Article

Guillain-Barre 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.

Langue : ANGLAIS