Physical Therapy Management Of A Patient With Guillain-Barre Syndrome During and After Pregnancy: A Case Report

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Kou, Sarah
Physical Therapy
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Background: Guillain Barre Syndrome (GBS) is a disorder in which the body’s immune system attacks part of the peripheral nervous system. The cause of GBS is still unknown, with suspicions of viral or bacterial infection preceding diagnosis. It can affect people of all ages, gender, or ethnic background, with equal incidence rates in both men and women. The incidence rate for GBS is rare, affecting 1-2 persons in 100,000 annually. Usually begins with distal, symmetrical, onset of paraesthesia, followed by progressive limb weakness. Pain is a common symptom, typically described as a deep ache or cramp in the buttocks, thighs, or between the shoulders. Most patients eventually reach a full or nearly full recovery with the ability to walk unassisted after 3 months and only minor residual symptoms by the end of the first year after onset. Purpose: There is currently no detailed description of PT management for GBS in pregnancy in the literature. The rationale of this case report is to describe a comprehensive program focused around the concept of functional-based interventions to assist a patient with GBS before and after pregnancy to regain independence and safety to complete daily and work-related activities.