BACKGROUND & PURPOSE • To determine if lower extremity strengthening would be beneficial for ambulation in patients with Guillain-Barre Syndrome. CASE DESCRIPTION • R.C. is a 48 year old male referred to home health physical therapy status post Guillain-Barré Syndrome onset seven years ago. o He was diagnosed one year post military retirement and lives in Torreon with his two school-aged daughters as well as his fiancé, however, his fiancé only stays with him 1- 2X/week due to working and going to school in Albuquerque. OUTCOMES • At the end of my rotation, R.C. was not discharged from home health physical therapy because he still demonstrated a need for skilled care. However, at time for his reassessment, he had achieved all of his goals except for transferring with supervision utilizing an assistive device and increasing his Tinetti score to 19/28 or greater. He scored an 11/28 still classifying him as a high risk of falls, but a significant increase from his initial evaluation score of 0/28. R.C.s goals were adjusted to advance program and is still going to be seen for skilled home health physical therapy for continuation of gait, transfer and balance training. DISCUSSION • When determining if the PICO question, 'Will lower extremity strengthening be beneficial for ambulation in patients with Guillain-Barré Syndrome?' was answered sufficiently, an extensive amount of research was analyzed and examined to ultimately conclude that yes, implementing a lower extremity strengthening program in a home health setting is beneficial for ambulation in patients with Guillain-Barré Syndrome.
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Gullain-Barre Syndrome, ambulation, strengthening, lower extremity, gait
Frigerio, Bernadette. "Will lower extremity strengthening be beneficial for ambulation in patients with Guillain-BarrÃ© Syndrome?." (2014). http://digitalrepository.unm.edu/dpt/37
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