Magdalini Stamou¹*, Dafne Bakalidou¹ and Michael Rentzo²

¹Physiotherapy Department, Laboratory of Neuromuscular and Cardiovascular Study of Motion, University of West Attica, Athens, Greece
²Medical Department, National and Kapodistrian University of Athens, Greece

*Corresponding Author: Magdalini Stamou, Physiotherapy Department, Laboratory of Neuromuscular and Cardiovascular Study of Motion, University of West Attica, Athens, Greece.

Received: October 19, 2021; Published: November 16, 2021

Abstract

Chronic Inflammatory Demyelination Polyneuropathy (CIDP) and Acute Inflammatory Demyelinating Polyneuropathy (Guillen-Barre Syndrome, GBS) are included in the autoimmune polyneuropathy category.

The general clinical characteristics are: weakness, muscle atrophy, sensory disorders with or without pain. It presents peripheral symptoms of symmetric or asymmetric distribution, asymmetric distribution tends to be rarer, with fast or slow progression of the disease and with varying degrees of problem caused to the Autonomous Nerve System [1,2].

GBS is the most common cause of acute, non-traumatic, neuromuscular paralysis in the developed countries, it affects 1-2 people in 100,000 people annually [1-3].

CIDP is an acquired, chronic disorder of the peripheral nerve system which has a strong correlation with the pathological immunological mechanisms [4-6].

The use of telerehabilitation/telehealth has grown a rapidly in the last few years, following an exponential growth due to the rapid development and wide adoption of telecommunication technologies. Telerehabilitation/Tele-physiotherapy, depending on the rehabilitation goals and the special characteristics of the patients, is individually adjusted, meaning that it can utilize special biological functions monitoring equipment, such as an oscilloscope, an oximeter, an electrocardiograph, or a smartphone.

Teleconference is suggested as a general framework because it provides a relative degree of immediacy in the communication between the healer and the patient. It can take place in a one-to-one setting, or in small teams. The aim of this study is the use of telerehabilitation in patients who suffer from CIDP and GBS. The registration ID is TCTR20210622005 on the Thai Clinical Trials Register.

Keywords: Chronic Inflammatory Demyelinating Polyneuropathy; Guillen Barre Syndrome; Acute Inflammatory Demyelinating Polyradiculoneuropathy; Physical Therapy; Exercise; Telerehabilitation

References

1. Alter M. “The epidemiology of Guillain-Barre syndrome”. Annals of NeurologyS1 (1990): S7-12.
2. Jiang GX., et al. “Epidemiological features of Guillain-Barre syndrome in Sweden, 1978-93”. Journal of Neurology, Neurosurgery and Psychiatry5 (1997): 447-453.
3. Hughes RA and Cornblath DR. “Guillain-Barre syndrome”. Lancet9497 (2005): 1653-1666.
4. Rotta FT., et al. “The spectrum of chronic inflammatory demyelinating polyneuropathy”. Journal of the Neurological Sciences2 (2000): 129-139.
5. Rentzos M., et al. “Chronic inflammatory demyelinating polyneuropathy: A 6-year retrospective clinical study of a hospital-based population”. Journal of Clinical Neuroscience3 (2007): 229-235.
6. Erdmann PG., et al. “Functioning of patients with chronic idiopathic axonal polyneuropathy (CIAP)”. Journal of Neurology9 (2007): 1204-1211.
7. Sheikh KA., et al. “Overlap of pathology in paralytic rabies and axonal Guillain-Barré syndrome”. Annals of Neurology 5 (2005): 768-772.
8. Cornblath DR., et al. “Quantitative analysis of endoneurial T-cells in human sural nerve biopsies”. Journal of Neuroimmunology2 (1990): 113-118.
9. Griffin JW., et al. “Guillain-Barre syndrome in northern China. The spectrum of neuropathological changes in clinically defined cases”. Brain3 (1995): 577-595.
10. Cornblath DR., et al. “Motor conduction studies in guillain-barré syndrome: Description and prognostic value: Motor Conduction Studies in GBS”. Annals of Neurology 4 (1998): 354-359.
11. Hafer-Macko C., et al. “Acute motor axonal neuropathy: An antibody-mediated attack on axolemma”. Annals of Neurology 4 (1996): 635-644.
12. Griffin JW., et al. “Early nodal changes in the acute motor axonal neuropathy pattern of the Guillain-Barre syndrome”. Journal of Neurocytology1 (1996): 33-51.
13. Janssen J., et al. “A clinical case series investigating the effectiveness of an exercise intervention in chronic inflammatory demyelinating polyneuropathy”. PPR1 (2018): 37-44.
14. Markvardsen LH., et al. “Resistance training and aerobic training improve muscle strength and aerobic capacity in chronic inflammatory demyelinating polyneuropathy”. Muscle Nerve1 (2018): 70-76.
15. White CM., et al. “Observer blind randomised controlled trial of a tailored home exercise programme versus usual care in people with stable inflammatory immune mediated neuropathy”. BMC Neurology1 (2015): 147.
16. Lawley A., et al. “Clinical correlates of fatigue in chronic inflammatory demyelinating polyneuropathy”. Muscle Nerve2 (2020): 226-232.
17. Khan F., et al. “Outcomes of high- and low-intensity rehabilitation programme for persons in chronic phase after Guillain-Barré syndrome: A randomized controlled trial”. Journal of Rehabilitation Medicine7 (2011): 638-646.
18. Bussmann J., et al. “Analysing the favourable effects of physical exercise: relationships between physical fitness, fatigue and functioning in Guillain-Barré syndrome and chronic inflammatory demyelinating polyneuropathy”. Acta Dermato-Venereologica2 (2007): 121-125.
19. Russell TG. “Telerehabilitation: a coming of age”. Australian Journal of Physiotherapy 1 (2009): 5-6.
20. Holland AE. “Telephysiotherapy: time to get online”. Journal of Physiotherapy4 (2017): 193-195.
21. Piqueras M., et al. “Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthoplasty: A randomized controlled trial”. Journal of Rehabilitation Medicine4 (2013): 392-396.
22. Cottrell MA., et al. “Service provider perceptions of telerehabilitation as an additional service delivery option within an Australian neurosurgical and orthopaedic physiotherapy screening clinic: A qualitative study”. Musculoskeletal Science and Practice 32 (2017): 7-16.
23. van Egmond MA., et al. “Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis”. Physiotherapy3 (2018): 277-298.
24. Sabatier MJ., et al. “Treadmill training promotes axon regeneration in injured peripheral nerves”. Experimental Neurology2 (2018): 489-493.
25. Marqueste T., et al. “Neuromuscular rehabilitation by treadmill running or electrical stimulation after peripheral nerve injury and repair”. Journal of Applied Physiology 5 (2004): 1988-1995.
26. Molteni R., et al. “Voluntary exercise increases axonal regeneration from sensory neurons”. Proceedings of the National Academy of Sciences22 (2014): 8473-8448.
27. English AW., et al. “Enhancing recovery from peripheral nerve injury using treadmill training”. Annals of Anatomy - Anatomischer Anzeiger4 (2011): 354-361.
28. Udina E., et al. “Effects of activity-dependent strategies on regeneration and plasticity after peripheral nerve injuries”. Annals of Anatomy - Anatomischer Anzeiger4 (2011): 347-353.
29. English AW., et al. “Treadmill training enhances axon regeneration in injured mouse peripheral nerves without increased loss of topographic specificity”. Journal of Comparative Neurology 2 (2009): 245-255.
30. Sulli S., et al. “The efficacy of rehabilitation in people with Guillain-Barrè syndrome: a systematic review of randomized controlled trials”. Expert Review of Neurotherapeutics4 (2021): 455-461.
31. Simatos Arsenault N., et al. “Influence of Exercise on Patients with Guillain-Barré Syndrome: A Systematic Review”. Physiotherapy Canada4 (2016): 367-376.
32. Mengel D., et al. “Costs of illness in chronic inflammatory demyelinating polyneuropathy in Germany”. Muscle Nerve5 (2018): 681-687.
33. Laver KE., et al. “Telerehabilitation services for stroke”. Cochrane Stroke Group, editor. Cochrane Database of Systematic Reviews 1 (2020).
34. Bhaskar S., et al. “Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2)”. Frontiers in Public Health 8 (2020): 410.
35. De Marchi F., et al. “Telehealth in Neurodegenerative Diseases: Opportunities and Challenges for Patients and Physicians”. Brain Sciences2 (2021): 23.
36. Standing C., et al. “The Paradoxes of Telehealth: a Review of the Literature 2000-2015: The Paradoxes of Telehealth: a Review of the Literature 2000-2015”. System Research1 (2018): 90-101.
37. Davidson I., et al. “Physiotherapy and Guillain-Barré syndrome: results of a national survey”. Physiotherapy3 (2009): 157-163.
38. Deccache A. “Teaching, training or educating patients? Influence of contexts and models of education and care on practice in patient education”. Patient Education and Counseling 1-3 (1995): 119-129.

Citation

Citation: Magdalini Stamou., et al. “Methodology of Tele-rehabilitation Program to Patients with Chronic Inflammatory Demyelinating Polyneuropathy and Guillain-barre Syndrome: Randomised Clinical Trial". Acta Scientific Neurology 4.10 (2021): 25-32.

Copyright

Copyright: © 2021 Magdalini Stamou., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.