Reabilitação funcional a partir da terapia ocupacional em pessoas com síndrome de Guillain-Barré: uma revisão de escopo
DOI:
https://doi.org/10.20453/rhr.v8i2.7569Palavras-chave:
síndrome de Guillain-Barré, terapia ocupacional, reabilitação, funcionalidade, participação socialResumo
O objetivo desta revisão é analisar e sintetizar a evidência científica recente sobre as intervenções de terapia ocupacional na reabilitação de pessoas com síndrome de Guillain-Barré. Foi realizada uma revisão de escopo fundamentada na diretriz PRISMA-ScR. A busca bibliográfica foi conduzida nas bases de dados PubMed/MEDLINE, Scopus e Web of Science Core Collection, abrangendo estudos publicados entre 2023 e 2025. Foram incluídas pesquisas que abordassem processos de reabilitação ou intervenções de terapia ocupacional em população diagnosticada com síndrome de Guillain-Barré, por meio de uma síntese qualitativa narrativa. Foram identificados nove estudos, com predominância de delineamentos descritivos e relatos de caso. Os achados revelam que a terapia ocupacional é integrada principalmente nas fases subaguda e crônica do processo reabilitador. As intervenções concentraram-se no treinamento em atividades da vida diária, na funcionalidade dos membros superiores, na adaptação do ambiente e na reinserção social. Os achados evidenciam um predomínio de delineamentos descritivos e relatos de caso. Conclui-se que, embora a terapia ocupacional realize contribuições relevantes na reabilitação funcional de pessoas com síndrome de Guillain-Barré, a evidência científica ainda é limitada. Consequentemente, faz-se necessário fortalecer a pesquisa futura por meio de estudos com maior rigor metodológico.
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Referências
Van Doorn PA, Van den Bergh P, Hadden RD, Avau B, Vankrunkelsven P, Attarian S, et al. European Academy of Neurology/Peripheral Nerve Society guideline on diagnosis and treatment of Guillain-Barré syndrome. Eur J Neurol [Internet]. 2023; 30(12): 3646-3674. Disponible en: https://doi.org/10.1111/ene.16073
Khan SA, Das PR, Nahar Z, Rahman SM. An updated review on Guillain-Barré syndrome: challenges in infection prevention and control in low- and middle-income countries. SAGE Open Med [Internet]. 2024; 12: 20503121241239538. Disponible en: https://doi.org/10.1177/20503121241239538
Shahrizaila N, Lehmann HC, Kuwabara S. Guillain-Barré syndrome. Lancet [Internet]. 2021; 397(10280): 1214-1228. Disponible en: https://doi.org/10.1016/s0140-6736(21)00517-1
Bellanti SR, Rinaldi S. Guillain-Barré syndrome: a comprehensive review. Eur J Neurol [Internet]. 2024; 31(8): e16365. Disponible en: https://doi.org/10.1111/ene.16365
Yousef NM, Adejumo DK, Hazari A, Kandakurti PK. A structured rehabilitation program for functional recovery in Guillain-Barré syndrome: a case report. J Med Case Rep [Internet]. 2025; 19(1): 450. Disponible en: https://doi.org/10.1186/s13256-025-05545-z
Leonhard SE, Mandarakas MR, Gondim FA, Bateman K, Ferreira ML, Cornblath DR, et al. Diagnosis and management of Guillain-Barré syndrome in ten steps. Nat Rev Neurol [Internet]. 2019; 15: 671-683. Disponible en: https://doi.org/10.1038/s41582-019-0250-9
Kiper P, Chevrot M, Godart J, Cieślik B, Kiper A, Regazzetti M, et al. Physical exercise in Guillain-Barré syndrome: a scoping review. J Clin Med [Internet]. 2025; 14(8): 2655. Disponible en: https://doi.org/10.3390/jcm14082655
World Federation of Occupational Therapists. Position statement: Occupational Therapy and Rehabilitation [Internet]. WFOT; 2019. Disponible en: https://wfot.org/resources/occupational-therapy-and-rehabilitation
Houlahan M, Gintings N, Burdon M, Ashby S. An exploratory international survey of the assessments and interventions used by occupational therapists and physiotherapists during the hospitalization of people with Guillain-Barré syndrome. Nurs Health Sci [Internet]. 2023; 25(3): 804-813. Disponible en: https://doi.org/10.1111/nhs.13022
Clarkson S, Fisher A, McFadden S, Swanson P, Whitlow M, Smallfield S. Occupational Therapy Interventions to Optimize Functional Use of the Upper Extremity Following Peripheral Nerve Injury: A systematic review [Internet]. Omaha (NE): University of Nebraska Medical Center; 2022. Disponible en: https://digitalcommons.unmc.edu/cahp_ot_sysrev/4/
GBS-CIDP Foundation International. About GBS/CIDP Foundation International [Internet]. Narberth (PA): GBS-CIDP Foundation International; [s. f.]. Disponible en: https://rarediseases.org/organizations/gbs-cidp-foundation-international/
Coraci D, Romano M, Ragazzo L, Restivo DA, Cipriani M, Gottardello F, et al. Rehabilitation of peripheral neuropathies: from lexical analysis of the literature to identification of clinical protocols. J Clin Med [Internet]. 2023; 12(18): 5879. Disponible en: https://doi.org/10.3390/jcm12185879
Pearce LM, Pryor J, Redhead J, Sherrington C, Hassett L. Advanced technology in a real-world rehabilitation setting: longitudinal Observational Study on Clinician Adoption and Implementation. J Med Internet Res [Internet]. 2024; 26: e60374. Disponible en: https://doi.org/10.2196/60374
Bhagwat AP, Sharath H, Warghat PA. Effect of paediatric rehabilitation in children with Guillain-Barré syndrome: a case series. Cureus [Internet]. 2024; 16(5): e59815. Disponible en: https://doi.org/10.7759/cureus.59815
Estublier B, Colineaux H, Arnaud C, Cintas P, Baudou E, Chaix Y, et al. Long-term outcomes of paediatric Guillain-Barré syndrome. Dev Med Child Neurol [Internet]. 2024; 66(2): 176-186. Disponible en: https://doi.org/10.1111/dmcn.15693
Tomita MR, Buckner K, Saharan S, Persons K, Liao SH. Extended occupational therapy reintegration strategies for a woman with Guillain-Barré syndrome: case report. Am J Occup Ther [Internet]. 2016; 70(4): 7004210010. Disponible en: https://doi.org/10.5014/ajot.2016.017871
McNicholas N, O'Dowd S, McNamara B, O'Toole O. An unusual presentation of Guillain-Barré syndrome in a young man with bilateral upper extremity weakness. BMJ Case Rep [Internet]. 2015: bcr2015210375. Disponible en: https://doi.org/10.1136/bcr-2015-210375
Athanasopoulos KG, Papanastassiou ID, Drinis I, Groumas N, Gerochristou MA, Petropoulou K. A patient with Guillain-Barré syndrome and late recovery after 1 year. J Musculoskelet Neuronal Interact [Internet]. 2019; 19(2): 226-228. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC6587086/
Salim OJ, Davidson A, Li K, Leach JP, Heath C. Brainstem encephalitis and acute polyneuropathy associated with hepatitis E infection. BMJ Case rep [Internet]. 2017: bcr2017220799. Disponible en: https://doi.org/10.1136/bcr-2017-220799
Alizadeh N, Packer T, Chen YT, Alnasery Y. What we know about fatigue self-management programs for people living with chronic conditions: a scoping review. Patient Educ Couns [Internet]. 2023; 114: 107866. Disponible en: https://doi.org/10.1016/j.pec.2023.107866
Chehebar DM, Scott KR, Kothari MJ. Guillain-Barré syndrome: a review and analysis of current neurorehabilitation approaches and outcomes. Crit Rev Phys Rehabil Med [Internet]. 2006; 18(4): 283-302. Disponible en: https://doi.org/10.1615/CritRevPhysRehabilMed.v18.i4.10
Ng YS, Lo YL, Lim PA. Characteristics and acute rehabilitation of Guillain-Barré syndrome in Singapore. Ann Acad Med Singap [Internet]. 2004; 33(3): 314-319. Disponible en: https://pubmed.ncbi.nlm.nih.gov/15175771/
Atkins MS, Baumgarten JM, Yasuda YL, Adkins R, Waters RL, Leung P, et al. Mobile arm supports: evidence-based benefits and criteria for use. J Spinal Cord Med [Internet]. 2008; 31(4): 388-393. Disponible en: https://doi.org/10.1080/10790268.2008.11760741
Connors C, McNeill S, Hrdlicka HC. Occupational and physical therapy strategies for the rehabilitation of COVID-19-related Guillain-Barré syndrome in the long-term acute care hospital setting: case report. JMIR Rehabil Assist Technol [Internet]. 2022; 9(1): e30794. https://doi.org/10.2196/30794
Hughes RA. Guillain-Barré syndrome: history, pathogenesis, treatment, and future directions. Eur J Neurol [Internet]. 2024; 31(11): e16346. Disponible en: https://doi.org/10.1111/ene.16346
Levison LS, Thomsen RW, Andersen H. Increased mortality following Guillain-Barré syndrome: a population-based cohort study. Eur J Neurol [Internet]. 2022; 29(4): 1145-1154. Disponible en: https://doi.org/10.1111/ene.15204
Kossi O, Raats J, Wellens J, Duckaert M, De Baets S, Van de Velde D, et al. Efficacy of rehabilitation interventions evaluated in common neurological conditions in improving participation outcomes: a systematic review. Clin Rehabil [Internet]. 2024; 38(1): 47-59. Disponible en: https://doi.org/10.1177/02692155231191383
Juckett LA, Wengerd LR, Faieta J, Griffin CE. Evidence-based practice implementation in stroke rehabilitation: a scoping review of barriers and facilitators. Am J Occup Ther [Internet]. 2020; 74(1): 7401205050. Disponible en: https://doi.org/10.5014/ajot.2020.035485
Shen Y, Jiang L, Lai J, Hu J, Liang F, Zhang X, et al. A comprehensive review of rehabilitation approaches for traumatic brain injury: efficacy and outcomes. Front Neurol [Internet]. 2025; 16: 1608645. Disponible en: https://doi.org/10.3389/fneur.2025.1608645
Wade D. Rehabilitation — a new approach. Part four: a new paradigm, and its implications. Clin Rehabil [Internet]. 2016; 30(2): 109-118. Disponible en: https://doi.org/10.1177/0269215515601177
Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease Study 2019: a systematic analysis for the global burden of disease study 2019. Lancet [Internet]. 2021; 396(10267): 2006-2017. Disponible en: https://doi.org/10.1016/S0140-6736(20)32340-0
World Health Organization. International Classification of Functioning, Disability and Health (ICF) [Internet]. Geneva: WHO; 2001. Disponible en: https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health
Hammell KW. Participation and occupation: the need for a human rights perspective. Can J Occup Ther [Internet]. 2015; 82(1): 4-8. Disponible en: https://doi.org/10.1177/0008417414567636
Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ [Internet]. 2014; 348: g1687. Disponible en: https://doi.org/10.1136/bmj.g1687
Balevi IS, Anziska A. Looking through the mirror of neuroengineering: emerging technologies in neurorehabilitation. Med Res Arch [Internet]. 2024; 12(11). Disponible en: https://doi.org/10.18103/mra.v12i11.5933
Lang CE, Miller AE, Macpherson CE, Bland MD, Holleran CL, Lohse KR. Advancing neurorehabilitation and recovery through human movement quantification via wearable sensing. Neurorehabil Neural Repair [Internet]. 2026: 15459683251412310. Disponible en: https://doi.org/10.1177/15459683251412310
Zhang J, He C. Evidence-based rehabilitation medicine: definition, foundation, practice and development. Med Rev [Internet]. 2024; 4(1): 42-54. Disponible en: https://doi.org/10.1515/mr-2023-0027
World Federation of Occupational Therapists. Guiding principles for the use of evidence in occupational therapy [Internet]. WFOT; 2021. Disponible en: https://wfot.org/resources/guiding-principles-for-the-use-of-evidence-in-occupational-therapy
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