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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2026, vol. 32, issue1
Subject Area: Public Health
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DOI: 10.5272/jimab.2026321.6747
Published online: 18 March 2026
Case report
J of IMAB. 2026 Jan-Mar;32(1):6747-6751
KINESITHERAPEUTIC APPROACH IN PATIENTS WITH ACUTE DEMYELINATING POLYRADICULONEUROPATHY - GUILLAIN BARRE SYNDROME
Miglena Mileva1
, Stanislava Bogomilova2, Yani Shivachev2
,
1) Department of Kinesitherapy, Faculty of Public Health, Medical University of Varna and second clinic for nervous diseases, University Hospital "Saint Marine" – Varna, Bulgaria.
2) Department of Kinesitherapy, Faculty of Public Health and University centre of East medicine, Medical University of Varna, Bulgaria.
ABSTRACT:
The aim of this article is to study patients who have experienced acute demyelinating polyradiculoneuropathy and to propose an individually developed kinesitherapy program to overcome the functional deficit and improve their quality of life.
Material and methods: The study included 5 patients (three men and two women) with an average age of 52.5 years. The study was conducted from March 2023 to March 2024 at the University Hospital "Saint Marina" Varna - Second Clinic for Nervous Diseases, and after their discharge, continued at home. Patients were admitted due to pain, numbness and muscle weakness of the distal parts of the lower extremities, as well as difficulty in walking. During the first days of the inpatient stay, an increase in neurological symptoms was observed, with the progression also covering the upper extremities. After the acute condition was controlled, an individual kinesitherapy program was prepared and applied to the patients, which was carried out for a period of 3 months.
Results: the study showed that after the individual physiotherapy program, muscle weakness, postural and balance abilities, and gait were positively affected, all of which led to an improvement in the general condition and quality of life of the patients. To assess the results achieved before and after the applied physiotherapy program, we examined the functional abilities and limitations of the patients. The most significant results were recorded in the restoration of muscle strength in shoulder joint movements.
Conclusion: the study showed that the appropriate selection of kinesitherapy methods and means in patients with Guillain Barre syndrome, tailored to their individual functional capabilities, has a positive impact during the recovery period, both in terms of functional deficit and in terms of improving their quality of life.
Keywords: kinesitherapy, acute demyelinating polyradiculoneuropathy, individual approach,
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Please cite this article as: Mileva M, Bogomilova S, Shivachev Y. Kinesitherapeutic approach in patients with acute demyelinating polyradiculoneuropathy - guillain barre syndrome. J of IMAB. 2026 Jan-Mar;32(1):6747-6751. [Crossref - 10.5272/jimab.2026321.6747]
Correspondence to: Assist. Prof. Yani Shivachev, UCEM-MU-Varna; 84, Tsar Osvoboditel Blvd., Varna, Bulgaria; E-mail: qshivachevv@abv.bg
REFERENCES:
1. Amer M, Muriqi X, Khosravi M, Şenel M, Mustafaoglu R. Current Treatment Approaches for the Management of Guillain Barre Syndrome: A Narrative Review of Physiotherapy Approaches. Adv Chronic Dis. 2024; 1(1):14-29. [Crossref]
2. Martino Cinnera A, D’Arienzo M, Piatti D, Casagrande Conti L, Deledda P, Tenore A, et al. Robot-Assisted Therapy in Guillain–Barrè Syndrome: Systematic Review of Primary Evidence and Study Protocol for a Randomized Clinical Trial. J Clin Med. 2024; 13(23):7153. [Crossref]
3. Mileva M. [The role of the early kinesitherapy in Guillain – Barre syndrome.] [in Bulgarian] Management and education. 2022;18(6):131-135. [Internet]
4. Petkevičiūtė P, Valinčiūtė J, Varžaitytė L. [Effectiveness of Rehabilitation in Patients with Guillain-Barre Syndrome: a Systematic Review of the Literature.] [in Lithuanian] RMSKE. 2022;2(27):38-50. [Crossref]
5. Ripellino P, Schreiner B, Latorre D. Expanding our understanding of Guillain-Barré syndrome: Recent advances and clinical implications. Eur J Immunol. 2024 Nov;54(11):e2250336. [PubMed]
6. Milanov I. [Neurology.] [in Bulgarian] "Steno" Publishing House, Varna, 2021: 1429.
7. Tityanova Е. [Textbook of Nervous Diseases, Clinical Neurology] [in Bulgarian]. "Koti" EOOD, Sofia. 2021: p.730.
8. Amit BA. Effectiveness of physiotherapy rehabilitation in Guillain-Barré syndrome. SALT J Sci Res Healthc. 2024 Apr;4(1):52-56. [Crossref]
9. Grozdeva D, Vladeva E, Nenova G, Nestorov V. Quality of Life in Patients with total hip replacement – a pilot study. J of IMAB. 2023 Jul-Sep;29(3):5039-5044. [Crossref]
10. Novak P, Šmid S, Vidmar G. Rehabilitation of Guillain-Barré syndrome patients: an observational study. Int J Rehabil Res. 2017 Jun;40(2):158-163. [Crossref]
11. Dimitrova А, Izov N, Maznev I, Grigorova-Petrova K, Lubenova D, Vasileva D. Physical Therapy and Functional Motor Recovery in Patient with Guillain-Barré Syndrome - Case Report. Eur Sci J. 2017 Nov;13(33):11-19. [Crossref]
12. Torok DP. Physical Therapy Rehabilitation In A Patient With Guillain-Barre Syndrome With Acute Respiratory Failure: A Case Report. Physical Therapy Scholarly Projects. UND. 2020; 694. [Internet]
Received: 02 September 2025
Published online: 18 March 2026