Exercise Treatment of Guillain Barre Syndrome Simplified

Guillain-Barre Syndrome (GBS) is a rare condition that affects nerves in the body. The cause of GBS is unknown, but it often occurs after an infection. Symptoms include muscle weakness or paralysis, which can affect the arms, legs, face, neck, or tongue. Gradually, it develops like paralysis and if this problem progresses further it affects our hands, so much that it also affects our respiratory system. The cause of this condition is unknown and treatment includes rest, fluids, and medications. Patients with GBS should receive prompt medical attention.

Once the medical condition stabilizes, the sufferer should immediately start exercises to regain the lost strength. Until then, they should also avoid activities that might worsen symptoms. This includes avoiding high-risk situations such as driving until recovery is complete. This article will cover strengthening exercises for both upper and lower extremities including the trunk. These are straightforward exercises, so without delay, let’s get started.

Exercise treatment for Guillain Barre Syndrome

Once you are out of hospital you should start exercising. We have covered the exercises in three different parts. One is for the lower extremities including low, the second is for the trunk, low back and the third exercises for the upper extremities. The upper extremities include exercises for the shoulder, elbow and fingers. The exercises we have covered here in this article are light. Once you feel you have regained enough strength, you can progress to more resistive exercises.

At the end of the post, I will share links to those resistive exercises. So let’s begin with exercises for leg

GBS rehabilitation exercises for legs 

So, first of all, we start with the exercises to strengthen the muscles of the leg. For this, we will learn exercises for the knee joint, ankle joint, and thigh. If there is weakness in the leg, it is very important to strengthen it by exercising it, so the first exercise we call static quadriceps exercise or knee press exercise. 

#1 Static quadricpes exercise

The static quadriceps exercise is one of the most effective exercises for Guillain-Barre Syndrome. To perform this exercise, you will need a pillow, a towel, or a roll of a bedsheet.

1. Place the pillow, towel, or bedsheet roll under your knees and press down with your knee.
2. Hold this position for five seconds, counting from one to five. Then, release the pressure and rest briefly before repeating the exercise. You can do them together if you need to do both legs simultaneously.
3. You should do this exercise at least 30 to 40 times in a session, although it is better to do as much as possible.

The static quadriceps exercise is an excellent exercise for Guillain-Barre Syndrome because it helps to improve muscle strength, especially in the legs. When performing this exercise, you will feel your quadriceps muscles working hard to hold the position, which will help to strengthen them over time.

#2 Ankle foot toe movement

Many patients suffering from Guillain-Barré Syndrome (GBS) may experience a common symptom known as foot drops. However, even if you don’t have foot drops, you can still benefit from a simple yet effective ankle-toe movement exercise. This exercise involves movement of your foot, specifically focusing on ankle flexion-extension.

1. To perform this exercise, sit comfortably and observe your foot movement.
2. This is called plantarflexion if you bend your ankle and move your foot away from your body. Conversely, if you move your foot towards your body, this is called dorsiflexion.
3. You can continue to alternate between these two movements while sitting still. This exercise is a great way to keep your ankle and foot muscles active, especially if sitting for extended periods without much movement.

#3 Hip abduction adduction

Our next exercise is the hip abduction adduction exercise.

1. To get started, lie flat on your back with your legs straight.
2. Now, slowly move your leg away from your body without lifting it. Instead, move your leg on the bed away from your body. Ensure you are not applying too much pressure on your leg, which can cause discomfort.
3. Next, return your leg to the normal position and repeat the same movement with your other leg.
4. It is recommended to perform this exercise 10 to 15 times in a single session.
5. This exercise is excellent for improving your hip mobility and strengthening the muscles in your legs.

#4 Pillow press between thigh

One of the most effective exercises to strengthen the muscles inside your thighs is the pillow squeeze exercise.

1. To perform this exercise, start by lying on your back with your legs straight and your arms at your sides.
2. Next, bend both your knees and place a pillow between your knees. If you don’t have two pillows, fold a single pillow and place it between your thighs.
3. Hold the pillow between your thighs for five seconds, then relax.
4. Repeat this process by pressing the pillow and holding it for five seconds, then relaxing for at least 20 to 30 times.
5. This exercise is known to strengthen the hip adductors inside your thighs, which, in turn, strengthens the muscles inside.

#5 Straight leg raise in side-lying

To build strength and flexibility in your legs, there’s a simple exercise you can add. It’s important to start slowly and work your way up gradually, especially if you’re in the early stages of your fitness journey. Here’s how to do it:

1. Start by lying on your side, and bend both knees.
2. Then, straighten your upper legs and lift them to a 30-degree angle.
3. Hold this position for five seconds, counting to yourself: 1, 2, 3, 4, 5. Then, relax and repeat the exercise.
4. Do this exercise at least 10 times in a session, and do it on both sides of your body.

Exercises for lower back for treatment of Guillain barre syndrome

Now let us discuss strengthening the muscles of our lower back to strengthen the muscles of the trunk. For this, the first and most basic exercise is the bridging exercise. 

#6 Knee rotation

Knee rotation is a simple yet effective exercise to strengthen the lower trunk muscles.

1. To start, lie down flat on your back and bend both knees, bringing your feet together.
2. Next, rotate your legs to the left side and then to the right side, as if you’re swinging your knees from side to side.
3. As you move through this exercise, pay attention to any areas of tightness or discomfort in your body. Take slow, deep breaths and focus on relaxing your muscles as you swing your legs back and forth.
4. This exercise has no specific count, so feel free to move at your own pace. Aim to do it for three to five minutes in a single session.

#7 Bridging exercise for GBS treatment

Next in line is the bridging exercise, an essential exercise to strengthen the core muscles. The starting position for this exercise will be lying flat on the back and bending the knees to keep the foot flat on the floor. Place both hands on the side, as shown in the figure.

1. In this starting position, lift your lower back as much as possible, taking it as high as possible.
2. Hold the position for 5 seconds and then put it down.
3. Repeat the same process, counting 1 to 5, relax, lift your lower back again, count from 1 to 5, and relax.
4. This exercise is a great way to strengthen your lower back muscles.
5. It’s essential to perform this exercise at least 15 to 20 times in one session to reap its benefits.

#8 Exercise for lower abdomen in GBS syndrome

Our next exercise of guillian barre syndrome targets the lower abdomen muscles. The position for this exercise is similar to the previous one, but the benefits are focused more on the lower abs. Sometimes, the lower abdominal muscles can also be affected, so it’s important to engage them in your workout routine. Here’s how to do it:

1. First, grasp your hands in front of yourself and keep your elbows straight.
2. Then, lift yourself to the front, then to the left side, then to the right, and back to the centre.
3. Repeat this movement, alternating sides (left, center, right, center, left, center, right, center), for as many repetitions as you can manage.
4. There’s no specific count, but aiming for at least 10 to 15 repetitions is a good idea.

Exercises for upper limb in Guillain barre syndrome

Now let’s move on to the upper limb. Many times it affects the hands of patients with GBS, so, for this let me tell exercises. First of all, you have to strengthen the muscles around your shoulders.

#9 Shoulder strengthening exercise

In Guillain-Barré syndrome (GBS) cases, shoulder strengthening exercises are crucial to help patients regain their mobility and strength. One of these exercises is performed in the lying position.

1. To begin, lie down flat on your back and grasp your hand in front of you. Initially, you may need someone’s help to help you grasp your hand.
2. Once you have a good grip, keep your elbow straight and lift your shoulder towards your ear. From there, please take it to the backside and hold for a few seconds.
3. Then, please bring it back to the normal position.
4. Repeat this for 10 to 15 times in a single session.
5. Now, in the same position, you can perform other exercises to strengthen your shoulder muscles further. For example, you can lift your shoulder vertically and then move your shoulder left and right as if waving your hand to the left and right sides.
6. Again, repeat this exercise 10 to 15 times in a single session.
7. In addition to these exercises, you can also perform circumduction in the same position.
8. To do this, rotate your hand clockwise and anticlockwise in a circular motion.
9. Repeat this exercise 10 to 15 times in a single session.

Also Read: Paralysed Hand Can Improve Movement Using This New Device| Study

#10 Elbow strengthening exercise

The elbow muscles strengthening exercise is an effective way to build up your biceps muscle in both hands.

1. To perform this exercise, lie down on your back. Once comfortable, remove your shoulders from the body and repeat the same movement on the other shoulder.
2. Next, you can move on to the wrist flexion-extension exercise. Hold your arms before you, flex your wrists, and then extend them.
3. Repeat this movement for a few sets.
4. After that, you can move on to circumduction, which involves rotating your wrists in a circular motion. Do this for both hands and repeat for a few sets.
5. Remember, you can do all these exercises in the lying position I just demonstrated, or you can try them in a seated position if that is more comfortable for you. With consistent practice, these exercises will help you strengthen your elbow and wrist muscles, improving your overall arm strength.

#11 Grip strengthening and other hand exercises for guillain barré

Guillian Berry syndrome sufferers gradually develop weakness in the great they are unable to hold even a glass of water they have difficulty grasping any object which affects their quality of life so to improve grip strength we need to exercise it.

For this exercise, we need a silicone gel ball for a sponge ball you need to grasp the ball and squeeze it with the most strength you can do. There is no specific count for this exercise whenever you are sitting ideally you don’t have any work then you can hold the ball and perform the exercise. Slowly you will find that you will improve your grip strength you can easily grab the glass of water.

There are many other good hand exercises for guillain barré, which are beyond the scope of this article. We highly suggest referring to this link for hand exercises in Guillain barré syndrome.

Resistance exercises for Guillian barre syndrome

Apart from all this, I have made many videos, to strengthen the arm muscles and leg muscles, there is a type of exercise which can be done through these resistance bands to strengthen the shoulder muscles. I have made videos on all these, so I will not discuss them here, I will give the link in the description, you go and have a good look there.

With the help of this band, you can do many exercises: you can exercise the knees, you can exercise the hip, and you can do your elbow for your shoulder joint. If you also want to buy it, I will give its link in the description; you can buy this resistance band. Apart from these exercises, you also have to pay attention to your diet and nutrition, what supplements you will take? 

Sunit. S. Ekka

Dr Sunit Sanjay Ekka is a physiotherapist in practice for the last 15 years. He has done his BPT from one of the premium Central Government physiotherapy colleges, ie, SVNIRTAR. The patient is his best teacher and whatever he gets to learn he loves to share it on his Youtube channel and blog.