Disability and rehabilitation · 2010
Experience of rehabilitation for Guillain-Barré syndrome during and after pregnancy: a case study.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wada Shinichi, Kawate Nobuyuki, Morotomi Nobuo, Matsumiya Toshie, Ono Gen, Mizuma Masazumi
Аннотация
PURPOSE: Guillain-Barré syndrome (GBS) in pregnancy is very rare, and there is no detailed description of rehabilitation in the literature. We report a case of GBS involving a pregnant, 34-year-old woman.
CASE DESCRIPTION: She was diagnosed with Hughes grade 5 GBS during the 20th week of gestation (GW). Almost all basic motions showed total dependence. The motor functional independence measure (motor FIM) score was 31. We developed a training programme that considered the pregnancy-associated increase in her weight.
RESULTS: At the 34th GW, her transfer activity became independent and she began gait training. At the 37th GW, she delivered a healthy baby spontaneously. She nursed her baby independently using a sling. After the motor FIM improved to 84, the mother and infant were discharged together 5 weeks after delivery and home-visit rehabilitation was performed while using a baby-sitter. One month after discharge, she became able to walk alone over a short distance. Finally, her endurance improved, facilitating her return to office work 15 months after discharge.
CONCLUSION: We are following the patient, providing training in the movements needed for child care and suggesting environmental improvements for the mother and infant. As a result, her recovery from disability has been promoted.
CASE DESCRIPTION: She was diagnosed with Hughes grade 5 GBS during the 20th week of gestation (GW). Almost all basic motions showed total dependence. The motor functional independence measure (motor FIM) score was 31. We developed a training programme that considered the pregnancy-associated increase in her weight.
RESULTS: At the 34th GW, her transfer activity became independent and she began gait training. At the 37th GW, she delivered a healthy baby spontaneously. She nursed her baby independently using a sling. After the motor FIM improved to 84, the mother and infant were discharged together 5 weeks after delivery and home-visit rehabilitation was performed while using a baby-sitter. One month after discharge, she became able to walk alone over a short distance. Finally, her endurance improved, facilitating her return to office work 15 months after discharge.
CONCLUSION: We are following the patient, providing training in the movements needed for child care and suggesting environmental improvements for the mother and infant. As a result, her recovery from disability has been promoted.