While these treatments can hasten recovery, rehab plays an important and necessary role during the acute stages. We want to get involved early. The goals during the acute stage are to keep the muscles and joints loose, while maintaining strength, says Dr. Schwartz. Therapists may initiate passive range of motion and active assistive range of motion, paying particular attention to the knee, ankle, hip, shoulder, elbow and waist. The downward pull of gravity on the feet can shorten and tighten the calf muscles and tendons, preventing normal, full movement.
Similar problems can occur with the forearm muscles and hand movement.
To address these problems, therapists use splinting to help the feet and hands maintain proper position. Along with weakness, patients with GBS in the acute stages may be prone to pressure ulcers. Frequent turning, proper positioning and support surface mattresses can help prevent pressure ulcers from occurring. Once the disease process has reached its worst, and patients embark on the road to recovery, they're transferred to a rehab center. Pa. But that's where the similarities end.