EFFECTIVENESS OF HIGH AND LOW INTENSITY REHABILITATION PROGRAMME IN CHRONIC PHASE OF GUILLAIN BARRE SYNDROME PATIENTS: A RANDOMIZED CONTROL TRIAL

Gourav Kumar, Lalit Arora, Reena Arora

Abstract


Aim of the study: The aim of the study was to conduct a randomized control trial to compare the effectiveness of high and low intensity rehabilitation programme in chronic phase of GBS patient. Methodology: 20 Patients were included in the study as per inclusion and exclusion criteria. A written informed consent was signed by the subjects in their native language. The subjects were divided into two groups by simple random sampling. Group (A) Experimental Group (N=10): got treatment with High intensity rehabilitation exercises and Group (B) Control Group (N=10): got treatment with Low intensity rehabilitation exercises. Total rehabilitation program was for 12 months. The outcome measures for the both groups were Functional Independence Measure (FIM), World health Organization Quality of Life Scale (WHOQOL-BREF), Perceived Impact of Problem Profile (PIPP). Results: Intention to treat analysis of data from 20 patients (experimental n=10, control n=10) showed reduced disability in the treatment group in post-treatment FIM domains (self- care, sphincter control, transfers, locomotion; all p<0.001) and WHOQOL-BREF domains (quality of life; all p<0.001) and PIPP domains (self-care, mobility; all p<0.001). The treatment group compared with control group showed significant improvement in function (FIM scores): 72% vs. 50%. Conclusion: High intensity rehabilitation programme compared with Low intensity low intensity rehabilitation programme is effective in reducing motor disability (mobility, self-care, continence) in chronic phase of GBS patients.

Article visualizations:

Hit counter


Keywords


chronic phase of GBS, high intensity exercises, low intensity exercises

Full Text:

PDF

References


Khan, F., Ng, L., Amatya, B, et al. (2011). Multidisciplinary care for Guillain-Barré syndrome. European journal of physical and rehabilitation medicine; 47(4), 607–612.

Manisha Shrivastava, Nehal Shah, et al. (2018). Comparison of the outcomes of home based and supervised individually designed exercise programme amongst the patients in chronic phase after Guillain barre syndrome: study protocol for a randomized control trial. International journal of clinical trial; 5(1): 60-66

Shah Nehal, Shrivastava et al. (2015). Role of physiotherapy in Guillain Barre Syndrome: A Narrative Review. International journal of health sciences and research; 5(9) 529-540.

Snehal Waghavkar, Suvarna Ganvir et al. (2016). Enhancement of recovery with physical therapy management in patient of rare variety of Guillain Barre Syndrome: A Case Report. Journal of physiotherapy and rehabilitation; 27(3)1-4.

Pitetti K. H., Barrett P. J., et al. (1993). Endurance exercise training in Guillain - Barre syndrome. Arch Physical Medical Rehabilitation; 74(7):761-765.

Nicholas Simatos et al. (2016). Conducted a study on Influence of Exercise on Patients with Guillain – Barre Syndrome Rehabilitation Sciences in Physical Therapy Program: A Review .Physiotherapy Canada; 68(4):367-376.

Ketaki Patani et al. (2014). Physiotherapy interventions : recurrent case of Guillain-Barre syndrome of female adults patient: International journal of healthcare and research. journal of research; 3(1): 55-60. 5.

Andrew Dodds, et al. (1993). A Validation of the Functional Independence Measurement and its Performance Among Rehabilitation In patient. Arch Phys Medical Rehabilitation; 25(8): 531-65.

Pallant J. F., Bennett E., et al. (2006). Measuring the impact and distress of health problems from the individual’s perspective: development of the perceived impact of problem profile (PIPP). Health Quality Life Outcomes; 4(12): 36–42.

T. (May 1998): Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychological Medicine; 28(3): 551-558 doi:10.1017/S0033291798006667




DOI: http://dx.doi.org/10.46827/ejprs.v2i1.53

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Gourav Kumar, Lalit Arora, Reena Arora

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

Copyright © 2020 - 2023. European Journal of Physiotherapy and Rehabilitation Studies (ISSN 2668-9758, ISSN-l 2668-9758) is a registered trademark of Open Access Publishing Group. All rights reserved.

This journal is a serial publication uniquely identified by an International Standard Serial Number (ISSN) serial number certificate issued by Romanian National Library. All the research works are uniquely identified by a CrossRef DOI digital object identifier supplied by indexing and repository platforms. All the research works published on this journal are meeting the Open Access Publishing requirements and standards formulated by Budapest Open Access Initiative (2002), the Bethesda Statement on Open Access Publishing (2003) and Berlin Declaration on Open Access to Knowledge in the Sciences and Humanities (2003) and can be freely accessed, shared, modified, distributed and used in educational, commercial and non-commercial purposes under a Creative Commons Attribution 4.0 International License. Copyrights of the published research works are retained by authors.