Effects of Proprioceptive Neuromuscular Training on Sensory and Motor Function in Guillain Barre Syndrome
Condition: Guillain-Barre Syndrome
MeSH terms: Guillain-Barre Syndrome; Syndrome
Study type: Interventional

Summary: 
      This study aims to determine the effects of Proprioceptive Neuromuscular Training on Sensory
      versus Motor Function in patients presenting with Guillain Barre Syndrome.
    

Detailed description: 
      This study will be a randomized controlled trial and will be conducted to determine the
      effects of proprioceptive neuro-muscular training on sensory and motor function of lower
      limb,In this study data will be collected from multiple Hospitals of Lahore via Berg Balance
      Scale, Timed Up and Go test One Leg Stance test before and after intervention. Non-
      probability convenient sampling technique will be used to enroll 26 patients in total. The
      patients will be randomly allocated into two groups through lottery method, to either the
      proprioceptive training group or control group.Both groups will be assessed for
      proprioception via lower extremity position test as a baseline. Proprioception training
      programme will be implemented in experimental group and will be carried out for eight weeks,
      with three (60-minute) sessions per week. It will start with 10 minutes of Warm-up. This will
      be followed by 30 minutes of proprioceptive exercises targeting lower extremities.
      Proprioceptive exercises will be divided into three components, standing on Foam with eyes
      open and eyes closed and passing any object from one subject to the other for 10 minutes,
      throwing and catching a ball will be performed while standing on foam for additional 10
      minutes, throwing and catching a ball, will be performed on trampoline to further challenge
      the balance system. After each set of 10-minute exercise, the subjects will be given
      two-minute resting periods. In the end, 10 minutes will be given for cool down exercises to
      bring the heart rate back to resting level. All participants in both groups will be evaluated
      before and after the treatment programs. Data will be analyzed by using Statistical Package
      of Social Sciences Version 26.
    

Intervention name(s): Proprioceptive Neuromuscular Training; Conventional Physical Therapy
Intervention type(s): Other; Other
Intervention description(s): Proprioceptive exercises will be divided into three components. The first component will be comprised of standing on Foam with eyes open and eyes closed and passing any object from one subject to the other for 10 minutes. The second component consists of activity that will be performed in groups of two. Throwing and catching a ball will be performed while standing on foam for additional10 minutes. The third component, throwing and catching a ball, will be performed on trampoline to further challenge the balance system. After each set of 10-minute exercise, the subjects will be given two-minute resting periods. In the end, 10 minutes will be given for cooling down in which deep breathing exercises and static back extensor stretching exercises will be performed to avoid fatigue and to bring the heart rate back to the normal resting level.; Conventional treatment protocolconsists of a structured exercise protocol Each training session consisted of three parts, the first part included the main movements (warming up 10 minutes plus 5 minutes stretching exercises), the second part consisted of specific movements (exercises with theraband and physioball, 20 minutes), and the third part composed of cool down exercises (10 minutes).(22)Experimental treatment protocolwill be proprioceptive training program. PTP will be based on earlier studies, and will be carried out for eight weeks, with two 60-minute sessions per week. It will start with 10 minutes of Warm-up activities when the subjects will be advised to do light manual stretches and to step up and down on foam to get their body warmed up to have improve muscular flexibility. This will be followed by 30 minutes of proprioceptive exercises targeting lower extremities.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Guillain Barre Syndrome; Proprioceptive Neuromuscular Training; Balance; Motor Function; Sensory Function