Effects of daily living occupational therapy and resistance exercise on the activities of daily living and muscular fitness in Guillain-Barré syndrome: a case study.
Kwang-Jun Ko, Gi-Chul Ha, Seol-Jung Kang
PMID 28603379WHAT IT FOUND
After 12 weeks of combined daily living occupational therapy and elastic band resistance exercise, a man with Guillain-Barré syndrome increased his independence score from 54 to 79 points and showed higher muscle strength.
This describes a case, not a proven treatment.
Key findings
01The patient received daily living occupational therapy and resistance exercise together twice a week for 12 weeks at 70 minutes per session.
02His modified Barthel Index total score changed from 54 points before the intervention to 79 points after 12 weeks.
03Shoulder, knee, and lumbar flexion and extension muscular fitness values improved after 4, 8, and 12 weeks.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
This is a case report, so it describes a person's course and cannot show what will happen in other patients. The patient received daily living occupational therapy and resistance exercise together, so the contribution of each part cannot be separated. The patient had already been hospitalized for 3 years and was discharged able to walk independently, so changes during the 12 weeks cannot be separated from natural recovery.
Declared interests
The supplied text does not report funding or conflicts of interest.
The easy way to misread this
Do not read the Barthel score change from 54 to 79 points as proof that daily living occupational therapy or resistance exercise caused recovery. The patient received both interventions together after 3 years of hospital treatment, and this is a case report, so the contribution of each intervention and the effect of natural recovery cannot be separated.