Guillain Barre Syndrome

Guillain-Barré syndrome (GBS) is an acute, inflammatory, post-infectious autoimmune disease of the nervous system characterized demyelination of the peripheral and autonomic nerves resulting in acute muscle weakness and loss of sensations.

The demyelination of peripheral nerve axons produces symmetrical motor paralysis, which progressively ascends from the lower extremities.


The exact causes of GBS are still not known.

The condition often develops a few days or weeks after an infection of the digestive or
respiratory tract. This suggests that they could be related to GBS. In rarer cases, the
syndrome can occur following surgery, other infections, or immunization.

Symptoms of GBS:

  • Progressive muscle weakness, sometimes involving respiratory muscles as well
  • General instability while walking
  • Sensory loss
  • General fatigue
  • Loss of deep tendon reflexes
  • Tingling and burning sensation
  • Cramp like pain that gets worse at night
  • Psychological & cognitive difficulties
  • Difficulty breathing
  • Lack of control over bladder and bowel

Management at AktivHealth :

  • Maintain clear airways
  • Prevent lung infection
  • Increase muscle strength through strengthening and mobilization exercises
  • Improve balance and mobility through assessment of different mobility aids and
    postural re-education
  • Reduce muscle stiffness, spasms, and pain through stretching programmes
  • Reduce postural instability and balance problems through core stability exercises
    and balance training
  • Reduce the risk of falls through balance work, gait re-education, and training
  • Increase independence and quality of life
  • Fatigue management and advice
  • Functional activities independently or in groups
  • Assessing function in your own environment and establish any needs for equipment, adaptations, or further rehabilitation
  • Hand therapy including splinting and exercise programs
  • Provide psychological support for the patient and relatives.

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