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A Simple Approach to Induce Experimental Autoimmune Neuritis in C57BL/6 Mice for Functional and Neuropathological Assessments

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Multidisciplinary care for Guillain-Barré syndrome.

F Khan¹, L Ng, B Amatya

¹Department of Medicine, Royal Melbourne Hospital, Melbourne, Australia. fary.khan@mh.org.au

European Journal of Physical and Rehabilitation Medicine

|September 14, 2011

Summary

Multidisciplinary care may improve short-term disability and quality of life for Guillain-Barré syndrome (GBS) patients. Further high-quality research is needed to confirm the effectiveness of GBS rehabilitation strategies.

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Published on: September 18, 2011

Area of Science:

Neurology
Rehabilitation Medicine
Evidence-Based Practice

Background:

Guillain-Barré syndrome (GBS) is a significant cause of acquired long-term disability.
Multidisciplinary care is a potential approach to manage GBS and its associated disability.
The current evidence supporting the effectiveness of multidisciplinary care for GBS is limited.

Purpose of the Study:

To systematically review the effectiveness of multidisciplinary care for adults with Guillain-Barré syndrome.
To identify effective multidisciplinary care approaches, including setting, type, and intensity.
To determine the impact of multidisciplinary care on various patient outcomes.

Main Methods:

A comprehensive literature search was conducted across multiple databases up to May 2010.
Included studies were randomized controlled trials (RCTs) and controlled clinical trials comparing multidisciplinary care with controls or varying intervention intensities.
Best evidence synthesis was employed, with limited contribution from three observational studies due to their low quality.

Main Results:

No randomized or controlled clinical trials meeting the inclusion criteria were identified.
Evidence from three low-quality observational studies suggests potential short-term (6 months) improvements in disability with high-intensity rehabilitation.
These studies also indicated possible benefits in patient participation and quality of life.

Conclusions:

The lack of robust evidence does not equate to the ineffectiveness of multidisciplinary care in GBS.
Further research with methodologically sound study designs and sensitive outcome measures is essential.
More investigation is required into optimal rehabilitation settings, types, and intensity for GBS patients.