Which activities are recommended in acute GBS management?

• A. Positioning and range of motion; gentle isometrics
• B. Immobilization
• C. High-intensity cardio
• D. Aggressive resistance training

Answer: (A)

In the acute phase of Guillain-Barré syndrome, the goal is to preserve joint mobility and muscle function without overloading vulnerable nerves. Positioning and range-of-motion activities help keep joints flexible, prevent contractures, protect skin, and assist with circulation and respiratory function when the patient is weak or bedbound. Gentle isometric contractions stimulate muscle activity and circulation without requiring full voluntary movement or stressing recovering nerves.

Immobilization would worsen stiffness and lead to more disuse complications. High-intensity cardio would be too demanding for a system dealing with autonomic instability and respiratory fatigue. Aggressive resistance training also risks overloading weak muscles and damaged nerves early on.