scholarly journals 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

2017 ◽  
Vol 29 (5) ◽  
pp. 950-953 ◽  
Author(s):  
Kwang-Jun Ko ◽  
Gi-Chul Ha ◽  
Seol-Jung Kang
2021 ◽  
pp. 1-9
Author(s):  
Moshe Bondi ◽  
Einat Engel-Haber ◽  
Julie Wolff ◽  
Liza Grosman-Rimon ◽  
Ayala Bloch ◽  
...  

BACKGROUND: Treatment with either Intravenous immunoglobulin (IVIg) or plasma exchange (PE) in patients with Guillain-Barré Syndrome (GBS) showed equivalent efficacy as attested by a commonly used disability scale. However, it has been suggested that this scale may not be sensitive enough to detect subtle functional changes between the two treatments since it mainly focuses on walking capability and respiratory function. OBJECTIVE: To evaluate functional outcomes following treatment with IVIg or PE using comprehensive scales that incorporate parameters of basic activities of daily living. METHODS: A retrospective cohort study was conducted between 2007 and 2013 in an inpatient neurologic rehabilitation department. The study group included 70 individuals with GBS: 39 were treated with PE and 31 with IVIg. A comparison of functional outcomes was performed using Functional Independence Measure (FIM), rehabilitation efficiency (REy), rehabilitation effectiveness (REs), and the GBS disability scale (GDS). RESULTS: Both treatments had a comparable effect on the various functional outcomes. Patients showed a significant increase in total FIM scores (30 points on average) during rehabilitation mainly as a result of an increase in motor sub-scores. A mean improvement of 1.23 (SD 0.9) in GDS was also observed. On average, individuals with GBS spent 20 days combined in the acute departments and 61 days in the rehabilitation department, with length of stay being similar for both treatments. CONCLUSIONS: IVIg and PE treatments have similar basic activities of daily living (ADL) functional outcomes. Nevertheless, due to the different mechanism of actions of these treatments and the multitude of GBS variants, it is possible that further comprehensive assessment tools may demonstrate differences in activity and participation of individuals with GBS.


Neurology ◽  
1999 ◽  
Vol 53 (2) ◽  
pp. 409-409 ◽  
Author(s):  
R. A. J. A. M. Bernsen ◽  
A. E. J. de Jager ◽  
P. I. M. Schmitz ◽  
F. G. A. van der Meche

2010 ◽  
Vol 32 (24) ◽  
pp. 2056-2059 ◽  
Author(s):  
Shinichi Wada ◽  
Nobuyuki Kawate ◽  
Nobuo Morotomi ◽  
Toshie Matsumiya ◽  
Gen Ono ◽  
...  

2020 ◽  
Vol 8 (2) ◽  
pp. 50-53
Author(s):  
Sobia Haroon

Feeding and eating are basic activities of daily living (B/ADL) thus it is one of the major occupation domain of occupational therapy. The role of an occupational therapist at this domain is to evaluate occupational performance and develop feeding skills that includes sensory-motor, fine motor, oral motor and processing skills. Moreover behavior pattern, habit and routine along with contextual factors during the mealtimes that facilitate feeding mechanism. Picky and fussy eating is also called choosy eating which is most common form of feeding difficulties [2] among both typically developed and delayed milestone children. The aim of case study is to promote the effectiveness of occupational therapy in picky eater children who have attained developmental milestones within typical ranges but healthy eating habits are not developed. The occupational performance of the 5 year old picky eater child was monitored through ABLLS-Assessment of Basic Language and Learning Skill. Feeding issues of the child were affecting her physical and behavioral health eventually leading to struggle in functions for BADL- basic activities of daily living and social participation. It is observed that continuous occupational therapy session with individualized intervention plan, inculcate healthy eating habits and improve results at ABBLS.


2011 ◽  
Vol 6 (1) ◽  
pp. 198
Author(s):  
Maria Elizabete De Amorim Silva ◽  
Vanessa Lopes Maia Dativo ◽  
Yana Balduíno Araújo ◽  
Kenya De Lima Silva ◽  
Neusa Collet

ABSTRACTObjective: to systematize the nursing assistance using the International Classification for Nursing Practice (ICNP®) with a child affected by Guillain-Barré Syndrome (SGB). Method: this is a case study carried out in the paediatric clinic of a public hospital in Paraiba, Brazil, on May 2011. The data were collected through an instrument considering the anamnesis, the physical examination, and data recorded in the medical records. The ICNP® version 1.0 was used to determine the diagnoses, results, and nursing interventions. The study was approved by the Research Ethics Committee of the hospital, under the Protocol 222/09. Results: four nursing diagnoses were identified, for which interventions were planned and implemented: impaired nutrition; productive cough; impaired walking; and low interactive behaviour. Conclusion: the systematization of the nursing assistance, using the ICNP®, allowed a greater organization and efficiency in the provision of care, offering an individual, holistic, and humanized care, taking into consideration the health-disease process and the reactions from the child-family binomial when facing hospitalization. Descriptors: nursing processes; nursing care; hospitalized child.RESUMOObjetivo: sistematizar a assistência de enfermagem utilizando a Classificação Internacional para a Prática de Enfermagem (CIPE®) com uma criança acometida pela Síndrome de Guillain-Barré (SGB). Método: trata-se de estudo de caso realizado na clínica pediátrica de um hospital público da Paraíba em maio de 2011. Os dados foram coletados a partir de um instrumento contemplando a anamnese, o exame físico e dados registrados no prontuário. A CIPE® versão 1.0 foi utilizada para determinar os diagnósticos, resultados e intervenções de enfermagem. O estudo foi aprovado pelo Comitê de Ética em Pesquisa do hospital, sob o Protocolo n. 222/09. Resultados: foram identificados quatro diagnósticos de enfermagem, para os quais planejadas e implementadas as intervenções: nutrição prejudicada; tosse produtiva; deambulação prejudicada; e comportamento interativo baixo. Conclusão: a sistematização da assistência de enfermagem, utilizando a CIPE®, possibilitou maior organização e eficiência na prestação dos cuidados, proporcionando um cuidado individualizado, holístico e humanizado, ao levar em consideração o processo saúde-doença e as reações do binômio criança-família frente à hospitalização. Descritores: processos de enfermagem; cuidados de enfermagem; criança hospitalizada.RESUMENObjetivo: sistematizar la asistencia de enfermería utilizando la Clasificación Internacional para la Práctica de Enfermería (CIPE®) con un niño afectado por el Síndrome de Guillain-Barré (SGB). Método: esto es un estudio de caso realizado en la clínica pediátrica de un hospital público de Paraíba, Brasil, en mayo de 2011. Los datos fueron recogidos a partir de un instrumento contemplando la anamnesis, el examen físico y datos registrados en el prontuario. La CIPE® versión 1.0 fue utilizada para determinar los diagnósticos, resultados y intervenciones de enfermería. El estudio fue aprobado por el Comité de Ética en Investigación del hospital, bajo el Protocolo 222/09. Resultados: fueron identificados cuatro diagnósticos de enfermería, para los cuales fueron planeadas y implementadas las intervenciones: nutrición perjudicada; tos productiva; deambulación perjudicada; y comportamiento interactivo bajo. Conclusión: la sistematización de la asistencia de enfermería, utilizando la CIPE®, posibilitó mayor organización y eficiencia en la prestación de la asistencia, proporcionando un cuidado individualizado, holístico y humanizado, al llevar en consideración el proceso salud-enfermedad y las reacciones del binomio niño-familia frente a la hospitalización. Descriptores: procesos de enfermería; atención de enfermería; niño hospitalizado.


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