{"id":584,"date":"2016-11-21T13:02:57","date_gmt":"2016-11-21T13:02:57","guid":{"rendered":"http:\/\/www.fisiohogar.com\/sansebastiandelosreyes\/?p=584"},"modified":"2019-07-13T16:50:42","modified_gmt":"2019-07-13T16:50:42","slug":"sindrome-guillain-barre","status":"publish","type":"post","link":"https:\/\/www.fisiohogar.com\/sansebastiandelosreyes\/sindrome-guillain-barre\/","title":{"rendered":"\u00bfQu\u00e9 es el s\u00edndrome de Guillain Barr\u00e9?"},"content":{"rendered":"

\u00bfQU\u00c9 ES EL S\u00cdNDROME DE GUILLAIN – BARR\u00c9?<\/span><\/h2>\n

El s\u00edndrome de Guillain-Barr\u00e9 \u00a0tambi\u00e9n conocido como <\/span>Polirradiculoneuritis<\/i>, <\/i><\/strong>es un proceso autoinmune que provoca la inflamaci\u00f3n tanto de los nervios perif\u00e9ricos como de las ra\u00edces de los mismos que est\u00e1n ba\u00f1adas por el l\u00edquido cefalorraqu\u00eddeo. Esta inflamaci\u00f3n provoca una par\u00e1lisis bilateral fl\u00e1cida<\/strong>, que puede ir desde una \"anciano-riesgo-caida\"paraplejia (s\u00f3lo los miembros inferiores), a una tetraplejia (los cuatro miembros). \u00a0Su origen puede ser diverso, desde una afecci\u00f3n viral, o posterior a una enfermedad infecciosa. \u00a0Es m\u00e1s com\u00fan entre los 30 y 50 a\u00f1os.<\/span><\/p>\n

Los trastornos neurol\u00f3gicos aparecen de 8 a 10 d\u00edas despu\u00e9s de la afecci\u00f3n causal, consisten en:<\/span><\/p>\n

    \n
  1. Parestesias de las extremidades de tipo subjetivo (hormigueo, centelleo, mialgias, entumecimiento)<\/span><\/li>\n
  2. Dolores en los miembros<\/span><\/li>\n
  3. D\u00e9ficit motor que se inicia en miembros inferiores y puede progresar hasta alcanzar los miembros superiores. Se presenta la par\u00e1lisis fl\u00e1cida y supresi\u00f3n de reflejos tendinosos.<\/span><\/li>\n<\/ol>\n

    Rara vez la par\u00e1lisis progresa a los m\u00fasculos respiratorios y de la degluci\u00f3n, pero en estos casos el soporte vital con traqueotom\u00eda y respiraci\u00f3n artificial es imprescindible.<\/span><\/p>\n

    \"Esquema

    Esquema de una neurona<\/p><\/div>\n

    La evoluci\u00f3n se dirige hacia la estabilizaci\u00f3n de los trastornos despu\u00e9s de 1 a 3 semanas, como m\u00e1ximo; para pasar a una \u00faltima etapa de regresi\u00f3n lenta que puede prolongarse por varios meses y terminar sin secuelas cl\u00ednicas evidentes.<\/span><\/p>\n

    \u00bfPUEDE AYUDAR LA FISIOTERAPIA?<\/span><\/h2>\n

    La fisioterapia juega un papel fundamental en el manejo de esta enfermedad, desde la primera etapa de estabilizaci\u00f3n de los s\u00edntomas o etapa de par\u00e1lisis, y sobre todo en el proceso de regresi\u00f3n.<\/span><\/p>\n

    Los objetivos en el per\u00edodo de par\u00e1lisis:<\/span><\/p>\n

      \n
    1. Control postural: para evitar posiciones viciosas y retracciones, mantener una buena circulaci\u00f3n y prevenir las escaras.<\/span><\/li>\n
    2. Movilizar todas las articulaciones de manera pasiva<\/span><\/li>\n
    3. Control de los m\u00fasculos respiratorios y prevenci\u00f3n de obstrucci\u00f3n bronquial<\/span><\/li>\n
    4. Termoterapia ant\u00e1lgica<\/span><\/li>\n
    5. Masaje<\/span><\/li>\n<\/ol>\n

      En el per\u00edodo de regresi\u00f3n es cuando se empieza la verdadera reeducaci\u00f3n, y el papel del fisioterapeuta es m\u00e1s activo. Los objetivos ser\u00e1n:<\/span><\/p>\n

        \n
      1. Ejercicios progresivos, desde las movilizaciones pasivas, a los ejercicios activos.<\/span><\/li>\n
      2. Ejercicios con m\u00e1quinas, ejercicios de coordinaci\u00f3n<\/span><\/li>\n
      3. Reeducaci\u00f3n a los cambios posturales, evolucionando a la marcha<\/span><\/li>\n
      4. Ejercicios respiratorios<\/span><\/li>\n
      5. Reeducaci\u00f3n funcional; volver a realizar las actividades diarias y profesionales<\/span><\/li>\n<\/ol>\n

        La rehabilitaci\u00f3n de un paciente afectado con Guillain-Barr\u00e9 es una tarea de largo tiempo y paciencia<\/strong>. Puede prolongarse por varios meses. El fisioterapeuta deber\u00e1 ser un sost\u00e9n psicol\u00f3gico para el paciente, pues a veces los progresos son de una lentitud tal que desalientan al paciente.<\/span><\/p>\n

        *Vademecum de Kinesioterapia y Reeducaci\u00f3n Funcional- Yves Xhardez<\/span><\/p>\n

        *Semiolog\u00eda del Sistema Nervioso- Osvaldo Fustinoni<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

        \u00bfQU\u00c9 ES EL S\u00cdNDROME DE GUILLAIN – BARR\u00c9? El s\u00edndrome de Guillain-Barr\u00e9 \u00a0tambi\u00e9n conocido como Polirradiculoneuritis, es un proceso autoinmune que provoca la inflamaci\u00f3n tanto de los nervios perif\u00e9ricos como de las ra\u00edces de […]<\/p>\n","protected":false},"author":22,"featured_media":587,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[5],"tags":[],"class_list":["post-584","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia-neurologica"],"yoast_head":"\n\u00bfQu\u00e9 es el s\u00edndrome de Guillain Barr\u00e9? - San Sebasti\u00e1n de los Reyes<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fisiohogar.com\/sansebastiandelosreyes\/sindrome-guillain-barre\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00bfQu\u00e9 es el s\u00edndrome de Guillain Barr\u00e9? - San Sebasti\u00e1n de los Reyes\" \/>\n<meta property=\"og:description\" content=\"\u00bfQU\u00c9 ES EL S\u00cdNDROME DE GUILLAIN – BARR\u00c9? El s\u00edndrome de Guillain-Barr\u00e9 \u00a0tambi\u00e9n conocido como Polirradiculoneuritis, es un proceso autoinmune que provoca la inflamaci\u00f3n tanto de los nervios perif\u00e9ricos como de las ra\u00edces de [...]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.fisiohogar.com\/sansebastiandelosreyes\/sindrome-guillain-barre\/\" \/>\n<meta property=\"og:site_name\" content=\"San Sebasti\u00e1n de los Reyes\" \/>\n<meta property=\"article:published_time\" content=\"2016-11-21T13:02:57+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-07-13T16:50:42+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.fisiohogar.com\/sansebastiandelosreyes\/wp-content\/uploads\/sites\/37\/2016\/11\/1008px-Pyramidal_hippocampal_neuron_40x.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1008\" \/>\n\t<meta property=\"og:image:height\" content=\"768\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Tibisay Rodr\u00edguez G\u00f3mez\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tibisay Rodr\u00edguez G\u00f3mez\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/sindrome-guillain-barre\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/sindrome-guillain-barre\\\/\"},\"author\":{\"name\":\"Tibisay Rodr\u00edguez G\u00f3mez\",\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/#\\\/schema\\\/person\\\/24e01197e8cea00e64cbf72bb6907d65\"},\"headline\":\"\u00bfQu\u00e9 es el s\u00edndrome de Guillain Barr\u00e9?\",\"datePublished\":\"2016-11-21T13:02:57+00:00\",\"dateModified\":\"2019-07-13T16:50:42+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/sindrome-guillain-barre\\\/\"},\"wordCount\":487,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/sindrome-guillain-barre\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/wp-content\\\/uploads\\\/sites\\\/37\\\/2016\\\/11\\\/1008px-Pyramidal_hippocampal_neuron_40x.jpg\",\"articleSection\":[\"Fisioterapia neurol\u00f3gica\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/sindrome-guillain-barre\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/sindrome-guillain-barre\\\/\",\"url\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/sindrome-guillain-barre\\\/\",\"name\":\"\u00bfQu\u00e9 es el s\u00edndrome de Guillain Barr\u00e9? 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