OUTCOMES OF HIGH- AND LOW-INTENSITY REHABILITATION PROGRAMME FOR PERSONS IN CHRONIC PHASE AFTER GUILLAIN-BARRE SYNDROME: A RANDOMIZED CONTROLLED TRIAL

Objective: To assess the effectiveness of a high-vs low-intensity multidisciplinary ambulatory rehabilitation programme over 12 months for persons in the chronic phase after Guillain-Barre syndrome (pwGBS) in an Australian community cohort. Method: A total of 79 pwGBS, recruited from a tertiary hospital, were randomized to a treatment group (n=40) for an individualized high-intensity programme, or a control group (n=39) for a lower intensity programme. The primary outcome the Functional Independence Measure (FIM) motor subscale assessed activity limitation; while secondary measures for participation included: World Health Organization Quality of Life; Depression, Anxiety Stress Scale; and Perceived Impact Problem Profile (PIPP) scales. All outcome measures were assessed at baseline and at 12 months. Results: Intention to treat analysis of data from 69 participants (treatment n=35, control n=34) showed reduced disability in the treatment group in post-treatment FIM domains (mobility, transfers, sphincter control and locomotion; all p < 0.005) and PIPP scores (relationships; p= 0.011), with moderate-to-small effect sizes (r=0.36-0.23). The treatment group compared with control group showed significant improvement in function (FIM scores): 68% vs 32%. Conclusion: Higher intensity rehabilitation compared with less intense intervention reduces disability in pwGBS in later stages of recovery. Further information on rehabilitation modalities and impact on quality of life is needed.