Effectiveness of chest physiotherapy and early mobilisation in patient with Guillain-Barre syndrome

Abstract

Guillain-Barré syndrome (GBS) is a rare disease in which the peripheral nerves are attacked by the immune system of a person. It can affect individuals of all ages, but it is more common in adults and in men. An infection to gut or respiratory system is thought to precede before Guillain-Barré syndrome. This may be an infection that is bacterial or viral. Vaccine administration or surgery can also cause Guillain-Barré syndrome. Weakness and tingling sensation are usually the first symptoms which starts in legs and can extend to upper limbs. Diagnosis is confirmed by symptoms and managed primarily by IV Immunoglobulins and plasmapheresis. Present case is a 28-year-old female came with history of weakness of lower extremities more than upper extremities. She was diagnosed as GBS based on symptoms, NCV and Lumbar Puncture. She was treated in ICU with IV Immunoglobulins and physiotherapy. She was given Chest Physiotherapy and early limb mobilisations in ICU which were continued in ward. After 8 days his SPO2 levels increased and bed mobility was improved. We conclude by this case report that early management will lead a path for long standing results and can help patient to gain faster recovery.