TY  - JOUR
AU  - Connors, Catherine
AU  - McNeill, Stephanie
AU  - Hrdlicka, Henry Charles
PY  - 2022
DA  - 2022/2/10
TI  - Occupational and Physical Therapy Strategies for the Rehabilitation of COVID-19-Related Guillain-Barré Syndrome in the Long-term Acute Care Hospital Setting: Case Report
JO  - JMIR Rehabil Assist Technol
SP  - e30794
VL  - 9
IS  - 1
KW  - Gullian-Barre syndrome
KW  - COVID-19
KW  - SARS-CoV-2
KW  - occupational therapy
KW  - physical therapy
KW  - long-term acute care hospital
KW  - rehabilitation
KW  - case report
KW  - treatment
KW  - diagnosis
AB  - Background: Although several reports have described the diagnosis and treatment of patients with COVID-19-associated Guillain-Barré syndrome (GBS), there is a paucity of literature describing the occupational and physical therapy (OT and PT) strategies used in the long-term acute care hospital (LTACH) setting to rehabilitate these patients. Objective: To expand this body of literature, we present a case report highlighting the treatment strategies used to rehabilitate and discharge an individual from an independent LTACH facility, following diagnosis and treatment of COVID-19-related GBS at a regional ACH. Methods: A 61-year-old male was admitted to an LTACH for the rehabilitation of GBS following COVID-19 infection and intravenous immunoglobulin treatment. Rehabilitation in the LTACH setting uses a variety of skilled treatment interventions to meet patient-driven goals and maximize their function to the highest level possible in preparation of their discharge to a subacute or homecare setting. In this case, this was accomplished through individual OT and PT sessions, OT/PT cotreatment sessions, and targeted group therapy sessions focused on leg, arm, and fine motor coordination exercises. Results: With the OT and PT standard of care, the patient’s improvement was demonstrated by several outcome measures, including manual muscle testing, range of motion, grip strength, and the activity measure for postacute care. The patient was successfully rehabilitated and returned to the community after presenting with COVID-19-associated GBS. Conclusions: This report highlights the complex rehabilitation needs patients require to regain independence after diagnosis of COVID-19-associated GBS. 
SN  - 2369-2529
UR  - https://rehab.jmir.org/2022/1/e30794
UR  - https://doi.org/10.2196/30794
UR  - http://www.ncbi.nlm.nih.gov/pubmed/35023838
DO  - 10.2196/30794
ID  - info:doi/10.2196/30794
ER  -