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Background <p>Guillain-Barré Syndrome (GBS) is a rare acute peripheral neuropathic disorder that often necessitates a long course of physiotherapy to regain locomotor function and overall life functioning. Although the efficacy of physiotherapy in GBS is beyond doubt, little is known about the role of culture in patients’ compliance and response to therapy. Traditions, roles, poverty, and language significantly impact the completion of rehabilitation and compliance with the recommended regimens. This systematic analysis aims to establish how cultural factors may affect physiotherapy and treatment results in GBS patients.</p> Main body <p>The systematic review synthesized 33 studies, all conducted across various cultures: Indian, Japanese, Brazilian, Egyptian, and American samples. According to the research, family participation, especially in a collectivist culture, enhanced the level of compliance with therapy and improved functional outcomes. In contrast, when familism was low, clients progressed more slowly, supporting the negative correlation between familism and culture type score. Compensated structures were found to be influential, with patient health beliefs continuing to rely heavily on traditional medication over physiotherapy, particularly in the Middle East (Egypt) and South America (Brazil). Additionally, language barriers in multicultural environments, including the USA and Brazil, adversely affected patient engagement with clinicians. Economic challenges, such as financial constraints and limited healthcare access, also hindered rehabilitation enrollment in low socioeconomic areas.</p> Conclusion <p>This review underscores the significant cultural influences on physiotherapy utilization and GBS patients’ treatment outcomes. Key factors for enhancing rehabilitation success among Latino populations include six elements of the culturally competent model of practice: family involvement, addressing health beliefs, using interpreters, and minimizing socioeconomic disparities. Further longitudinal and cross-cultural research is needed to develop culturally responsive interventions.</p>

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Cultural influences on physiotherapy engagement and outcomes in Guillain-Barré syndrome rehabilitation: a systematic review

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月26日

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  • Olawale Isreal Oshomoji,
  • Johnson Olasunkanmi Ajiroba,
  • Samuel Oluwaseun Semudara,
  • Moses Ayomide Olayemi,
  • Samuel Olumide Adeoye,
  • Okechukwu Cosmas Ugwu,
  • Love Immanuel Ojo

摘要

Background

Guillain-Barré Syndrome (GBS) is a rare acute peripheral neuropathic disorder that often necessitates a long course of physiotherapy to regain locomotor function and overall life functioning. Although the efficacy of physiotherapy in GBS is beyond doubt, little is known about the role of culture in patients’ compliance and response to therapy. Traditions, roles, poverty, and language significantly impact the completion of rehabilitation and compliance with the recommended regimens. This systematic analysis aims to establish how cultural factors may affect physiotherapy and treatment results in GBS patients.

Main body

The systematic review synthesized 33 studies, all conducted across various cultures: Indian, Japanese, Brazilian, Egyptian, and American samples. According to the research, family participation, especially in a collectivist culture, enhanced the level of compliance with therapy and improved functional outcomes. In contrast, when familism was low, clients progressed more slowly, supporting the negative correlation between familism and culture type score. Compensated structures were found to be influential, with patient health beliefs continuing to rely heavily on traditional medication over physiotherapy, particularly in the Middle East (Egypt) and South America (Brazil). Additionally, language barriers in multicultural environments, including the USA and Brazil, adversely affected patient engagement with clinicians. Economic challenges, such as financial constraints and limited healthcare access, also hindered rehabilitation enrollment in low socioeconomic areas.

Conclusion

This review underscores the significant cultural influences on physiotherapy utilization and GBS patients’ treatment outcomes. Key factors for enhancing rehabilitation success among Latino populations include six elements of the culturally competent model of practice: family involvement, addressing health beliefs, using interpreters, and minimizing socioeconomic disparities. Further longitudinal and cross-cultural research is needed to develop culturally responsive interventions.