PDF(Pubmed)
Abstract：
There are various reports describing physiotherapy rehabilitation in Guillain-Barré syndrome (GBS) but the use of current to rehabilitate GBS patients has remained an untouched topic. To elaborate on this work, we describe a case report focusing on the intervention plan for the rehabilitation of a chronic GBS case by the use of vibratory motor stimulation (VMS) current. The study aimed to describe the therapeutic application of VMS current in improving muscle power of dorsiflexors and overall outcome measures in a case of GBS presenting in a tertiary care hospital in North India. A 29-year-old male patient came to Teerthanker Mahaveer University Hospital and consulted in the Department of Physiotherapy after 1.4 years of being diagnosed with acute motor axonal neuropathy-type GBS. Rehabilitation of this case included strengthening exercises of the upper and lower limbs along with balance exercises. Specifically, in this case, we gave VMS current after assessing the muscle power of the dorsiflexors, which was found to be grade-0 over the bilateral dorsiflexors, combined with passive dorsiflexion. Different outcome measures were used for assessment, including manual muscle testing, functional independence measurement, and the Berg Balance Scale. Improvement in the patient\'s condition was observed in his outcome measures after two months of treatment. There was an overall improvement in the muscle power of our patient\'s dorsiflexors, where muscle power was upgraded from grade-0 to grade-I and grade-I+ in the bilateral lower limbs by the use of VMS current. This study marks a novel application of VMS to the dorsiflexors of a GBS patient, yielding positive outcomes in upgrading muscle power grades from grade-0 to grade-I and grade-I+. Further research is needed to confirm VMS efficacy as an early intervention in GBS patient rehabilitation.
摘要：
有各种报道描述了格林-巴利综合征（GBS）的物理治疗康复，但使用电流来康复GBS患者仍然是一个未触及的话题。为了详细说明这项工作，我们描述了一个病例报告,重点是采用振动运动刺激(VMS)电流对1例慢性GBS病例进行康复的干预计划.该研究旨在描述VMS电流在改善背屈肌肌力和总体结果测量中的治疗应用。在印度北部的一家三级医院中出现的GBS病例中。一名29岁的男性患者来到TeerthankerMahaveer大学医院，并在被诊断为急性运动性轴索性神经病型GBS1.4年后在物理治疗科进行了咨询。这种情况的康复包括加强上肢和下肢的锻炼以及平衡锻炼。具体来说,在这种情况下,我们在评估背屈肌的肌肉力量后给出了VMS电流，发现双侧背屈的0级，结合被动背屈。使用不同的结果衡量标准进行评估，包括手工肌肉测试,功能独立性测量，和Berg平衡量表。治疗两个月后，观察到患者的病情改善。我们病人背屈肌的肌肉力量有了整体改善,通过使用VMS电流，双侧下肢的肌力从0级升级为I级和I级。这项研究标志着VMS在GBS患者背屈肌的新应用，在将肌力等级从0级提升到I级和I级+时产生积极结果。需要进一步的研究来确认VMS作为GBS患者康复的早期干预措施的有效性。
