Bhagwat Anushka P, Sharath H V, Warghat Pratiksha A
Department of Paediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 May 7;16(5):e59815. doi: 10.7759/cureus.59815. eCollection 2024 May.
Guillain-Barré syndrome (GBS) is a rare autoimmune disorder impacting the peripheral nervous system, particularly severe in children. This case series assesses the efficacy of paediatric rehabilitation on functional outcomes in paediatric GBS patients. The interventions focused on balance training, strength enhancement, and activities of daily living (ADLs). Four paediatric GBS patients were enrolled, presenting primarily with weakness and fever. Post-rehabilitation, significant enhancements were noted in motor function, ADLs, and quality of life (QoL). This series underscores the favourable impact of paediatric rehabilitation on GBS, advocating for early initiation to improve recovery and enhance QoL. GBS poses significant challenges, particularly in paediatric populations, necessitating comprehensive management strategies. While the syndrome's acute phase is managed medically, rehabilitation plays a pivotal role in optimizing long-term outcomes. This study aims to evaluate the effect of paediatric rehabilitation interventions on functional outcomes in children diagnosed with GBS. The four paediatric patients diagnosed with GBS underwent paediatric rehabilitation, comprising balance training, strength enhancement, and ADL exercises. Functional outcomes, including motor function, ADLs, and QoL, were assessed pre- and post-rehabilitation using standardized measures. The most common presenting symptoms in the paediatric GBS patients were weakness and fever. Following paediatric rehabilitation, significant improvements were observed in specific functional outcomes, including motor function, ADLs, and QoL. These improvements underscore the efficacy of paediatric rehabilitation in enhancing functional recovery and overall well-being in these patients. The findings of this case series emphasize the crucial role of paediatric rehabilitation in managing GBS in children. Early initiation of rehabilitation interventions may facilitate better recovery trajectories and improve long-term outcomes. Comprehensive rehabilitation strategies addressing motor function, ADLs, and QoL are essential components of holistic GBS management in pediatric patients. Pediatric rehabilitation interventions, encompassing balance training, strength enhancement, and ADL exercises, demonstrate significant benefits in improving functional outcomes in children with GBS. Early initiation of rehabilitation interventions is pivotal for enhancing the recovery process and optimizing the QoL in pediatric GBS patients. Further research is warranted to validate these findings and refine rehabilitation protocols for optimal outcomes.
吉兰 - 巴雷综合征(GBS)是一种罕见的自身免疫性疾病,会影响周围神经系统,在儿童中尤为严重。本病例系列评估了儿科康复对儿童GBS患者功能结局的疗效。干预措施主要集中在平衡训练、增强力量和日常生活活动(ADL)方面。纳入了4名儿童GBS患者,主要表现为虚弱和发热。康复后,运动功能、ADL和生活质量(QoL)均有显著改善。本系列强调了儿科康复对GBS的积极影响,主张早期开始康复以促进恢复并提高生活质量。GBS带来了重大挑战,尤其是在儿科人群中,需要全面的管理策略。虽然该综合征的急性期通过医学手段进行管理,但康复在优化长期结局方面起着关键作用。本研究旨在评估儿科康复干预对诊断为GBS的儿童功能结局的影响。4名诊断为GBS的儿科患者接受了儿科康复,包括平衡训练、增强力量和ADL练习。使用标准化测量方法在康复前后评估功能结局,包括运动功能、ADL和QoL。儿科GBS患者最常见的症状是虚弱和发热。经过儿科康复后,在特定功能结局方面观察到显著改善,包括运动功能、ADL和QoL。这些改善强调了儿科康复在促进这些患者功能恢复和整体健康方面的疗效。本病例系列的研究结果强调了儿科康复在儿童GBS管理中的关键作用。早期开始康复干预可能有助于更好的恢复轨迹并改善长期结局。针对运动功能、ADL和QoL的综合康复策略是儿科GBS整体管理的重要组成部分。包括平衡训练、增强力量和ADL练习的儿科康复干预在改善儿童GBS患者的功能结局方面显示出显著益处。早期开始康复干预对于促进儿科GBS患者的恢复过程和优化生活质量至关重要。有必要进行进一步研究以验证这些发现并完善康复方案以实现最佳结局。