Guillain-Barré Syndrome (GBS) is a rapidly progressive polyradiculoneuropathy that can lead to acute or subacute paralysis. This disorder is marked by a raise in the level of cerebrospinal fluid (CSF) protein in the absence of CSF pleocytosis.
With many distinct variants, GBS is commonly seen in much of the Western world in the form of Acute Inflammatory Demyelinating Polyradiculoneuropathy (AIDP) characterised by varying degrees of secondary axonal damage.
John B. Winer, from Queen Elizabeth Hospital in Birmingham, describes the clinical features of the disorder as pyramidal in distribution with ankle dorsiflexion and knee and hip flexion often severely affected.
Aberrant macrophage activity has been suggested by various pathological studies to be the main instrument of causing damage to the nerves but various antibodies may also target myelin or axon tissues.
Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate know more
Neurologic symptoms need to be given primary consideration in the diagnosis and treatment of the condition with early assessments revealing prolonged distal motor latency, delayed F-waves and transient conduction blocks.
As mentioned by Willison et al., nerve conduction studies can help to support diagnosis by discriminating between axonal and demyelinating subtypes; nerve conduction abnormalities are most prominent two weeks after the onset of weakness.
The authors recommend the following measures of supportive care to prevent and manage complications associated with GBS – cardiac and haemodynamic monitoring, prophylaxis for deep vein thrombosis, management of possible bladder and bowel dysfunction, early initiation of physiotherapy and rehabilitation, and psychosocial support.
A comprehensive rehabilitative programme should be implemented for providing stability and support to the feet in a corrected posture.
Stretching exercises in conjunction with foot supportive devices can also help treat some of the secondary biomechanical effects of GBS; this is achieved by stabilising the medial longitudinal arch and improving ankle range of motion to reduce load on the soft tissue supportive structures around the ankle.
Copyright 2017 MASS4D® All rights reserved.
Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate know more
How Your Orthotic Helps Maintain Ankle Range of Motion
Rehabilitation as an Integrated Approach
Medial Arch Height
References:
Rehabilitation of Your Foot and Lower Back Conditions.
Long Lasting Wear
Strong Foot Support
Easy to use
Handmade MASS4D® Quality
FREE EXERCISES
Sign up for free recommended foot exercises, stretching, medical news and everything good for your feet
Please have a a look at our medical reviews and clinical articles on everything about lower biomechanics.
You should always seek the advice of a physician or other qualified healthcare provider with any questions regarding personal health or medical conditions.
The content, products and services offered herein, are here to educate consumers on healthcare and medical issues that may affect their daily lives. Nothing in the content, products or services should be considered, or used as a substitute for, medical advice, diagnosis or treatment. This site and its services do not constitute the practice of any medical, nursing or other professional healthcare advice, diagnosis or treatment.
The marks "MASS4D" and the MASS4D logo are trademarks. The content and design of MASS4D.com is protected by U.S. and international copyright laws. You may not copy, reproduce, republish, upload, post, display, transmit or frame any of these materials without prior written consent from MASS4D®.
Medical Disclaimer
The content, products or services on this site should not be considered or used as a substitute for medical advice, diagnosis or treatment and is not intended to provide individual medical advice. Included materials and conversations do not imply a personalised doctor-patient relationship.
Copyright and Intellectual property
MASS4D® is owned and operated by Scheibye General Trading LLC - Licence no: 853463
MASS4D® and Logo are registered trademarks of MASS4D Inc. All content, trademarks, artwork, and associated imagery are trademarks and/or copyright material of MASS4D® Inc.