Occupational and Physical Therapy Strategies for the Rehabilitation of COVID-19-Related Guillain-Barré Syndrome in the Long-term Acute Care Hospital Setting: Case Report
BackgroundAlthough several reports have described the diagnosis and treatment of patients with COVID-19-associated Guillain-Barré syndrome (GBS), there is a paucity of literature describing the occupational and physical therapy (OT and PT) strategies used in the long-term acu...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2022-02-01
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| Series: | JMIR Rehabilitation and Assistive Technologies |
| Online Access: | https://rehab.jmir.org/2022/1/e30794 |
| _version_ | 1797735318148874240 |
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| author | Catherine Connors Stephanie McNeill Henry Charles Hrdlicka |
| author_facet | Catherine Connors Stephanie McNeill Henry Charles Hrdlicka |
| author_sort | Catherine Connors |
| collection | DOAJ |
| description |
BackgroundAlthough several reports have described the diagnosis and treatment of patients with COVID-19-associated Guillain-Barré syndrome (GBS), there is a paucity of literature describing the occupational and physical therapy (OT and PT) strategies used in the long-term acute care hospital (LTACH) setting to rehabilitate these patients.
ObjectiveTo expand this body of literature, we present a case report highlighting the treatment strategies used to rehabilitate and discharge an individual from an independent LTACH facility, following diagnosis and treatment of COVID-19-related GBS at a regional ACH.
MethodsA 61-year-old male was admitted to an LTACH for the rehabilitation of GBS following COVID-19 infection and intravenous immunoglobulin treatment. Rehabilitation in the LTACH setting uses a variety of skilled treatment interventions to meet patient-driven goals and maximize their function to the highest level possible in preparation of their discharge to a subacute or homecare setting. In this case, this was accomplished through individual OT and PT sessions, OT/PT cotreatment sessions, and targeted group therapy sessions focused on leg, arm, and fine motor coordination exercises.
ResultsWith the OT and PT standard of care, the patient’s improvement was demonstrated by several outcome measures, including manual muscle testing, range of motion, grip strength, and the activity measure for postacute care. The patient was successfully rehabilitated and returned to the community after presenting with COVID-19-associated GBS.
ConclusionsThis report highlights the complex rehabilitation needs patients require to regain independence after diagnosis of COVID-19-associated GBS. |
| first_indexed | 2024-03-12T12:57:18Z |
| format | Article |
| id | doaj.art-2f15acb51dc647dfb9372b9a0b3fb5cb |
| institution | Directory Open Access Journal |
| issn | 2369-2529 |
| language | English |
| last_indexed | 2024-03-12T12:57:18Z |
| publishDate | 2022-02-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Rehabilitation and Assistive Technologies |
| spelling | doaj.art-2f15acb51dc647dfb9372b9a0b3fb5cb2023-08-28T20:46:16ZengJMIR PublicationsJMIR Rehabilitation and Assistive Technologies2369-25292022-02-0191e3079410.2196/30794Occupational and Physical Therapy Strategies for the Rehabilitation of COVID-19-Related Guillain-Barré Syndrome in the Long-term Acute Care Hospital Setting: Case ReportCatherine Connorshttps://orcid.org/0000-0003-2645-7992Stephanie McNeillhttps://orcid.org/0000-0001-6410-5299Henry Charles Hrdlickahttps://orcid.org/0000-0002-7014-7919 BackgroundAlthough several reports have described the diagnosis and treatment of patients with COVID-19-associated Guillain-Barré syndrome (GBS), there is a paucity of literature describing the occupational and physical therapy (OT and PT) strategies used in the long-term acute care hospital (LTACH) setting to rehabilitate these patients. ObjectiveTo expand this body of literature, we present a case report highlighting the treatment strategies used to rehabilitate and discharge an individual from an independent LTACH facility, following diagnosis and treatment of COVID-19-related GBS at a regional ACH. MethodsA 61-year-old male was admitted to an LTACH for the rehabilitation of GBS following COVID-19 infection and intravenous immunoglobulin treatment. Rehabilitation in the LTACH setting uses a variety of skilled treatment interventions to meet patient-driven goals and maximize their function to the highest level possible in preparation of their discharge to a subacute or homecare setting. In this case, this was accomplished through individual OT and PT sessions, OT/PT cotreatment sessions, and targeted group therapy sessions focused on leg, arm, and fine motor coordination exercises. ResultsWith the OT and PT standard of care, the patient’s improvement was demonstrated by several outcome measures, including manual muscle testing, range of motion, grip strength, and the activity measure for postacute care. The patient was successfully rehabilitated and returned to the community after presenting with COVID-19-associated GBS. ConclusionsThis report highlights the complex rehabilitation needs patients require to regain independence after diagnosis of COVID-19-associated GBS.https://rehab.jmir.org/2022/1/e30794 |
| spellingShingle | Catherine Connors Stephanie McNeill Henry Charles Hrdlicka Occupational and Physical Therapy Strategies for the Rehabilitation of COVID-19-Related Guillain-Barré Syndrome in the Long-term Acute Care Hospital Setting: Case Report JMIR Rehabilitation and Assistive Technologies |
| title | Occupational and Physical Therapy Strategies for the Rehabilitation of COVID-19-Related Guillain-Barré Syndrome in the Long-term Acute Care Hospital Setting: Case Report |
| title_full | Occupational and Physical Therapy Strategies for the Rehabilitation of COVID-19-Related Guillain-Barré Syndrome in the Long-term Acute Care Hospital Setting: Case Report |
| title_fullStr | Occupational and Physical Therapy Strategies for the Rehabilitation of COVID-19-Related Guillain-Barré Syndrome in the Long-term Acute Care Hospital Setting: Case Report |
| title_full_unstemmed | Occupational and Physical Therapy Strategies for the Rehabilitation of COVID-19-Related Guillain-Barré Syndrome in the Long-term Acute Care Hospital Setting: Case Report |
| title_short | Occupational and Physical Therapy Strategies for the Rehabilitation of COVID-19-Related Guillain-Barré Syndrome in the Long-term Acute Care Hospital Setting: Case Report |
| title_sort | occupational and physical therapy strategies for the rehabilitation of covid 19 related guillain barre syndrome in the long term acute care hospital setting case report |
| url | https://rehab.jmir.org/2022/1/e30794 |
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