Physical Therapy Management of a Patient With Guillain-Barré Syndrome During and After Pregnancy

Abstract

Background: Physical therapy (PT) management of patients with Guillain-Barré syndrome (GBS) has shown to improve physical fitness, functional outcomes, quality of life, and general fatigue. Described is a comprehensive program of functionally based interventions for a patient with GBS pre- and postpartum to regain independence, with the goal of providing clinicians with a focused, easily implemented intervention. Study Design: Case report. Case Description: Patient “A.B.” was a healthy, very active 27-year-old woman hospitalized at 25.5 weeks of gestation after onset of bilateral lower extremity weakness and an inability to walk unassisted. A.B. was diagnosed with GBS, received intravenous immunoglobulin therapy, and was referred to inpatient PT and then subsequently to outpatient PT. Outcomes: A.B. was discharged from outpatient therapy fully independent with activities of daily living and functional mobility and only required occasional assistance with instrumental activities of daily living. Postpartum, A.B. showed positive outcomes in strength, range of motion, functional mobility, balance, and flexibility. The patient achieved all therapy goals and returned to her prior level of function. Discussion: The significance of this case report was the rare opportunity to document the outcome of a PT intervention for GBS during and after pregnancy. The patient achieved all goals and was able to return to her prior functional status with only mild sensory deficits and minimal weakness. Conclusion: The use of functionally based interventions during PT management of this patient with GBS in pregnancy appeared to be beneficial.