveness of functional mobility training and strengthening exercises in GBS patients. 2. To evaluate the effectiveness of strengthening exercises alone in GBS patients. 3. To compare the effectiveness of combined functional mobility training and strengthening exercises and strengthening exercises alone in GBS patients.

Material and Methods

Data was collected from KLES Dr. Prabhakar Kore hospital, Belgaum. 8 patients both males and females diagnosed with GBS were conveniently taken into the study. 2 groups were done consisting of 4 patients in each group. Group A received only strengthening exercises only and group B received combined functional mobility training and strengthening exercises. Outcome measures Overall Disability Sum Score and MMT will be measured before and after completion of therapy.

Result

After 15 days of treatment, after comparing both the groups, group B showed higher significance than group A for ODSS (P 0.003) but MMT showed no significant difference in the p values.

Conclusion

Hence, combined functional mobility training and strengthening exercises showed improvement in GBS patients.


Keywords


Functional Mobility Training, Strengthening Exercises, Gbs, Overall Disability Sum Score

References