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Case Reports
. 2021 Sep 17:12:48-52.
doi: 10.11336/jjcrs.12.48. eCollection 2021.

Effectiveness of gait training with lower limb orthosis for a patient with severe Guillain-Barré syndrome at a Kaifukuki rehabilitation ward

Midori Tanaka  1   2 , Yoshitaka Wada  1   3 , Nobuyuki Kawate  1   2
Affiliations
Case Reports

Effectiveness of gait training with lower limb orthosis for a patient with severe Guillain-Barré syndrome at a Kaifukuki rehabilitation ward

Midori Tanaka et al. Jpn J Compr Rehabil Sci. .

Abstract

Tanaka M, Wada Y, Kawate N. Effectiveness of gait training with lower limb orthosis for a patient with severe Guillain-Barré syndrome at a Kaifukuki rehabilitation ward. Jpn J Compr Rehabil Sci 2021; 12: 48-52.

Introduction: We report the case of a patient with severe Guillain-Barré syndrome (GBS), whose ambulation recovered despite requiring total assistance on admission to a Kaifukuki rehabilitation ward. Gait training using knee-ankle-foot and ankle-foot orthoses was highly effective, based on the improvement in lower extremity muscle strength.

Case: A female in her 20s was previously diagnosed with GBS and was transferred to a Kaifukuki rehabilitation ward on hospitalization day 57. On admission, the lower extremities had a manual muscle test grade of 1, and the functional independence measure motor score (mFIM) was 13. She began training to stand upright using a tilt table and a knee-ankle-foot orthosis. Gait training with an adjustable posterior strut ankle-foot orthosis was initiated from 9 weeks after admission, with the fixed, brake, resistance, and freedom settings of the orthosis for the ankle joint adjusted according to the improvement in lower extremity muscle strength. At discharge, she was ambulatory without assistive devices and foot orthoses, and her mFIM had improved to 91. She returned to work 2 months later.

Discussion: This report describes the effectiveness of standing and gait training with a foot orthosis in improving ambulation in a severe GBS patient admitted to a Kaifukuki rehabilitation ward. Medical management and high-intensity rehabilitation are essential for patients with severe GBS during Kaifukuki rehabilitation.

Keywords: Guillain-Barré syndrome; Kaifukuki rehabilitation; gait training; lower limb orthoses.

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Conflict of interest statement

Conflict of Interest: The authors declare no conflict of interest.

Figures

Figure 1.
Figure 1.. Gait training with adjustable posterior strut ankle-foot orthosis using parallel bars.
Figure 2.
Figure 2.. Progression of FIM-walking score, lower extremity muscle strength, and rehabilitation training starting at hospital admission.
See this image and copyright information in PMC

References

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