Efectos de la terapia por láser y ultrasonido sobre la polineuropatía periférica en el síndrome de Guillain-Barré: análisis de caso
DOI:
https://doi.org/10.1590/Palabras clave:
Síndrome de Guillain-Barré, Fisioterapia, Terapia por Láser, Terapia por ultrasonidoResumen
El síndrome de Guillain-Barré (SGB) es una afección
autoinmune rara que afecta el sistema nervioso causando
debilidad muscular, parálisis y falta de sensibilidad; en este caso, la
fisioterapia ayuda en la recuperación temprana y en la prevención
de comorbilidades derivadas de la parálisis. Este artículo tiene como
objetivo evaluar la efectividad de la combinación de la terapia por
láser y ultrasonido en la recuperación de la sensibilidad superficial
y profunda y del control neuromotor muscular con SGB. El estudio
trata de un informe de caso de una persona diagnosticada con
SGB y remitida para fisioterapia. Se recopilaron datos sobre las
características demográficas, la capacidad funcional, la escala
del dolor, la fuerza muscular y la aplicación del cuestionario de
calidad de vida SF-36. Los resultados destacan que la prueba de
sensibilidad superficial y profunda, realizada con analgesia pre
y normal en el período posterior a la intervención, mostró una
mejora en la capacidad funcional. En la evaluación de la calidad de
vida, el valor previo a la intervención fue de 210 puntos; y el valor
posterior a la intervención, 780. No se pudo realizar la prueba de
Romberg dada la inestabilidad del tronco para mantener el cuerpo
del paciente en equilibrio. Se concluyó que el protocolo fue eficiente
en la mejora de la capacidad funcional de individuo, de la calidad de
vida y de la recuperación de la sensibilidad superficial y profunda
de los miembros superiores e inferiores al poder reincorporarlo a
las actividades de la vida diaria con 20 sesiones de fisioterapia
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Referencias
Sejvar JJ, Kohl KS, Gidudu J, Amato A, Bakshi N, Baxter R, et al.
Guillain-Barré syndrome and Fisher syndrome: case definitions
and guidelines for collection, analysis, and presentation of
immunization safety data. Vaccine. 2011;29(3):599-612. doi:
1016/j.vaccine.2010.06.003
Sejvar JJ, Baughman AL, Wise M, Morgan OW. Population
incidence of Guillain-Barré syndrome: a systematic review
and meta-analysis. Neuroepidemiology. 2011;36(2):123-33. doi:
1159/000324710
Khan F, Pallant JF, Amatya B, Ng L, Gorelik A, Brand C. Outcomes
of high- and low-intensity rehabilitation programme for
persons in chronic phase after Guillain-Barré syndrome: a
randomized controlled trial. J Rehabil Med. 2011;43(7):638-46.
doi: 10.2340/16501977-0826
Fourrier F, Robriquet L, Hurtevent JF, Spagnolo S. A simple
functional marker to predict the need for prolonged mechanical
ventilation in patients with Guillain-Barré syndrome. Crit Care.
;15(1):R65. doi: 10.1186/cc10043
Paollillo AR, Paollillo FR, João JP, João HA, Bagnato VS. Synergic
effects of ultrasound and laser on the painrelief in women with
hand osteoarthritis. Lasers Med Sci. 2015;30(1):279-86. doi:
1007/s10103-014-1659-4
Simão MLS, Fernandes AC, Casarino RL, Zanchin AL, Ciol H,
Aquino Junior AE, et al. Sinergic effect of therapeutic ultrasound
and low-level laser therapy in the treatment of hands and
knees ostheoarthritis. J Arthritis. 2018;7(6):100277. doi:
4172/2167-7921.1000277
Franco DM, Bruno JSA, Zanchin AL, Ciol H, Bagnato VS, Aquino
Junior AE. Therapeutic ultrasound and photobiomodulation
applied on the palmo f hands: a new treatment for fibromyalgia:
a man case study. J Nov Physopther. 2018;8(6):402. doi:
4172/2165-7025.1000402
Bruno JSA, Franco DM, Ciol H, Zanchin AL, Bagnato VS, Aquino
Junior AE. Could hands be a new treatment to fibromyalgia?
A pilot study. J. Nov Physiother. 2018;8(3):1000394. doi:
4172/2165-7025.1000394
Pereira LM, Dias JM, Mazuquin BF, Castanha LG, Menacho MO,
Cardoso JR. Translation, cross-cultural adaptation and analysis
of the psychometric properties of the lower extremity functional
scale (LEFS): LEFS- BRAZIL. Braz J Phys Ther. 2013;17(3):272-
doi: 10.1590/s1413-35552012005000091
Martinez BP, Bispo AO, Duarte ACMD, Gomes Neto, M. Declínio
funcional em uma unidade de terapia Intensiva (UTI). Revista
Inspirar. Movimento & Saúde. 2013;5(1): 1-5 [cited 2024 Dec 16].
Available from: http://revistams.inspirar.com.br/wp-content/
uploads/2014/10/artigo-327.pdf
Medical Research Council. Aids to the examination of the
peripheral nervous system, Memorandum no. 45. London:
Her Majesty’s Stationery Office; 1981.
Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR.
Tradução para a língua portuguesa e validação do questionário
genérico de avaliação de qualidade de vida SF-36 (Brasil
SF-36). Rev. Bras. Reumatol. 1999;39(3):143-150 [cited 2024
Dec 16]. Available from: https://www.researchgate.net/
publication/279904628_Brazilian-Portuguese_version_of_the_
SF-36_A_reliable_and_valid_quality_of_life_outcome_measure
Melo RS, Marinho SES, Freire MEA, Souza RA, Damasceno
HAM, Raposo MCF. Static and dynamic balance of children
and adolescents with sensorineural hearing loss. Einstein.
;15(3):262-8. doi: 10.1590/S1679-45082017AO3976
Eldar AH, Chapman J. Guillain Barré syndrome and other immune
mediated neuropathies: diagnosis and classification. Autoimmun
Rev. 2014;13(4-5):525-30. doi: 10.1016/j.autrev.2014.01.033
Freitas LF, Hamblin MR. Proposed mechanisms of
photobiomodulation or low-level light therapy. IEEE J Sel
Top Quantum Electron 2016;22(3):7000417. doi: 10.1109/
JSTQE.2016.2561201
Costa BSA, Moraes GA, Borges CT, Meneguzzo DT, Corrêa VOS.
Fotobiomodulação na prevenção e tratamento de sintomas
neurológicos decorrentes da COVID-19: perspectivas a partir
da literatura científica. Braz J Health Rev. 2021;4(2): 5454-75.
doi: https://doi.org/10.34119/bjhrv4n2-117
Santos JGRP, Zaninotto ALC, Zângaro RA, Carneiro AMC,
Neville IS, Andrade AF, et al. Effects of transcranial LED therapy
on the cognitive rehabilitation for diffuse axonal injury due
to severe acute traumatic brain injury: study protocol for a
randomized controlled trial. Trials. 2018;19(1):249. doi: 10.1186/
s13063-018-2632-5
Poluha RL, Grossmann E. Inflammatory mediators related
to arthrogenic temporomandibular dysfunctions. Br J Pain.
;1(1):60-5. doi: 10.5935/2595-0118.20180013
Monte-Raso VV, Barbieri CH, Mazzer N, Fazan VPS. Os efeitos
do ultra-som terapêutico nas lesões por esmagamento do nervo
ciático de ratos: análise funcional da marcha. Rev. Bras. Fisioter.
;10(1):113-9. doi: 10.1590/S1413-35552006000100015
Erickson MA, Oliver T, Baldini T, Bach J. Biomechanical assessment
of conventional unit rod fixation versus a unit rod pedicle screw
construct: a human cadaver study. Spine (Phila Pa 1976).
;29(12):1314-9. doi: 10.1097/01.brs.0000127182.36142.95
Hauer K, Specht N, Schuler P, Bartsch P, Oster P. Intensive physical
training in geriatric patients after severe falls and hip surgery.
Age Ageing. 2002;31(1):49-57. doi: 10.1093/ageing/31.1.49
Huzmeli ED, Korkmaz NC, Duman T, Gokcek O. Effects of sensory
deficits on balance, functional status and trunk control in patients
diagnosed with guillain-barre syndrome. Neurosciences (Riyadh).
;23(4):301-7. doi: 10.17712/nsj.2018.4.20180098
Jersey MC. Report on a sensory programme for patients with
sensory deficits. Aust J Physiother. 1979;25(4):165-70. doi:
1016/S0004-9514(14)61039-4
Chang YL, Chang ST. The effects of intravascular
photobiomodulation on sleep disturbance caused by Guillain-
Barré syndrome after Astrazeneca vaccine inoculation:
case report and literature review. Medicine (Baltimore).
;101(6):e28758. doi: 10.1097/MD.0000000000028758
Yi Liu E, Chang ST. Benefits of intravascular laser Irradiation
of Blood on Motor and Sensory Recovery Viewing from
Brain Function Images: Portrait of a Case with Chronic
Sjögren’s Syndrome, Transverse Myelitis, and Guillain-Barré
Syndrome. Biomed J Sci & Tech Res. 2019;14(4). doi: 10.26717.
BJSTR.2019.14.002572
Saether R, Helbostad JL, Adde L, Braendvik S, Lydersen S, Vik
T. The relationship between trunk control in sitting and during
gait in children and adolescents with cerebral palsy. Dev Med
Child Neurol. 2015;57(4):344-50. doi: 10.1111/dmcn.12628
IbrahimI, Abulhamid MM, Imam MH, Hussein NA, Awad RM.
Proprioceptive and sympathetic nerve fibers affection in
Guillain-Barre syndrome. International Journal of Science and
Research. 2013;14:2442-51 [cited 2024 Dec 16]. Available from:
https://www.ijsr.net/archive/v4i5/SUB154827.pdf
Caires TA, Silva GV, Castro SS, Souza LAPS4. Trunk control
and its relation with clinical condition, central anatomic area
and post-cerebrovascular accident phase. Fisioter Pesqui.
;25(2):224-8. doi: 10.1590/1809-2950/17025025022018
Elshinnawy AM, Khalil NH. Trunk control in relation to ventilatory
function in chronic hemorrhagic stroke patients. Int J Ther
Rehabil. 2016;5(3):6-10. doi: 10.5455/ijtrr.000000126
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Derechos de autor 2024 Ana Paula Ragonete dos Anjos Agostini, Kely Regina Zampiéri, Carolina Kosour

Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.