Agnihotri Saurabh, Srivastava Ankita, Gupta Deepali, Naeem Fareha
Department of Physiotherapy, College of Paramedical Sciences, Teerthanker Mahaveer University, Moradabad, IND.
Department of Physiotherapy, Teerthanker Mahaveer Hospital, Moradabad, IND.
Cureus. 2024 Feb 9;16(2):e53936. doi: 10.7759/cureus.53936. eCollection 2024 Feb.
There are various reports describing physiotherapy rehabilitation in Guillain-Barré syndrome (GBS) but the use of current to rehabilitate GBS patients has remained an untouched topic. To elaborate on this work, we describe a case report focusing on the intervention plan for the rehabilitation of a chronic GBS case by the use of vibratory motor stimulation (VMS) current. The study aimed to describe the therapeutic application of VMS current in improving muscle power of dorsiflexors and overall outcome measures in a case of GBS presenting in a tertiary care hospital in North India. A 29-year-old male patient came to Teerthanker Mahaveer University Hospital and consulted in the Department of Physiotherapy after 1.4 years of being diagnosed with acute motor axonal neuropathy-type GBS. Rehabilitation of this case included strengthening exercises of the upper and lower limbs along with balance exercises. Specifically, in this case, we gave VMS current after assessing the muscle power of the dorsiflexors, which was found to be grade-0 over the bilateral dorsiflexors, combined with passive dorsiflexion. Different outcome measures were used for assessment, including manual muscle testing, functional independence measurement, and the Berg Balance Scale. Improvement in the patient's condition was observed in his outcome measures after two months of treatment. There was an overall improvement in the muscle power of our patient's dorsiflexors, where muscle power was upgraded from grade-0 to grade-I and grade-I+ in the bilateral lower limbs by the use of VMS current. This study marks a novel application of VMS to the dorsiflexors of a GBS patient, yielding positive outcomes in upgrading muscle power grades from grade-0 to grade-I and grade-I+. Further research is needed to confirm VMS efficacy as an early intervention in GBS patient rehabilitation.
有各种关于吉兰 - 巴雷综合征（GBS）物理治疗康复的报告，但使用电流来康复GBS患者仍然是一个未被触及的话题。为详细阐述这项工作，我们描述了一个病例报告，重点是通过使用振动电机刺激（VMS）电流对一名慢性GBS病例进行康复的干预计划。该研究旨在描述VMS电流在改善一名在印度北部一家三级护理医院就诊的GBS患者背屈肌肌力和总体结果测量方面的治疗应用。一名29岁男性患者在被诊断为急性运动轴索性神经病型GBS 1.4年后，来到蒂尔坦克·马哈拉杰大学医院并在物理治疗科咨询。该病例的康复包括上下肢强化锻炼以及平衡锻炼。具体而言，在这个病例中，我们在评估背屈肌肌力后给予VMS电流，发现双侧背屈肌肌力为0级，并结合被动背屈。使用了不同的结果测量方法进行评估，包括徒手肌力测试、功能独立性测量和伯格平衡量表。经过两个月的治疗，观察到患者在结果测量方面病情有所改善。通过使用VMS电流，患者双侧下肢背屈肌肌力总体有所改善，肌力从0级提升到I级和I +级。本研究标志着VMS在GBS患者背屈肌上的新应用，在将肌力等级从0级提升到I级和I +级方面产生了积极结果。需要进一步研究来证实VMS作为GBS患者康复早期干预的疗效。
