scholarly journals Occupational and Physical Therapy Strategies for the Rehabilitation of COVID-19 Related Guillain-Barré Syndrome in the Long-Term Acute Care Hospital Setting: A Case Report (Preprint)

10.2196/30794 ◽  
2021 ◽  
Author(s):  
Catherine Connors ◽  
Stephanie McNeill ◽  
Henry Hrdlicka
Keyword(s):  
Case Report ◽  
Physical Therapy ◽  
Acute Care ◽  
Hospital Setting ◽  
Acute Care Hospital ◽  
Guillain Barre Syndrome ◽  
Care Hospital ◽  
Occupational And Physical Therapy ◽  
Therapy Strategies

scholarly journals A patient cohort on long-term sequelae of sepsis survivors: study protocol of the Mid-German Sepsis Cohort

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e016827 ◽  
Author(s):  
André Scherag ◽  
Christiane S Hartog ◽  
Carolin Fleischmann ◽  
Dominique Ouart ◽  
Franziska Hoffmann ◽  
...  
Keyword(s):  
Acute Care ◽  
Primary Outcome ◽  
Functional Disability ◽  
Hospital Setting ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Number Of Patients ◽  
Sepsis Survivors

IntroductionAn increasing number of patients survive sepsis; however, we lack valid data on the long-term impact on morbidity from prospective observational studies. Therefore, we designed an observational cohort to quantify mid-term and long-term functional disabilities after intensive care unit (ICU)-treated sepsis. Ultimately, findings for the Mid-German Sepsis Cohort (MSC) will serve as basis for the implementation of follow-up structures for patients with sepsis and help to increase quality of care for sepsis survivors.Methods and analysisAll patients surviving ICU-treated sepsis are eligible and are recruited from five study centres in Germany (acute care hospital setting in Jena, Halle/Saale, Leipzig, Bad Berka, Erfurt; large long-term acute care hospital and rehabilitation setting in Klinik Bavaria Kreischa). Screening is performed by trained study nurses. Data are collected on ICU management of sepsis. On written informed consent provided by patients or proxies, follow-up is carried out by trained research staff at 3, 6 and 12 months and yearly thereafter. The primary outcome is functional disability as assessed by (instrumental) activities of daily living. Other outcomes cover domains like mortality, cognitive, emotional and physical impairment, and resource use. The estimated sample size of 3000 ICU survivors is calculated to allow detection of relevant changes in the primary outcome in sepsis survivors longitudinally.Ethics and disseminationThe study is conducted according to the current version of theDeclaration of Helsinkiand has been approved by four local/federal responsible institutional ethics committees and by the respective federal data protection commissioners. Results of MSC will be fed back to the patients and published in peer-reviewed journals.Trial registration numberGerman Clinical Trials Registry DRKS00010050.

Outcomes of Patients Receiving Physical Therapy at a Long Term Acute Care Hospital (LTACH)

2011 ◽  
Vol 2 (3) ◽  
pp. 120
Author(s):  
A. Thrush ◽  
M. Rozek ◽  
J. Dekerlegand ◽  
K. OʼDonnell ◽  
S. Klunk
Keyword(s):  
Physical Therapy ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital

Occupational and Physical Therapy Strategies for COVID-Related Guillain-Barré Syndrome: A Case Report (Preprint)

2021 ◽  
Author(s):  
Catherine Connors ◽  
Stephanie McNeill ◽  
Henry Charles Hrdlicka
Keyword(s):  
Physical Therapy ◽  
Acute Care ◽  
Motor Coordination ◽  
Manual Muscle Testing ◽  
Fine Motor ◽  
Care Hospital ◽  
Muscle Testing ◽  
Occupational And Physical Therapy ◽  
Therapy Strategies ◽  
Therapy Sessions

UNSTRUCTURED Background and Purpose: While several reports have described the diagnosis and treatment of patients with COVID-19 associated Guillian-Barré Syndrome (GBS), there is a paucity of literature describing the occupational and physical therapy strategies used in the long-term acute care hospital (LTACH) setting to rehabilitate these patients. Case Description: A 61 year-old male was admitted to an LTACH for the rehabilitation of GBS following COVID-19 infection and intravenous immunoglobulin treatment. Intervention: 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 occupational and physical therapy sessions, occupational and physical therapy co-treatment sessions, and targeted group therapy sessions focused on leg, arm, and fine motor coordination exercises. Outcomes: With the occupational and physical therapy 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 Post-Acute Care. The patient was successfully rehabilitated and returned to the community after presenting with COVID-19 associated GBS. Discussion: This report highlights the complex rehabilitation needs patients require to regain independence after diagnosis of COVID-19 associated GBS.

Sign in / Sign up

Export Citation Format

Share Document