Endurance exercise training in Guillain-Barre Syndrome

Pitetti, Kenneth H.; Barrett, P. J.; Abbas, Dilawer

doi:10.1016/0003-9993(93)90039-d

Cited by 38 publications

(21 citation statements)

References 2 publications

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“…3,4,9,11,12 Most study subjects were older adults (aged >50 y), which may have systematically skewed our results. 2,4,8,12,13 A 12-week bicycle intervention with severely fatigued patients with GBS and CIDP showed a significant increase in physical and isokinetic muscle strength and reduced fatigue scores. 2 That study provided higher methodological quality, internal validity with variability measures, and sex-and age-matched controls.…”

Section: Discussionmentioning

confidence: 99%

“…Another single-subject design, 4 an endurance stationary cycling exercise using the SAE, noted improved physiological adaptations in cardiopulmonary outcomes, physical work capacity, and leg strength. Peak oxygen consumption, ventilation, and work levels increased, showing improved patient fitness.…”

Section: Discussionmentioning

confidence: 99%

“…The subjects of five studies had median ages between 49 and 58 years. 2,4,8,12,13 Two studies included severely fatigued patients, 2,8 another included a 30-year-old former marathon runner, 3 and one included chronic-phase patients. 13 In general, the patients included in the review were all ambulatory; however, 1 subject showed residual difficulties in the ability to transfer, stand, and mobilize when the study began.…”

Section: Articles Retrievedmentioning

confidence: 99%

“…2,4,8,9,13 See Table 3 (online) for a description of the exercise interventions used by the studies included in our review. Four studies that implemented cycling exercise showed significant improvements in the participants' respective outcomes, 2,4,8,9 and three studies incorporating exercise programmes with physiotherapy treatments also showed improvements. 3,12,13 Because of the heterogeneity of the study designs, each study is described individually.…”

Section: Articles Retrievedmentioning

confidence: 99%

“…1,2 The demyelination of peripheral nerve axons produces symmetrical motor paralysis, which progressively ascends from the lower extremities and causes tingling, burning sensations and areflexia. [3][4][5] Altered soft-tissue length, muscle weakness, and sensory changes affect balance, posture, joint mobility, and gait. 1,2,6,7 Studies have shown that physical fitness can positively influence not only outcomes such as mobility and fatigue levels in GBS patients (GBSPs) but also mental functioning.…”

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confidence: 99%

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Influence of Exercise on Patients with Guillain-Barré Syndrome: A Systematic Review

Arsenault

Vincent

et al. 2016

Physiotherapy Canada

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Purpose: To evaluate the effects of exercise interventions on improving physical outcomes in patients with Guillain-Barré syndrome (GBS). Methods: The PubMed database was searched for articles published up to and including February 2015. Randomized controlled trials (RCTs), case reports, and quasiexperimental and single-subject designs published in English-language, peer-reviewed journals that assessed the impact of physical exercise on patients with GBS were included; study quality was assessed using Sackett's rules of evidence. Data are presented qualitatively and quantitatively using numerical values and percentages. Results: Seven articles were included in the systematic review. One RCT showed that high-intensity relative to lower intensity exercise significantly reduced disability in patients with GBS, as measured with the FIM (p < 0.005, r ¼ 0.71). Overall, various types of exercise programmes improve physical outcomes such as functional mobility, cardiopulmonary function, isokinetic muscle strength, and work rate and reduce fatigue in patients with GBS. Conclusion: Because of insufficient high-quality literature, making confident conclusions about the effects of exercise interventions on physical outcomes in patients with GBS is not possible. Future research should consider using higher quality study designs to confirm the results outlined in this article.Key Words: exercise; Guillain-Barré syndrome; physical exertion; rehabilitation; systematic review. RÉ SUMÉObjectif : é valuer les effets des programmes d'exercice sur l'amé lioration des capacité s physiques des patients atteints du syndrome de Guillain-Barré (SGB). Mé thode : une recherche a é té effectué e dans la base de donné es PubMed sur les articles publié s jusqu'en fé vrier 2015. Des essais contrô lé s randomisé s (ECR), des é tudes de cas, des modè les quasi expé rimentaux et des é tudes individuelles publié s dans des revues anglophones ré visé es par les pairs qui é valuaient l'effet de l'exercice physique sur les patients atteints du SGB ont é té inclus ; la qualité des é tudes a é té é valué e à l'aide de la rè gle des preuves de Sackett. Les donné es ont é té pré senté es de maniè re qualitative et quantitative à l'aide de valeurs numé riques et de pourcentages. Ré sultats : sept articles ont é té inclus dans la revue systé matique. Un ECR a montré que l'exercice à haute intensité par rapport à l'exercice à faible intensité ré duisait de maniè re significative les incapacité s des patients atteints du SGB, mesuré es par la mesure d'indé pendance fonctionnelle (p < 0,005, r ¼ 0,71). Globalement, divers types de programmes d'exercice amé liorent les capacité s physiques, dont la mobilité fonctionnelle, la fonction cardiopulmonaire, la force musculaire isociné tique et le rythme de travail, et ré duisent la fatigue chez les patients atteints du SGB. Conclusion : en raison du manque d'é tudes de qualité , il n'est pas possible de tirer de conclusions dé finitives sur les effets des programmes d'exercice sur les capacité s physiques de...

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