Inpatient rehabilitation of a person with Guillain-Barré syndrome associated with COVID-19 infection: An expert interdisciplinary approach to a case study

Several cases of Guillain-Barré Syndrome (GBS) associated with a COVID-19 infection have been recently reported. Rehabilitation might be a key player in the recovery of these highly complex patients however, results are yet unknown. This case report aimed to describe the effects of an inpatient reha...

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Bibliographic Details
Published in:Physiotherapy theory and practice 2023-11, Vol.39 (11), p.1-2489
Main Authors: Almeida, Miguel P, Machado Vaz, Inês, Winck, João Carlos, Marques, Alda
Format: Article
Language:English
Subjects:
Activities of daily living
Case reports
Complex patients
COVID-19
Dyspnea
Emotional intelligence
Emotional support
Energy conservation
Fatigue
Functional status
Guillain-Barre syndrome
Health education
Health promotion
Infections
Inpatient care
Interdisciplinary aspects
Multidisciplinary teams
Muscle strength
Recovery
Rehabilitation
Teams
Ventilation
Walking
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Summary:Several cases of Guillain-Barré Syndrome (GBS) associated with a COVID-19 infection have been recently reported. Rehabilitation might be a key player in the recovery of these highly complex patients however, results are yet unknown. This case report aimed to describe the effects of an inpatient rehabilitation program, with an interdisciplinary team approach, in a patient with GBS in the context of a COVID-19 infection. A 58-year-old man with GBS after COVID-19 started an inpatient rehabilitation program focused on reducing dyspnea and fatigue symptoms; improving muscle strength, balance, aerobic and functional training; practicing activities of daily living and energy conservation techniques; swallowing training; emotional support and patient and family education about daily routines. An expert interdisciplinary team delivered the intervention, approximately 5 h/day, 5 days/week for 6 weeks. Improvements were observed in dyspnea, fatigue, nocturnal ventilation, muscle strength, balance, walking capacity, functional status, and swallowing function. This clinical case report illustrates the impact of a tailored and interdisciplinary rehabilitation program, on promoting recovery in multiple health domains of a patient with GBS associated with COVID-19 infection. Our experience might be useful to guide other inpatient rehabilitation programs to successfully manage these highly complex patients.
ISSN:0959-3985
1532-5040
DOI:10.1080/09593985.2022.2072252