The neurorehabilitation of people with Guillain-Barré Syndrome

Le résumé fourni par la source

Guillain-Barré Syndrome (GBS), or Acute Inflammatory Demyelinating Polyneuropathy (AIDP) is a rare, acquired condition which can cause pain, sensory impairment and weakness in the limbs.The severity varies widely from mild non-disabling symptoms to complete flaccid tetraplegia, respiratory failure and autonomic instability.Those with severe weakness are particularly susceptible to the complications of immobility, most prominently shortening of the soft tissues and potentially permanent loss of range in the joints.Here, we set out a multi-disciplinary approach to rehabilitating people with GBS, which we consider as three processes: prevention, adaptation and restoration.We describe how the approach should be tailored and used flexibly over the course of the person's rehabilitation, aiming to maximise recovery and minimise long-term disability. Key points1.The rehabilitation of people with Guillain-Barré Syndrome can be considered as three processes: Prevention, Adaptation and Restoration.2. A comprehensive rehabilitation programme will often require all three processes, however the proportion of each will depend on the degree of nerve regeneration and the presence of factors such as pain and fatigue.3. Early intervention is essential to maintain joint range of movement and prevent secondary complications of immobility.4. Ongoing access to community and/or outpatient services is vital to reduce long-term disability, optimise the transition from a hospital setting to the community and increase participation in leisure, work and social activities.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.