Guillain-Barre Syndrome (GBS) which is a post-infective acute polyneuropathy has been known to rarely occur among Africans. It is considered the most disabling neurological condition after poliomyelitis. However, little has been reported on the extent of the problem of GBS in Zambia. Hence the main aim of the study was to determine the prevalence of GBS and rate of physiotherapy referral among the patients that were seen at the University Teaching Hospital (UTH) between the years 2011-2013. Data was collected retrospectively from clinical files of patients that were treated in the department of internal medicine during the review period using a checklist. The statistical package for social sciences (SPSS) version 20 was used for descriptive analysis. Out of 26, 776 new medical cases that were treated in the period under review only 31 cases had GBS giving a period prevalence of 0.116%. The mean age for cases was 33.6 years (SD: 12.9) with the majority 50% (n=16) age range being 18 to 28 years. The most common type of GBS 61% (n=19) was Acute Inflammatory Demyelinating Polyneuropathy (AIDP) and the commonest predisposing factor 42% (n=13) was HIV/AIDS. There were more males than females at a ratio of 1.8:1. Most of the patients 68% (n=21) had not been referred to physiotherapy. GBS is becoming a common problem because of a rising prevalence since the advent of HIV/AIDS. Rate of physiotherapy referral among the cases is very low. It is highly recommended that another study on prevalence of GBS be done over a longer period to include other hospitals in Zambia. Physiotherapists in Zambia are also challenged to provide evidence on the impact of the interventions given in GBS management.
| Published in | International Journal of Neurologic Physical Therapy (Volume 2, Issue 1) |
| DOI | 10.11648/j.ijnpt.20160201.11 |
| Page(s) | 1-4 |
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Copyright © The Author(s), 2024. Published by Science Publishing Group |
Guillain-Barre Syndrome, HIV/AIDS, Prevalence, Physiotherapy, Zambia
| [1] | Enwere OO, Anyabolu EN, Ezeibekwe CC (2015). Human immunodeficiency virus infection presenting as a fatal case of Guillain-Barré syndrome on a background of diabetes mellitus: Int J Med and Biomed Res vol 4(2): 82-85. |
| [2] | Estridge R, Iskander M (2015). Understanding Guillain-Barre Syndrome. J Amer. Aca. Phys. Assis.: 28(7): 19-22. |
| [3] | Ryszard M (2012). Guillain–Barré syndrome. The J Ameri Asso: 305 (3): 319. |
| [4] | Sejvar JJ, Baughman AL, Wise M, Morgan OW (2011). Population incidence of Guillain-Barré syndrome: a systematic review and meta-analysis. Neuroepidemiology. 36(2): 123–133. |
| [5] | Naeini AE, Ghazavi M, Moghim S, Sabaghi A, Fadaei R (2015). Acute flaccid paralysis surveillance: A 6 years study, Isfahan, Iran. Adv Biomed Res. 2015; 4: 99. |
| [6] | Vucic S, Kiernan MC, Cornblath DR (2009). Guillain-Barré syndrome: An update. J Clin Neurosci: 16: 733-741. |
| [7] | Van Doorn PA, Ruts L, Jacobs BC (2008). Clinical features, pathogenesis, and treatment of Guillain-Barré Syndrome. Lancet Neurol; 7: 939–950. |
| [8] | Nehal S, Manisha S (2015). Role of Physiotherapy in Guillain Barre Syndrome: A Narrative Review. Int J Heal. Sci. & Research: 5(9): 529-540. |
| [9] | Nordon-Craft A, Moss M, Quan D, Schenkman M. Intensive care unit-acquired weakness: implications forphysical therapist management. Physical Therapy 2012; 92 (12): 1494–506. |
| [10] | Yuki N, Hartung HP (2012). Guillain–Barré syndrome. N EngJ Med: 366: 2294-2304. |
| [11] | Islam Z, Jacobs BC, van Belkum A, Mohammad QD, Islam MB, Herbrink P (2010). Axonal variant of Guillain–Barré syndrome associated with Campylobacter infection in Bangladesh. Neurology 74: 581-7. |
| [12] | Pieter A van Doorn, Liselotte Ruts, Bart C Jacobs (2008). Clinical features, pathogenesis, and treatment of Guillain-Barré syndrome. Lancet Neurol 2008; 7: 939–50. |
| [13] | Karavatas SG (2005). The role of neurodevelopmental sequencing in the physical therapy management of a geriatric patient with Guillain–Barre syndrome. Top Geriatr Rehabil 21: 133–5. |
| [14] | Walton T, Vincent M, Richards J, Davidson I (2005). Usefulness of digital gait analysis for assessing patients with gait analysis for assessing patients with Guillain–Barré syndrome. Int J Ther Rehabil 12: 388–93. |
| [15] | Tuckey J, Greenwood R (2004). Rehabilitation after severe Guillain–Barre syndrome: the use of partial body weight support. Physiother Res Int 9: 96–103. |
| [16] | Davidson I, Wilson C, Walton T, Brissenden S (2009). Physiotherapy and Guillain-Barré syndrome: results of a national survey. Physiother. 95(3): 157–63. |
| [17] | Dimachkie MM, Barohn RJ (2013). Guillain-Barré syndrome and variants. Neurol Clin. 31(2): 491–510. |
| [18] | Central Statistics Office, 2010. Census of population and housing: Population and Demographic Projections 2011 – 2035: Lusaka, Zambia. |
| [19] | Howlett WP, Vedeler CA, Nyland H, Aarli (2009). Guillain–Barré syndrome in Northern Tanzania, a comparison of epidemiologic and clinical findings with Western Norway. Acta Neurol Scand: 93: 44-49. |
| [20] | Walling AD, Dickson G (2013). Guillain-Barré syndrome. Am Fam Physician. 87(3): 191–197. |
| [21] | Mehrholz J, Pohl M, Kugler J, Burridge J, Mückel S, Elsner B (2015). Physical rehabilitation for critical illness myopathy and neuropathy. Cochrane Database of Systematic Reviews Issue 3. Art. No.: CD010942. DOI: 10.1002/14651858.CD010942.pub2. |
APA Style
Joshua Saisha, Margaret M. Mweshi, Martha Banda-Chalwe, Loveness A. Nkhata, Elliot Kafumukache, et al. (2015). The Prevalence of Guillian-Barre Syndrome and the Rate of Physiotherapy Referral at the University Teaching Hospital, Lusaka, Zambia. International Journal of Neurologic Physical Therapy, 2(1), 1-4. https://doi.org/10.11648/j.ijnpt.20160201.11
ACS Style
Joshua Saisha; Margaret M. Mweshi; Martha Banda-Chalwe; Loveness A. Nkhata; Elliot Kafumukache, et al. The Prevalence of Guillian-Barre Syndrome and the Rate of Physiotherapy Referral at the University Teaching Hospital, Lusaka, Zambia. Int. J. Neurol. Phys. Ther. 2015, 2(1), 1-4. doi: 10.11648/j.ijnpt.20160201.11
AMA Style
Joshua Saisha, Margaret M. Mweshi, Martha Banda-Chalwe, Loveness A. Nkhata, Elliot Kafumukache, et al. The Prevalence of Guillian-Barre Syndrome and the Rate of Physiotherapy Referral at the University Teaching Hospital, Lusaka, Zambia. Int J Neurol Phys Ther. 2015;2(1):1-4. doi: 10.11648/j.ijnpt.20160201.11
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Download@article{10.11648/j.ijnpt.20160201.11,
author = {Joshua Saisha and Margaret M. Mweshi and Martha Banda-Chalwe and Loveness A. Nkhata and Elliot Kafumukache and Micah Simpamba and Namalambo Mwenda - Ng’uni},
title = {The Prevalence of Guillian-Barre Syndrome and the Rate of Physiotherapy Referral at the University Teaching Hospital, Lusaka, Zambia},
journal = {International Journal of Neurologic Physical Therapy},
volume = {2},
number = {1},
pages = {1-4},
doi = {10.11648/j.ijnpt.20160201.11},
url = {https://doi.org/10.11648/j.ijnpt.20160201.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnpt.20160201.11},
abstract = {Guillain-Barre Syndrome (GBS) which is a post-infective acute polyneuropathy has been known to rarely occur among Africans. It is considered the most disabling neurological condition after poliomyelitis. However, little has been reported on the extent of the problem of GBS in Zambia. Hence the main aim of the study was to determine the prevalence of GBS and rate of physiotherapy referral among the patients that were seen at the University Teaching Hospital (UTH) between the years 2011-2013. Data was collected retrospectively from clinical files of patients that were treated in the department of internal medicine during the review period using a checklist. The statistical package for social sciences (SPSS) version 20 was used for descriptive analysis. Out of 26, 776 new medical cases that were treated in the period under review only 31 cases had GBS giving a period prevalence of 0.116%. The mean age for cases was 33.6 years (SD: 12.9) with the majority 50% (n=16) age range being 18 to 28 years. The most common type of GBS 61% (n=19) was Acute Inflammatory Demyelinating Polyneuropathy (AIDP) and the commonest predisposing factor 42% (n=13) was HIV/AIDS. There were more males than females at a ratio of 1.8:1. Most of the patients 68% (n=21) had not been referred to physiotherapy. GBS is becoming a common problem because of a rising prevalence since the advent of HIV/AIDS. Rate of physiotherapy referral among the cases is very low. It is highly recommended that another study on prevalence of GBS be done over a longer period to include other hospitals in Zambia. Physiotherapists in Zambia are also challenged to provide evidence on the impact of the interventions given in GBS management.},
year = {2015}
}
TY - JOUR T1 - The Prevalence of Guillian-Barre Syndrome and the Rate of Physiotherapy Referral at the University Teaching Hospital, Lusaka, Zambia AU - Joshua Saisha AU - Margaret M. Mweshi AU - Martha Banda-Chalwe AU - Loveness A. Nkhata AU - Elliot Kafumukache AU - Micah Simpamba AU - Namalambo Mwenda - Ng’uni Y1 - 2015/12/21 PY - 2015 N1 - https://doi.org/10.11648/j.ijnpt.20160201.11 DO - 10.11648/j.ijnpt.20160201.11 T2 - International Journal of Neurologic Physical Therapy JF - International Journal of Neurologic Physical Therapy JO - International Journal of Neurologic Physical Therapy SP - 1 EP - 4 PB - Science Publishing Group SN - 2575-1778 UR - https://doi.org/10.11648/j.ijnpt.20160201.11 AB - Guillain-Barre Syndrome (GBS) which is a post-infective acute polyneuropathy has been known to rarely occur among Africans. It is considered the most disabling neurological condition after poliomyelitis. However, little has been reported on the extent of the problem of GBS in Zambia. Hence the main aim of the study was to determine the prevalence of GBS and rate of physiotherapy referral among the patients that were seen at the University Teaching Hospital (UTH) between the years 2011-2013. Data was collected retrospectively from clinical files of patients that were treated in the department of internal medicine during the review period using a checklist. The statistical package for social sciences (SPSS) version 20 was used for descriptive analysis. Out of 26, 776 new medical cases that were treated in the period under review only 31 cases had GBS giving a period prevalence of 0.116%. The mean age for cases was 33.6 years (SD: 12.9) with the majority 50% (n=16) age range being 18 to 28 years. The most common type of GBS 61% (n=19) was Acute Inflammatory Demyelinating Polyneuropathy (AIDP) and the commonest predisposing factor 42% (n=13) was HIV/AIDS. There were more males than females at a ratio of 1.8:1. Most of the patients 68% (n=21) had not been referred to physiotherapy. GBS is becoming a common problem because of a rising prevalence since the advent of HIV/AIDS. Rate of physiotherapy referral among the cases is very low. It is highly recommended that another study on prevalence of GBS be done over a longer period to include other hospitals in Zambia. Physiotherapists in Zambia are also challenged to provide evidence on the impact of the interventions given in GBS management. VL - 2 IS - 1 ER -
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