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Case Studies | Physiotherapy | Volume 15 Issue 2, February 2026 | Pages: 1073 - 1076 | India
Impact of Core Strengthening and OTAGO Exercise Program on Balance and Fall Prevention in Guillain-Barre Syndrome: A Case Series
Abstract: Background: Guillain-Barre Syndrome (GBS) frequently impairs balance, gait, and quality of life. Targeted core stabilization and balance exercises may enhance physical function and mitigate fall risk in neurological conditions. Objective: To assess the impact of a combined McGill core strengthening and Otago exercise regimen on balance, dynamic gait, gait disability, and physical quality of life in GBS patients. Methods: This case series involved GBS patients completing a structured program integrating McGill core stabilization exercises with the Otago balance protocol. Assessments used the Berg Balance Scale (BBS), Dynamic Gait Index (DGI), GBS Disability Scale, and WHOQOL questionnaire. Pre- and post-intervention scores were compared to quantify functional improvements. Results: Participants exhibited statistically significant gains in balance (BBS) and dynamic gait (DGI), with reduced gait-related disability. Physical quality-of-life scores rose post-intervention, signaling better physical capacity. Enhanced trunk stability and postural control from core training likely drove these benefits via improved neuromuscular coordination and minimized compensatory patterns. Non-physical domains (psychological well-being, social relationships, environment) showed no significant change, likely due to limited sample size and their multifaceted influences. Conclusion: This case series demonstrates that integrating McGill core stabilization and Otago balance training improves balance, gait, and physical quality of life in GBS patients. Results advocate for their inclusion in GBS rehabilitation protocols. Larger trials with extended follow-up and psychosocial components are needed to evaluate comprehensive quality-of-life outcomes.
Keywords: Guillain-Barre Syndrome, core stabilization, Otago exercise, balance, gait, quality of life
How to Cite?: Dr. Saambhavi Dube, Dr. Upasna Barthwal, Dr. Shyam Kurapati, "Impact of Core Strengthening and OTAGO Exercise Program on Balance and Fall Prevention in Guillain-Barre Syndrome: A Case Series", Volume 15 Issue 2, February 2026, International Journal of Science and Research (IJSR), Pages: 1073-1076, https://www.ijsr.net/getabstract.php?paperid=SR26217132751, DOI: https://dx.dx.doi.org/10.21275/SR26217132751