Therapeutics laser and ultrasound effects on peripheral polyneuropathy in Guillain-Barré Syndrome: case study

Abstract

Guillain-Barré Syndrome (GBS) is a rare
autoimmune disease that affects the nervous system, causing
muscle weakness, paralysis, and lack of sensitivity. In addition
to drug treatment, physical therapy assists in early recovery
and prevention of comorbidities from paralysis. This article
aims to evaluate the effectiveness of laser and ultrasound
combination therapy in the recovery of superficial and deep
sensitivity and muscle neuromotor control with GBS. This
study analyzes a case report of a patient diagnosed with
GBS and referred to physical therapy. We collected data on
demographic characteristics, functionality, pain scale, score
for muscle strength, and the quality of life via the SF-36.
Among the final outcomes, we achieved the recovery of
superficial and deep analgesia sensitivity to normal in the
post-intervention period, improvement of functioning from
16 and to 68 points after combination therapy, total preintervention
value was 210 and post was 780 points SF-36.
Strength tests scored four and five points were observed
in all muscle groups evaluated, before and after therapy,
respectively. Romberg test was not performed before
the intervention due to trunk instability; after treatment
participants presented minimal balance changes. Finally, the
protocol used was efficient to improve functioning, quality
of life, and recovery of superficial and deep sensitivity of
the upper and lower limbs, resulting in the return of the
individual to activities of daily living with 20 sessions of
physical therapy