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      Occupational and Physical Therapy Rehabilitation Strategies for COVID-19 Related Guillain-Barré Syndrome: A Case Report

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          Abstract

          Research Objectives

          To describe the occupational and physical therapy strategies used to rehabilitate COVID-19 related Guillain-Barré Syndrome (GBS).

          Design

          Single patient retrospective case report.

          Setting

          Long-term acute care hospital located in Wallingford, Connecticut, USA.

          Participants

          A 61 year old male admitted for physical and occupational therapy rehabilitation following intravenous immunoglobulin treatment for COVID-19 related GBS. The patient gave his written approval for the creation of this case report.

          Interventions

          Individual occupational and physical therapy sessions, occupational and physical therapy co-treatment sessions, and targeted group therapy sessions focused on leg, arm, and fine motor coordination exercises.

          Main Outcome Measures

          Manual muscle testing, range-of-motion, grip-strength, Activity Measure for Post-Acute Care, and St. Louis University Mental Status Exam.

          Results

          Despite the unforeseen complication of a distal right fibula fracture, the patient was successfully discharged directly home 56 days after LTACH admission. The patient discharged with clinically improved ambulation, strength, self-care, and cognition.

          Conclusions

          This unique case highlights the complex and significant rehabilitation needs a patient may require to regain independence after a diagnosis of COVID-19 associated GBS.

          Author(s) Disclosures

          The authors have no conflicts of interest to disclose.

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          Author and article information

          Journal
          Arch Phys Med Rehabil
          Arch Phys Med Rehabil
          Archives of Physical Medicine and Rehabilitation
          Published by Elsevier Inc.
          0003-9993
          1532-821X
          1 December 2022
          December 2022
          1 December 2022
          : 103
          : 12
          : e88-e89
          Affiliations
          [0001_58619_60]Gaylord Specialty Healthcare
          Article
          S0003-9993(22)01252-7
          10.1016/j.apmr.2022.08.662
          9712937
          b877b9c6-14a0-4d0c-a9aa-6a29ce78dc0e
          Copyright © 2022 Published by Elsevier Inc.

          Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

          History
          Categories
          Research Poster 2184246

          guillain-barre syndrome,covid-19,physical therapy modalities,occupational therapy modalities,long-term acute care hospital

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