Guillain barre sendromu tanısıyla yatarak rehabilitasyon uygulanan olgularımızın klinik ve fonksiyonel izlem sonuçları
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Date
2011-06-24
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Uludağ Üniversitesi
Abstract
Akut demyelinizan inflamatuvar bir poliradikülonöropati olarak tanımlanan Guillain Barre Sendromu (GBS), yol açtığı komplikasyonlar, yetiyitimi ve bunlarla ilişkili psikososyal sorunlar nedeniyle rehabilitasyon açısından önemli bir klinik tablodur. Bu çalışmanın amacı yatarak rehabilite edilen GBS olgularını klinik özellikler, komplikasyonlar ve fonksiyonel durum açısından incelemektir. Bu retrospektif çalışmada GBS tanısı ile rehabilitasyon amacıyla yatarak tedavi edilen 18 olgunun dosya bilgilerinden klinik özellikleri ve fonksiyonel bağımsızlık ölçümü skoru, fonksiyonel ambulasyon skoru ve Hughes skoru ile yapılan fonksiyonel değerlendirme sonuçları incelenmiştir. Rehabilitasyon kliniğine yatışa kadar geçen süre ortalaması 57,5 + 20,5 (12-382) gün ve klinikte yatış süresi ortalaması 33,5 + 4,9 (4-77) gün olan olguların yarısında nöropatik ağrı saptanmıştır. Fonksiyonel bağımsızlık ölçümü skoru, fonksiyonel ambulasyon skoru ve Hughes skoru ile yapılan değerlendirmelerde rehabilitasyon sonrasında anlamlı düzelmeler saptanmıştır. Hughes skoru yüksek (daha kötü) olan olgularda yatış süresi daha uzun olmuştur. Bulgularımız ambulasyon sorunu olan GBS’de rehabilitasyon gereksiniminin sürdüğünü ve rehabilitasyon sonucunda fonksiyonel iyileşmeler sağlanabildiğini desteklemektedir.
Guillain Barre Syndrome (GBS) is an acute demyelinating inflammatory polyradiculoneuropathy which may lead to significant complications, disability and psychosocial problems. This study was designed to evaluate clinical features, complications and functional outcome of patients with GBS following inpatient rehabilitation. Clinical features and functional outcome measures assessed by functional independence measure, functional ambulation score and Hughes score of 18 patients with GBS who have undergone inpatient rehabilitation were evaluated in this retrospective study. Mean duration until admission to rehabilitation clinic was 57.5 + 20.5 (12-382) days and mean length of stay was 33.5 + 4.9 (4-77) days and neuropathic pain was noted in half of the patients. Significant improvements were noted in all functional outcome measures following inpatient rehabilitation. Length of stay was significantly longer in patients with higher (worse) baseline Hughes score. Our findings suggest that there is ongoing need for rehabilitation and significant improvements can be obtained by inpatient rehabilitation in GBS patients with residual ambulation problems.
Guillain Barre Syndrome (GBS) is an acute demyelinating inflammatory polyradiculoneuropathy which may lead to significant complications, disability and psychosocial problems. This study was designed to evaluate clinical features, complications and functional outcome of patients with GBS following inpatient rehabilitation. Clinical features and functional outcome measures assessed by functional independence measure, functional ambulation score and Hughes score of 18 patients with GBS who have undergone inpatient rehabilitation were evaluated in this retrospective study. Mean duration until admission to rehabilitation clinic was 57.5 + 20.5 (12-382) days and mean length of stay was 33.5 + 4.9 (4-77) days and neuropathic pain was noted in half of the patients. Significant improvements were noted in all functional outcome measures following inpatient rehabilitation. Length of stay was significantly longer in patients with higher (worse) baseline Hughes score. Our findings suggest that there is ongoing need for rehabilitation and significant improvements can be obtained by inpatient rehabilitation in GBS patients with residual ambulation problems.
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Keywords
Guillain barre sendromu, Rehabilitasyon, Guillain barre syndrome, Fonksiyonel sonuç, Functional outcome, Rehabilitation
Citation
Sivrioğlu, K. vd. (2011). ''Guillain barre sendromu tanısıyla yatarak rehabilitasyon uygulanan olgularımızın klinik ve fonksiyonel izlem sonuçları''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 37(2), 83-87.