Pathology
Is GBS more common in males or females?
Males
Is GBS symmetrical or asymmetrical?
Symmetrical
What is one of the most common complaints with a GBS patient?
Fatigue
Will GBS patients present with a fever?
No- Absence fever
>12 seconds is a risk for falls
Is GBS upper or lower motor neuron disease?
Lower motor
Diminished or absent DTR
What type of balance would you test on Gary Bob?
Static or sitting balance
Decreaed length of time to nadir is a positive or negative prognostic factor?
Positive
What is a self reported outcome measure for someone with a fear of falling?
ABC
Which virus is one of the most common in triggering GBS?
Chicken pox (cytomegalovirus)
What cranial nerve is involved with GBS?
Facial
What is a critical step a PT should do when dealing with a patient with autonomic dysfunction?
Take Vitals (HR/BP)
Should all patients with symptoms of GBS be hospitalized?
Yes
-Because it may progress to respiratory paralysis
What OM can be used for Garry Bob since he is unable to walk at this time?
Berg Balance Scale
What part of the nerve is affected?
Myelin sheath
What muscle takes the longest to recover in GBS?
What was Gary Bob's MMT score when admitted to the inpatient facility?
2/5
When is it the most beneficial to give plasma exchange as medical management?
Within the first week
What is a GBS specific outcome measure?
GBS Disability Scale
What is the most common type of GBS?
Acute inflammatory demyelinating polyneuropathy (AIDP)
What ANS symptoms are most relevant with GBS? Be specific!
Low CO, dysrhythmias, BP, Dysautonomia
What sensation screening should a PT preform on a GBS patient?
Light touch or Sharp / Dull
What symptoms are REQUIRED for diagnosis?
1. progressive weakness in more than one extremity
2. loss of DTR
What is the MCID for the 5 time sit to stand?
MCID >2.3 seconds