From Critical Care to Community: A Case Report on Guillain-Barré Syndrome Rehabilitation

Abstract

Background: Guillain–Barré Syndrome (GBS) is an acute immune-mediated polyradiculoneuropathy characterized by progressive symmetrical limb weakness and areflexia. This case study documents the comprehensive rehabilitation of a 30-year-old male with severe GBS, detailing the transition from the intensive care unit to community reintegration over 10 months. The patient initially presented with quadriparesis and required prolonged ventilatory support due to respiratory complications. A structured neurophysiotherapy protocol was implemented across different phases of recovery. Key strategies encompassed pulmonary rehabilitation techniques, including chest Proprioceptive Neuromuscular Facilitation (PNF), breathing exercises, functional strengthening, and robotic-assisted therapy. Notable outcomes included enhanced muscle strength, respiratory function, and independence in daily activities. This case highlights the critical role of structured, individualized rehabilitation protocols in optimizing recovery for severe GBS patients, particularly those with prolonged ICU stays.