Patient Information: Male, Age 39

Diagnosis: Guillain-Barré Syndrome / Quadriplegia

History: This gentleman was hospitalized for an extended period of time due to onset of Guillain-Barré syndrome requiring mechanical ventilation. After hospitalization, he was referred to a skilled nursing facility for rehabilitation due to significant limitations in muscle strength, activity tolerance, balance and coordination with an inability to perform daily living tasks independently. His goal was to be able to watch his kids play community sports. Prior to this hospitalization, he was independent with all activities, lived on his own, and worked as a truck driver.

Pre-Therapy Status:

• Leg Strength: Poor (2/5) for the hips and knees bilaterally; absent (0/5) for the left ankle; trace (1/5) for the right ankle.
• Sitting Balance: Fair minus; able to maintain static balance with arm support for 15 minutes or less.
• Functional Mobility: Moderate to maximal (50 - 75%) assistance for bed mobility;
  maximal (>75%) assistance of 2 people for transfers in and out of bed.
• Activities of Daily Living (ADLs): Dependent (100%) assistance for feeding, dressing, bathing,
  and grooming.
• Ambulation: Unable to walk; dependent upon a wheelchair to navigate the facility.

Therapy Information:

• Modality: OmniStim® FX² Pro Patterned Electrical Neuromuscular Stimulation (PENS), OmniCycle® Elite Motorized Therapeutic Exercise System.
• Frequency: 2-3x per week.
  
• Protocol Specifics: Lower extremity triphasic PENS to bilateral legs to increase strength.
  OmniCycle® lower extremity neuro mode to increase strength and endurance.
  
• Duration: Twelve weeks.
  
• Other Therapy Services Provided: Therapeutic exercise, therapeutic activities, neuromuscular re-education, manual therapy, self-care home management training, and gait training.

Outcome:

• Leg Strength: Good minus (4-/5) throughout both legs.
• Sitting Balance: Good plus; able to maintain balance against resistance.
• Functional Mobility: Independent with close supervision for bed mobility and transfers.
• ADLs: Minimal (25%) assistance for feeding, dressing, bathing, and grooming.
• Ambulation: 1500 feet independently with a rolling walker and close supervision.

This gentleman is pleased to return home with his parents and watch his 5 year-old son play his first season of T-ball! His therapy team is both pleased and amazed with his recovery! His physical therapist reports electrical stimulation helped this gentleman’s muscles work when he was unable to exercise on his own. This gentleman continues to visit the therapy team to express his gratitude and share his continued success.