Effects of physical activity on the recovery of patients with Guillain-Barré Syndrome
Keywords:
Guillain-Barré syndrome, physical activity, rehabilitation, bone mineral density, muscle strength, quality of life.Abstract
Introduction: Guillain-Barré syndrome is an autoimmune neuropathy. After an infection, it can cause progressive muscle weakness and even paralysis. Recovery depends on a multidisciplinary approach and intensive rehabilitation, although research on the effectiveness of physical activity programs in this pathology is scarce.
Objective: To evaluate the impact of a physical activity program on the functional recovery of patients with loss of bone density and muscle strength in the lower limbs due to Guillain-Barré syndrome.
Methods: A longitudinal quasi-experimental study was conducted with 60 patients diagnosed with Guillain-Barré syndrome. They were made up into an experimental group (n = 30) and a control group (n = 30). The experimental group followed a physical activity program, while the control group received standard treatment. Bone mineral density was assessed by DEXA. Likewise, muscle strength was estimated with isokinetic dynamometry and quality of life through the SF-36 questionnaire. The research was carried out for 12 weeks at the “Gabriela Alvarado” Hospital in El Paraíso, Honduras, from February to May 2024.
Results: Bone mineral density and muscle strength increased, respectively, by 12% and 30%; while muscle electrical activity improved by 40%.
Conclusions: The inclusion of physical activity programs in the treatment of Guillain-Barré syndrome favors functional recovery and improves quality of life.
Downloads
References
Rodríguez Y, Iglesias J, Jimenez LM, Kouyate I. Los fundamentos biológicos de un programa de ejercicios físicos en pacientes con Síndrome Guillain-Barré. Rev Cub Med Dep. Cult Fis. 2017 [acceso 14/08/2024];12(2). Disponible en: https://revmedep.sld.cu/index.php/medep/article/view/93/95
Márquez BA, Vargas LJ, Guerra LI. Caracterización del síndrome de Guillain-Barré en pacientes atendidos en un hospital en Colombia entre el año 2009 y el 2019. Neurol Arg. 2022;14(4):208-14. DOI: https://doi.org/10.1016/j.neuarg.2021.10.003
Leonhard SE, Mandarakas MR, De Assis F, Bateman K, Brito ML, Cornblath DR, et al. Guía basada en la evidencia. Diagnóstico y manejo del síndrome de Guillain-Barré en diez pasos. Medicina (B. Aires). 2021 [acceso 14/08/2024];81(5):817-36. Disponible en: https://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802021000500817
Willison HJ, Jacobs BC, van Doorn PA. Guillain-Barré syndrome. Lancet. 2016;388(10045):717-27. DOI: https://doi.org/10.1016/s0140-6736(16)00339-1
Alva-Diaz C, Mori N, Pacheco-Barrios K, Velásquez-Rimachi V, Rivera-Torrejon O, Huerta-Rosario CA, et al. Guía de práctica clínica para el diagnóstico y tratamiento del paciente con síndrome de Guillain-Barré. Neurol Arg. 2020;12(1):36-48. DOI: https://doi.org/10.1016/j.neuarg.2019.09.006
Leyva-Reyes D, Delgado-López LP, Fuentes-Machado Y. Factibilidad de los ejercicios físicos terapéuticos para rehabilitar niño con síndrome de Guillain-Barré. Cienc Progr. 2022 [acceso 11/06/2024];7(16):51-61. Disponible en: https://cienciayprogreso.cug.co.cu/index.php/Cienciaprogreso/article/view/357
Sosa Y. Sistema de ejercicios físicos para pacientes con el Síndrome Guillain Barré, del Consejo Popular Urbano, municipio Candelaria. Nuevas exigencias [Tesis de Maestría]. La Habana, Cuba: Universidad de las Ciencias de la Cultura Física y el Deporte “Manuel Fajardo”; 2011 [acceso 11/06/2024]. Disponible en: https://rc.upr.edu.cu/bitstream/DICT/2425/1/YUNEISIS%20SOSA%20CALDERON.pdf
Santos-Garate YD. Reporte de caso; síndrome de Guillain-Barré, manejo multidisciplinario en un hospital de segundo nivel. Rev Sanid Mil. 2021;75(4):1-6. DOI: https://doi.org/10.56443/rsm.v75i4.267
Almeida MP, Machado Vaz I, Winck JC, Marques A. Inpatient rehabilitation of a person with Guillain-Barré syndrome associated with COVID-19 infection: An expert interdisciplinary approach to a case study. Physiother Theory Pract. 2023;39(11):2479-89. DOI: https://doi.org/10.1080/09593985.2022.2072252
Cordeiro L, Abreu A, Pinto EE, Honse L, Parada MD, Augusto W, et al. Inspiratory muscle training with isokinetic device to help ventilatory weaning in a patient with Guillain-Barré syndrome by Zika virus. Case Rep Crit Care. 2018;2018:9708451. DOI: https://doi.org/10.1155/2018/9708451
García-Saugar M, Jaén-Jover C, Hernández-Sánchez S, Poveda-Pagán E, Lozano-Quijada C. Recomendaciones para la rehabilitación respiratoria extrahospitalaria en pacientes con COVID persistente. Anales Sis San Navarra. 2022;45(1):e0978. DOI: https://dx.doi.org/10.23938/assn.0978
Kachhwani N, Bhakaney P, Yadav V. A Multidisciplinary extended approach to physio-therapy rehabilitation in Guillain-Barre syndrome as sequelae of COVID-19: a single case Study. JMR. 2024;18(2):276-81. DOI: https://doi.org/10.18502/jmr.v18i2.15984
Kandhi R, Kandi M. To know the effectiveness of physical therapy exercises to Guillain Barre syndrome improve the pulmonary function in COVID-19 patients. IJISRT. 2020 [acceso 15/08/2024];5(5):774-78. Disponible en: https://www.ijisrt.com/assets/upload/files/IJISRT20MAY251.pdf
Somaiya K, Qureshi MI, Kovela RK, Bele AW. Effectiveness of chest physiotherapy and early mobilisation in patients with Guillain-Barré syndrome. J Med Pharm All Sci. 2021;10(6):3904-6. DOI: https://doi.org/10.22270/jmpas.2021.V10I6.1285
Vishnuram S, Abathsagayam K, Suganthirababu P. Physiotherapy management of a rare variant of Guillain-Barré syndrome, acute motor and sensory axonal neuropathy (AMSAN) along with COVID-19 in a 35-year-old male: a case report. Afr Health Sci. 2022;22(3):520-6. DOI: https://doi.org/10.4314/ahs.v22i3.56
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Reidel Cordoves Peinado

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.