Effectiveness of physiotherapy interventions for foot drop in individuals with guillian-barre syndrome- A systematic review
Journal Title: Journal of Society of Indian Physiotherapists - Year 2018, Vol 2, Issue 2
Abstract
Purpose Worldwide the incidence of GuillianBarre Syndrome GBS is 11 to 18 per 100000 annually At three years about 30 of patients with GBS have residual weakness resulting in activity and participation restriction In those with persistent weakness foot drop is a common sequel Individuals with GBS are often treated with a multidisciplinary approach but isolated strategies for foot drop are usually neglected The need for the review arises from the lacunae in the literature regarding PT interventions for foot drop in GBSRelevance Recovery from foot drop is considered essential for functioning and independence A systematic review of available literature could provide necessary evidence for therapists to make informed decisions on therapeutic strategies that could aid in recovery from foot dropMaterial and Methods PubMed PEDro CENTRAL and Google Scholar were searched on 24th October 2017 using a comprehensive search strategy using 63 word variations for GBS Foot drop and therapies The search results were screened by two reviewers using predetermined inclusion criteria Intervention studies RCT Quasi RCT Non RCT single group designs and case reports of patients with acute variants of GBS AMAN AMSAN were included in the reviewAnalysis The review attempted to perform a qualitative synthesis of the included studiesResults The search yielded 36 articles out of which 3 papers total of 38 participants met the inclusion criteria and were included in the review All studies used ankle foot orthosis AFO as the main line of management for foot drop None reported the effect of exercise or electrical therapy interventions for foot dropConclusion AFO remains the management of choice for foot drop in individuals with GBSImplications These findings state the dire need for future research in exercise and electrical therapies for recovery from foot drop in GBSKeywords GuillianBarreSyndrome Foot Drop Physiotherapy Interventions
Authors and Affiliations
Parkavi Balaji, Neha Balkawade, Sundar K. Veluswamy
Keywords
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