The objective of this study is to report the effect of physiotherapy in a 35 years old male with AMSAN along with COVID-19 and to describe the progression in intensive care unit. 9 There is a need of literature support to rehabilitate AMSAN patients diagnosed with COVID-19. 8 As there was paucity of studies with good level of evidence about role of physiotherapy in GBS patients, there is no structured protocol for physical rehabilitation of AMSAN patient. Physiotherapy plays a vital role during the course of recovery from COVID-19 by providing respiratory care, muscle strengthening, bed mobility and positioning. 5 Both Plasmapheresis and Intravenous Immunoglobulin (IVIG) administration are considered to be effective in treating GBS at speedy recovery with ease of administration. 4 Combination of GBS along with COVID-19 may result in serious complications if left untreated. 3ĬOVID-19 emerged as a serious pandemic in 2019 and numerous people were likely to have been infected. 2ĪMSAN is a rare variant of GBS characterized by an acute muscle weakness, sensory disturbance, pain, diminished tendon reflexes and 20 % of the cases, often occur with cranial nerve involvement and respiratory failure which could end up in tracheostomy, ventilator support, and autonomic involvement such as tachycardia, fluctuating blood pressure, and abnormal respiratory parameters also develops in some cases. 1 About 00 population per year experiences GBS, and 20% of them were reported to have variants such as Acute motor axonal neuropathy (AMAN), Acute motor and sensory axonal neuropathy (AMSAN) and Miller-Fisher syndrome. Guillain Barre syndrome (GBS) or Acute Inflammatory Demyelinating Polyneuropathy (AIDP), an autoimmune disorder that involves segmental demyelination and axonal damage following a viral infection Both antibody and cell-mediated reactions to peripheral nerve myelin were involved and cause nerve cell death, thus regeneration doesn't occur.
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