Observational study of functional gains in patients with Guillain-Barre syndrome
DOI:
https://doi.org/10.5935/0104-7795.20140014Keywords:
Guillain-Barre Syndrome, Gait, RehabilitationAbstract
Guillain-Barre Syndrome is a disease of low incidence but with sudden onset and disturbing in its acute phase. Even though it is a disease of spontaneous remission, therapies for motor functional recovery have been prescribed by physicians since its onset. Rehabilitation seeks to make the patient independent in his daily life activities-this is the initial goal of the multidisciplinary team, and to regain the gait is always the greatest desire of the patient and his family. Objective: The objective of this study was to evaluate the role of rehabilitation in the form of hospitalization, in which the patient receives a large quantity of stimuli during a period of stabilization of the clinical presentation. Method: 27 patients diagnosed with Guillain-Barre Syndrome were evaluated while being treated at the Hospital de Reabilitação e Readaptação Dr. Henrique Santillo, in the period between July 2008 and July 2013. Results: Twenty-seven patients were analyzed with a mean age of 39.4 years, who were admitted for rehabilitation after 47.8 days of clinical presentation and remained hospitalized an average of 43.8 days. Comparing gait recovery in relation to age, no differences in gain were observed among young people or adults. As for the Functional Independence Measure (FIM) the average on admission was 75.2, which increased to 109.1 at discharge. One of the main factors that contributed to this increase in the FIM value was that, in the gait factor, 11 patients were able to ambulate at admission and at discharge that number had risen to 23 (p < 0.001). Conclusion: In this study, a significant relationship was found in gait between admission and discharge, evidenced by a significant increase in the values of FIM during this period. We found no relationship of improvement between the use of immunoglobulin and improved motor skills.
Downloads
References
Hughes RA, Rees JH. Clinical and epidemiologic features of Guillain-Barre syndrome. J Infect Dis. 1997;176 Suppl 2:S92-8. DOI: http://dx.doi.org/10.1086/513793
Beneti GM, Silva DLD. Síndrome de Guillain-Barré. Semina: Ciênc Biol Saúde. 2006;27(1):57-69.
Brasil. Ministério da Saúde. Portaria nº 497, de 22 de dezembro de 2009. Estabelecer parâmetros sobre a síndrome de Guillain-Barré no Brasil e de diretrizes nacionais para diagnóstico, tratamento e acompanhamento dos indivíduos com esta doença [texto na Internet]. Diário Oficial da Republica Federativa do Brasil, Brasília (DF): 2009 Dez 22 [citado em 2014 Ago 2]. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/sas/2009/prt0497_22_12_2009.html
Khan F, Amatya B, Ng L. Use of the International Classification of Functioning, Disability and Health to describe patient-reported disability: a comparison of Guillain Barré syndrome with multiple sclerosis in a community cohort. J Rehabil Med. 2010;42(8):708-14. DOI: http://dx.doi.org/10.2340/16501977-0592
Erazo TR. Síndrome de Guillain Barré en pediatría. Medicina (B. Aires). 2009;69(1 Supl 1):84-91.
Olivé JM, Castillo C, Castro RG, Quadros CA. Epidemiologic study of Guillain-Barré syndrome in children <15 years of age in Latin America. J Infect Dis. 1997;175 Suppl 1:S160-4.
Riberto M, Miyazaki MH, Jucá SSH, Sakamoto H, Pinto PPN, Battistella LR. Validação da Versão Brasileira da Medida de Independência Funcional. Acta Fisiátr. 2004;11(2):72-7. DOI: https://doi.org/10.5935/0104-7795.20040003
Downloads
Published
Issue
Section
License
Copyright (c) 2014 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.