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10 Cards in this Set
- Front
- Back
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What is Guillan Barre?
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Acute inflammatory condition involving the PNS, spinal nerve root and selected cranial nerves
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Incidence of Guillan Barre
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1 -2 out fo 100k in USA; between 30-50 yrs of age; affects men and women equally
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What is the etiology for Guillan Barre?
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-Autoimmune Disease: Destroys myelin in PNS, & -vital sections fo the Medulla Oblaganta
-Usually occurs after a respiratory or gasterinterstinal viral infection. |
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What are the signs and symptoms of Guillan Barre?
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MS Weakness:
Difficulty walking, Tingling from LE - UE -Can be paralytic -Can be life threatening -Affects cranial nerve 7,9,10 |
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Guillan Barre affects CN 7, 9, 10. What are they and what are the symptoms?
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7= facial:Decreased taste on anterior tongue
9= glossopharyngeal:Dysphagia, Loss of gag reflex 10= Vagus: Dysphonia (hoarse voice) Dysphagia (difficulty swallowing) Dysarthria (slurring words) |
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What is the course/progrssion of Guillan Barre?
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-Sudden and unexpected!
-first 2 weeks have the greatest weakness; thereafter, symptoms appear -With progression: motor weakness, paralysis of the limbs, sensory loss and MS atrophy |
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What is the prognosis for Guillan Barre
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-Recovery period: a few years (promximal to distal, so fine motor usually remians impaired)
-About 30% will have residual weakness after 3 yrs -About 3% suffer relaps of MS weakness, tingling sensation |
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What are the medical treaatmetns for Guillan Barre?
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*Plasmapheresis-reduces length of severity of disorder
*Immunoglobulin-Naturally attacks invading organisms and can lessen damage to PNS *Severe cases can require pt's to be on resp machine, heart monitor, feeding devise, etc. |
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What are the precautions/
contraindications? |
Respect level of pain and tolerance during stretching, ROM and exercise.
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What is the OT goals, treatment and AE?
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-PROM,
-Positioning -Splinting to be able to do ADL's by preventing contractures, deformities,& protect weak MS -Gentle non-resis exercise -Pt's resistance can be increased slowly -Light ADLs -Avoid fatigue |
