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Role of Balance Training in Bilateral Foot Drop Following Guillain-Barre Syndrome: Pretest-Posttest Research Design.

Authors :
Chandra, B. Mayuri
Reddy, Nalla Kranthi
Balne, Naveen Kumar
Gadde, Lakshmana Prasad
Source :
Indian Journal of Physiotherapy & Occupational Therapy; Jul/Sep2024, Vol. 18 Issue 3, p23-29, 7p
Publication Year :
2024

Abstract

Guillain-Barre syndrome (GBS) is a debilitating condition characterized by acute or sub-acute autoimmune inflammation affecting the peripheral nervous system. One of its most common residual defects is bilateral foot drop, significantly impairing balance, and functional independence. This article investigates the efficacy of balance training in patients with bilateral foot drop post-GBS. The study, conducted on 18 patients, aimed to assess the impact of balance exercises, including Swiss ball and wobble board exercises, over three weeks. Baseline assessments were conducted using the Berg Balance Scale, Functional Independence Measure, and Hughes GBS Disability Scale. Results showed significant improvements in balance, functional independence, and disability scores post-intervention. GBS typically presents with pain, weakness, paresthesia, and decreased reflexes, leading to various functional limitations. Rehabilitation strategies must address these challenges early on, emphasizing posture, range of motion, and muscle strength to prevent contractures and improve function. Correcting foot drop is crucial for restoring functional capacity and independence. Balance is a key aspect of functional recovery in GBS patients, as it affects mobility and reduces the risk of falls. Balance training targets proprioception, muscle strength, and coordination, facilitating improvements in postural control and gait. The study's findings suggest that balance training effectively enhances outcomes for individuals with bilateral foot drop post-GBS. However, it is essential to consider the self-limiting nature of the disease and the potential for spontaneous improvement over time. Long-term follow-up studies are warranted to evaluate the sustained benefits of balance training and the natural course of recovery in GBS patients. The article underscores the multidisciplinary approach required for GBS rehabilitation, involving physiotherapy, neurology, and other healthcare professionals. By addressing the complex impairments associated with GBS, tailored rehabilitation programs can optimize functional outcomes and improve the quality of life for affected individuals. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09735674
Volume :
18
Issue :
3
Database :
Complementary Index
Journal :
Indian Journal of Physiotherapy & Occupational Therapy
Publication Type :
Academic Journal
Accession number :
178702593
Full Text :
https://doi.org/10.37506/r71sqn57