Clinical Case Study on Functional Communication Program with Biomechanical and Rehabilitative Approach for Person with Guillain-Barre Syndrome
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Published:
Jun 17, 2025
Keywords:
Occupational Therapy, Frame of References, Guillain Barre Syndrome, Communication, Case Report
Main Article Content
Abstract
Backgrounds: Acute Inflammatory Demyelinating Polyradiculopathy (AIDP), also known as Guillain-Barre syndrome (GBS), is a condition that can affect anyone, causing muscle weakness, discomfort, and paralysis. Occupational therapy intervention aims to enhance communication abilities and overall quality of life for GBS patients.
Objective: This study aims to enhance functional communication in Guillain-Barre Syndrome patients through occupational therapy interventions
Methods: The participant in the study is a 45-year-old man with GBS who struggles with functional communication activities using tablets. Instruments used to measure progress include the Canadian Occupational Performance Measure (COPM), Range of Motion (ROM), and Manual Muscle Testing (MMT), as well as analysing Occupational Performances Area (OPA) and Occupational Performances Component (OPC) abilities.
Result: Occupational therapists developed interventions based on assessment results, which led to significant improvements in range of motion and muscle strength in the upper extremities. The participants' performance in using tablets also improved after the intervention, with an increase in both performance and satisfaction scores. The study showed a clear link between the importance of tablet use, patient performance, and satisfaction levels, with significant improvements seen after the occupational therapy intervention
Conclusion: The biomechanical frame of reference was effective in improving range of motion and muscle strength in GBS patients. This resulted in significant increases in ROM and muscle strength in both upper extremities. Additionally, the COPM examination showed improvements in patient performance and satisfaction, indicating the potential for increased independence in daily activities with the help of the rehabilitative frame of reference.
Objective: This study aims to enhance functional communication in Guillain-Barre Syndrome patients through occupational therapy interventions
Methods: The participant in the study is a 45-year-old man with GBS who struggles with functional communication activities using tablets. Instruments used to measure progress include the Canadian Occupational Performance Measure (COPM), Range of Motion (ROM), and Manual Muscle Testing (MMT), as well as analysing Occupational Performances Area (OPA) and Occupational Performances Component (OPC) abilities.
Result: Occupational therapists developed interventions based on assessment results, which led to significant improvements in range of motion and muscle strength in the upper extremities. The participants' performance in using tablets also improved after the intervention, with an increase in both performance and satisfaction scores. The study showed a clear link between the importance of tablet use, patient performance, and satisfaction levels, with significant improvements seen after the occupational therapy intervention
Conclusion: The biomechanical frame of reference was effective in improving range of motion and muscle strength in GBS patients. This resulted in significant increases in ROM and muscle strength in both upper extremities. Additionally, the COPM examination showed improvements in patient performance and satisfaction, indicating the potential for increased independence in daily activities with the help of the rehabilitative frame of reference.
Article Details
How to Cite
Wicaksono, G., Ruth Sarah Nadya Aprilia, Cecep Agas Triono, & Muhammad Hidayat Sahid. (2025). Clinical Case Study on Functional Communication Program with Biomechanical and Rehabilitative Approach for Person with Guillain-Barre Syndrome. Indonesian Journal of Physical Medicine and Rehabilitation, 14(1), 80 - 91. https://doi.org/10.36803/indojpmr.v14i1.444
Section
Case Report
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References
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10. Machiko R. Tomita; Kathryn Buckner; Sumandeep Saharan; Kimberley Persons; Sheng Hui Liao. (2016). Extended Occupational Therapy Reintegration Strategies for a Woman with Guillain-Barré Syndrome: Case Report. The American Journal of Occupational Therapy, 70(4), 1–7.
11. Pearson, J. C. (2000). An introduction to human communication: understanding and sharing (Vol. 8). Boston: McGraw Hill.
12. Peny-Dahlstrand, M., Bergqvist, L., Hofgren, C., Himmelmann, K., & Öhrvall, A. M. (2020). Potential benefits of the cognitive orientation to daily occupational performance approach in young adults with spina bifida or cerebral palsy: a feasibility study. Disability and Rehabilitation, 42(2), 228–239.
13. Pithadia, A. B., & Kakadia, N. (2010). Guillain-Barré syndrome (GBS).
14. Singh, S. P., Wal, P., Wal, A., & Srivastava, V. (2016). UNDERSTANDING AUTOIMMUNE DISEASE: AN UPDATE REVIEW Pharmacognostic, Phytochemical and Pharmacological Assessment of Withania Somnifera, Bacopa Monnieri and Bamboo Arundinacea for Anti Dysmenorrheal Potential View project development of mobile application, a project by DST View project.
2. American Association of Neuromuscular & Electrodiagnostic Medicine. Guillain-Barre Syndrome. Retrieved February 26, 2023, from https://www.aanem.org/Patients/Muscle-and-Nerve-Disorders/Guillain-Barre-Syndrome
3. Cole M, B., & Tufano, R. (2008). Applied theories in occupational therapy: a practical approach. SLACK.
4. Drago, E. (2015). The Effect of Technology on Face-to-Face Communication by Emily Drago-13 The Effect of Technology on Face-to-Face Communication.
5. Itu. (2012). Making Mobile Phones and services accessible for Persons. www.e-accessibilitytoolkit.org
6. Kane, S. K., Jayant, C., Wobbrock, J. O., & Ladner, R. E. (2009). Freedom to Roam: A Study of Mobile Device Adoption and Accessibility for People with Visual and Motor Disabilities. 278.
7. Khanzada FJ, & Zameer S. (2016). Effectiveness of Occupational Therapy in Rehabilitation of Guillain Barre Syndrome: A Case Study. Physical Medicine and Rehabilitation - International, 3(2).
8. Kim, K.-W., Kim, S.-S., Lee, J.-S., & Chung, S.-H. (2011). A Clinical Case Study on Guillain-Barre Syndrome Complaining Both Lower Extremity Weakness with Oriental Medical Treatment. The Journal of Korea CHUNA Manual Medicine for Spine and Nerves, 6(1).
9. Kompas.com. (2023). Penderita GBS Meningkat di Kalangan Usia Produktif. Retrieved February 26, 2023, from https://lifestyle.kompas.com/read/2012/04/14/09265323/Penderita
10. Machiko R. Tomita; Kathryn Buckner; Sumandeep Saharan; Kimberley Persons; Sheng Hui Liao. (2016). Extended Occupational Therapy Reintegration Strategies for a Woman with Guillain-Barré Syndrome: Case Report. The American Journal of Occupational Therapy, 70(4), 1–7.
11. Pearson, J. C. (2000). An introduction to human communication: understanding and sharing (Vol. 8). Boston: McGraw Hill.
12. Peny-Dahlstrand, M., Bergqvist, L., Hofgren, C., Himmelmann, K., & Öhrvall, A. M. (2020). Potential benefits of the cognitive orientation to daily occupational performance approach in young adults with spina bifida or cerebral palsy: a feasibility study. Disability and Rehabilitation, 42(2), 228–239.
13. Pithadia, A. B., & Kakadia, N. (2010). Guillain-Barré syndrome (GBS).
14. Singh, S. P., Wal, P., Wal, A., & Srivastava, V. (2016). UNDERSTANDING AUTOIMMUNE DISEASE: AN UPDATE REVIEW Pharmacognostic, Phytochemical and Pharmacological Assessment of Withania Somnifera, Bacopa Monnieri and Bamboo Arundinacea for Anti Dysmenorrheal Potential View project development of mobile application, a project by DST View project.