Case Report
Year 2021,
Volume: 2 Issue: 2, 61 - 65, 31.08.2021
Abstract
Bu çalışmada Guillain-Barré Sendromu (GBS) tanısı alan olgunun uzun dönem fizyoterapi ve rehabilitasyon sonuçları tartışıldı. 57 yaşındaki kadın olgunun yürümede güçlük ve üst ekstremitelerinde aniden başlayıp yayılım gösteren uyuşma şikayetleriyle hastaneye yatışı yapıldı. Klinik tablosundaki kötüleşme nedeniyle yoğun bakım servisine sevk edilen olgunun hastanede yatış süresi 63 gün sürdü. Akut dönemde başlayan fizyoterapi programı taburculuk sonrası süreçte devam etti. Olgu tedavi öncesinde ve takip sürecinde (6. ve 12. ayda) değerlendirildi. Olgunun kas kuvveti manuel kas testi, kavrama kuvveti el dinamometresi, ağrı düzeyi Vizüel Analog Skalası (VAS), yorgunluk seviyesi Yorgunluk Şiddeti Ölçeği (YŞÖ), denge performansı Berg Denge Ölçeği (BDÖ), fiziksel fonksiyonu ise Fonksiyonel Bağımsızlık Ölçeği (FBÖ) ve Fonksiyonel Ambulasyon Skalası (FAS) kullanılarak değerlendirildi. Fizyoterapi programı solunum egzersizleri, pasif, aktif yardımlı ve aktif egzersizler, germe egzersizleri, denge ve koordinasyon egzersizleri, aşamalı mobilizasyon ve günlük yaşam aktivitelerindeki bağımsızlığı sağlamak için fonksiyonel egzersizlerden oluştu. Bu çalışma prognozu kötü olan GBS’li olguda yoğun bakım servisinde başlayan ve bir yıl devam ettirilen fizyoterapi ve rehabilitasyon yaklaşımlarının kas kuvveti, ağrı, yorgunluk, denge, bağımsızlık düzeyi, fiziksel fonksiyon ve kavrama kuvveti parametrelerini iyileştirmede etkili olduğunu gösterdi.
Supporting Institution
-
Project Number
-
Thanks
-
References
- 1. Wijdicks EF, Klein CJ. Guillain Barré syndrome. Mayo Clin Proc. 2017;92(3):467-479.
- 2. Atkinson SB, Carr RL, Maybee P, Haynes D. The challenges of managing and treating Guillain Barré syndrome during the acute phase. Dimens Crit Care Nurs. 2006;25(6):256-263.
- 3. Anta Funes JA, Mariona Mastero VA, Helano Carranza E. Guillain Barré syndrome etiology and pathogenesis. Rev Invest Clin. 2002;54:357-363.
- 4. Bloch SA, Akhavan M, Avarello J. Weakness and the inability to ambulate in a 14-month-old female: A case report and concise review of Guillain Barré syndrome. J Emerg Med Case Rep. 2013:1-5.
- 5. Ko KJ, Ha GC, Kang SJ. Effects of daily living occupational therapy and resistance exercise on the activities of daily living and muscular fitness in Guillain-Barré syndrome: a case study. J Phys Ther Sci. 2017;29(5):950-953.
- 6. Leonhard SE, Mandarakas MR, Gondim FA, et al. Diagnosis and management of Guillain–Barré syndrome in ten steps. Nat Rev Neurol. 2019;15(11):671-683.
- 7. Özdemir FMA, Ceylan N, Çelik H, Yıldız D, Aksoy A, Yüksel D. Senkopla başvuran bir Guillain Barré sendromu: olgu sunumu. Türkiye Çocuk Hast Derg. 2021;15:1-83.
- 8. Personnier B, Patte A. Management and monitoring a patient with Guillain Barré syndrome. Rev Infirm. 2011;169:38-40.
- 9. Nehal S, Manisha S. Role of physiotherapy in Guillain Barre syndrome: A narrative review. IJHSR. 2015;5(9):529-540.
- 10. Otman AS, Demirel H, Sade A. Tedavi hareketlerinde temel değerlendirme prensipleri. Pelikan yayıncılık. 2014.
- 11. Hillman TE, Nunes QM, Hornby ST, Stanga Z. A practical posture for handgrip dynamometry in the clinical setting. Clin Nutr. 2005;24:224-228.
- 12. Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health. 1990;13(4):227-236.
- 13. Gencay-Can A, Can SS. Validation of the Turkish version of the Fatigue Severity Scale in patients with fibromyalgia. Rheumatol Int. 2012;32(1):27-31.
- 14. Sahin F, Yılmaz F, Özmaden A, Kotevoğlu N, Sahin T, Kuran B. Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther. 2008;31:32-37.
- 15. Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B, Tennant A. Adaptation of the Functional Independence Measure for use in Turkey. Clin Rehabil. 2001;15:311-319.
- 16. Holden MK, Kathlee MG, Magliozzi MR, Nathan J, Piehl Baker L. Clinical gait assessment in the neurologically impaired reliability and meaningfulness. Phys Ther. 1986;66:1530-1539.
- 17. Gürçay E, Ünlü E, Tuncay R, Ekşioğlu E, Çakcı A. Guillain Barré sendromu rehabilitasyonu: beş olgu sunumu. Fiziksel Tıp. 2004;7(3):147-150.
- 18. Yayla V. Guillain Barré sendromu: İki olgu sunumu. Medical Network Nöroloji Olgu Sunumları Dergisi. 2016;7-14.
- 19. Prasad R, Hellawell DJ, Pentland B. Usefulness of the functional independence measure (FIM), its subscales and individual items as outcome measures in Guillain Barré syndrome. Int J Rehabil Res. 2001;24(1):59-64.
- 20. Turner-Stokes L, Vanderstay R, Stevermuer T, Simmonds F, Khan F, Eagar K. Comparison of rehabilitation outcomes for long term neurological conditions: A cohort analysis of the Australian rehabilitation outcomes centre dataset for adults of working age. PLoS One. 2015;10(7):e0132275.
Year 2021,
Volume: 2 Issue: 2, 61 - 65, 31.08.2021
Abstract
Project Number
-
References
- 1. Wijdicks EF, Klein CJ. Guillain Barré syndrome. Mayo Clin Proc. 2017;92(3):467-479.
- 2. Atkinson SB, Carr RL, Maybee P, Haynes D. The challenges of managing and treating Guillain Barré syndrome during the acute phase. Dimens Crit Care Nurs. 2006;25(6):256-263.
- 3. Anta Funes JA, Mariona Mastero VA, Helano Carranza E. Guillain Barré syndrome etiology and pathogenesis. Rev Invest Clin. 2002;54:357-363.
- 4. Bloch SA, Akhavan M, Avarello J. Weakness and the inability to ambulate in a 14-month-old female: A case report and concise review of Guillain Barré syndrome. J Emerg Med Case Rep. 2013:1-5.
- 5. Ko KJ, Ha GC, Kang SJ. Effects of daily living occupational therapy and resistance exercise on the activities of daily living and muscular fitness in Guillain-Barré syndrome: a case study. J Phys Ther Sci. 2017;29(5):950-953.
- 6. Leonhard SE, Mandarakas MR, Gondim FA, et al. Diagnosis and management of Guillain–Barré syndrome in ten steps. Nat Rev Neurol. 2019;15(11):671-683.
- 7. Özdemir FMA, Ceylan N, Çelik H, Yıldız D, Aksoy A, Yüksel D. Senkopla başvuran bir Guillain Barré sendromu: olgu sunumu. Türkiye Çocuk Hast Derg. 2021;15:1-83.
- 8. Personnier B, Patte A. Management and monitoring a patient with Guillain Barré syndrome. Rev Infirm. 2011;169:38-40.
- 9. Nehal S, Manisha S. Role of physiotherapy in Guillain Barre syndrome: A narrative review. IJHSR. 2015;5(9):529-540.
- 10. Otman AS, Demirel H, Sade A. Tedavi hareketlerinde temel değerlendirme prensipleri. Pelikan yayıncılık. 2014.
- 11. Hillman TE, Nunes QM, Hornby ST, Stanga Z. A practical posture for handgrip dynamometry in the clinical setting. Clin Nutr. 2005;24:224-228.
- 12. Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health. 1990;13(4):227-236.
- 13. Gencay-Can A, Can SS. Validation of the Turkish version of the Fatigue Severity Scale in patients with fibromyalgia. Rheumatol Int. 2012;32(1):27-31.
- 14. Sahin F, Yılmaz F, Özmaden A, Kotevoğlu N, Sahin T, Kuran B. Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther. 2008;31:32-37.
- 15. Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B, Tennant A. Adaptation of the Functional Independence Measure for use in Turkey. Clin Rehabil. 2001;15:311-319.
- 16. Holden MK, Kathlee MG, Magliozzi MR, Nathan J, Piehl Baker L. Clinical gait assessment in the neurologically impaired reliability and meaningfulness. Phys Ther. 1986;66:1530-1539.
- 17. Gürçay E, Ünlü E, Tuncay R, Ekşioğlu E, Çakcı A. Guillain Barré sendromu rehabilitasyonu: beş olgu sunumu. Fiziksel Tıp. 2004;7(3):147-150.
- 18. Yayla V. Guillain Barré sendromu: İki olgu sunumu. Medical Network Nöroloji Olgu Sunumları Dergisi. 2016;7-14.
- 19. Prasad R, Hellawell DJ, Pentland B. Usefulness of the functional independence measure (FIM), its subscales and individual items as outcome measures in Guillain Barré syndrome. Int J Rehabil Res. 2001;24(1):59-64.
- 20. Turner-Stokes L, Vanderstay R, Stevermuer T, Simmonds F, Khan F, Eagar K. Comparison of rehabilitation outcomes for long term neurological conditions: A cohort analysis of the Australian rehabilitation outcomes centre dataset for adults of working age. PLoS One. 2015;10(7):e0132275.
There are 20 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Project Number | - |
| Publication Date | August 31, 2021 |
| Submission Date | June 28, 2021 |
| Published in Issue | Year 2021 Volume: 2 Issue: 2 |
This material is licensed by Creative Commons Attribution-NonCommercial-No Derivative 4.0 International License.