Symptoms
Tingling and numbness
Most common trigger for GBS
Recent infection
Most clients/patients with GBS have this type of identifiable trigger beforehand
Recent infection
What type of exercises should be focused on during the acute phase? (active or passive ROM)
Passive
OT's should focus on preserving _____(what principle) in patient ADLs?
autonomy
GBS frequently disrupts the _____ nervous system
Autonomic
What population is most at risk for GBS? (hint: GBS risk increases with...)
Older population (age)
What preventive medical treatment can rarely cause GBS?
Vaccine
Which type of therapy will help patients regain their strength and mobility, as well as their physical walking ability during rehabilitation of GBS?
Physical Therapy (PT)
What kind of psychosocial effects does GBS have on patients?
Anxiety, depression, social isolation, fatigue with activity participation
What muscles are affected by GBS that make swallowing and speaking difficult
Throat and facial muscles
True or False: There is not a genetic component to GBS risk
False
Most important infection risk factors (hint: there are 2)
GI or respiratory
Provide an example of a kind of device that helps patients with GBS move around safely
Mobility aids such as wheelchairs and walkers
As an OT, what would you focus on during your assessment for a patient with GBS
-ADL baseline
-Hand function
-Fatigue impact
-Home environment
What is the term used to describe difficulty breathing (which is due to respiratory muscle weakness)
Dyspnea
Name one or two examples of viral infections that may lead to GBS development
Influenza, COVID-19, CMV, EBV, Zika, HIV
This is the most common type (hint: involves damage to the protective nerve coverings)
AIDP
This is the main goal of rehab after GBS
Regain independence and function
- ADL retraining
-Adaptive equipment
-Mobile arm support
-Energy conservation and management
-Fine motor coordination
This type of weakness will usually start in the legs and move upward toward the upper extremity
Ascending muscle weakness
Name one cause of GBS that is NOT a bacterial or viral infection
Trauma, hodgkin lymphoma, flu or childhood vaccination, surgery
Which type of GBS primarily affects the motor nerves, causing muscle weakness?
AMAN
As an OT, you may recommend that changes be made at home to reduce the patients risk of falling and/or to improve their independence within their own home. What is this called?
Home modifications or adaptive equipment
A client comes in complaining of tingling and numbness in both of their feet, followed by weakness that has spread upward towards their arms. Through a physical assessment, you identified absent reflexes. What condition do you suspect?
Guillain Barre Syndrome