GBS following Tumour Excision: Physiotherapy Management

This case report discusses the clinical presentation of a 70 year old male developing pure motor paraplegia with bladder and bowel incontinence, following a tumour removal surgery of buccal mucosa carcinoma. The clinical presentation was a less commonly seen variant of GBS and the diagnosis was confirmed on electro-physiology. The case summary highlights the chief findings of neurological examination, investigations, medical and physical therapy management of the patient. The physical therapy assessment and the exercises progressed over the 6-month period are mentioned in detail. Physiotherapy management of GBS during the acute stage focuses on respiratory care, and preventing complications like muscle atrophy, contractures, pressure sores through passive movements, positioning, splinting etc. Later in the recovery phase emphasis is on progressive strengthening of muscles, improving functional outcome and building up patient’s endurance. Individual with incomplete recovery may benefit from orthotic support, gait aids and other assistive devices.