From Acute Paralysis to Functional Recovery: Rehabilitating Guillian-Barre Syndrome- A Case Study

Somya Sharma; Apoorva Tiwari

doi:10.36948/ijfmr.2026.v08i03.77146

From Acute Paralysis to Functional Recovery: Rehabilitating Guillian-Barre Syndrome- A Case Study

Author(s)	Somya Sharma, Apoorva Tiwari
Country	India
Abstract	Background: The symptoms of Guillain-Barré Syndrome (GBS), an acute immune-mediated polyradiculoneuropathy, include symmetrical weakness that develops quickly and decreased or absent deep tendon reflexes. Acute Inflammatory Demyelinating Polyneuropathy (AIDP), the most prevalent subtype, mainly attacks peripheral nerve myelin, resulting in severe motor and sensory deficits as well as respiratory compromise that need critical care management. Case Description: This case study describes a young female diagnosed with the AIDP variant of GBS who presented with acute onset ascending paralysis, sensory disturbances, hypotonia and areflexia. On admission to the Intensive Care Unit (ICU), assessment revealed reduced muscle strength (Medical Research Council grading), impaired superficial sensation, decreased trunk control, and dependence in functional activities including bed mobility and transfers. Continuous monitoring of respiratory function and vital parameters was performed due to the risk of rapid clinical deterioration. Intervention: In order to prevent subsequent problems and promote neurological recovery, early PT intervention was started in the intensive care unit. Positioning, passive range of motion exercises, chest physical therapy, breathing exercises, and sensory stimulation were all part of the rehabilitation regimen. Active-assisted exercises, bed mobility training, and facilitation approaches were used to improve motor recovery and functional independence as the patient's condition improved. Outcome and Follow-Up: Early physical therapy intervention was initiated in the intensive care unit to prevent further issues and encourage neurological recovery. The rehabilitation program included breathing exercises, passive range of motion exercises, chest physical therapy, positioning, and sensory stimulation. As the patient's condition improved, active-assisted exercises, bed mobility training, and facilitation techniques were employed to enhance motor recovery and functional independence. Conclusion: Early and structured physiotherapy management plays a vital role in the rehabilitation of patients with the AIDP variant of GBS. A 2-week ICU-based rehabilitation program can contribute to significant improvements in respiratory function, motor recovery, and early functional independence.
Keywords	Guillain-Barré Syndrome, AIDP, ICU rehabilitation, physiotherapy, neural recovery.
Published In	Volume 8, Issue 3, May-June 2026
Published On	2026-05-08
DOI	https://doi.org/10.36948/ijfmr.2026.v08i03.77146

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From Acute Paralysis to Functional Recovery: Rehabilitating Guillian-Barre Syndrome- A Case Study

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