<![CDATA[Guillain–Barré syndrome (GBS) is an acute immune-mediated peripheral neuropathy that can cause rapidly progressive muscle weakness, sensory disturbance, respiratory dysfunction, and substantial functional limitation. Recovery of motor function may continue after the acute phase and requires rehabilitation tailored to clinical stability and functional capacity. Objective to describe the implementation and clinical outcomes of a progressive individualized rehabilitation program for impaired mobility in a hospitalized patient with GBS. A descriptive case study was conducted in one 27-year-old woman with GBS who was hospitalized from 1 to 10 July 2026. The rehabilitation program consisted of readiness assessment, passive and active-assisted range-of-motion (ROM) exercises, rolling, sitting training, monitoring of muscle strength using the Medical Research Council (MRC) scale, activity tolerance monitoring, and patient/family education. Rehabilitation was progressed according to clinical status and functional readiness. During nine days of implementation, the patient demonstrated gradual improvement in motor and functional performance. Shoulder strength increased to MRC grade 5, toe and hip strength improved to grade 3 during the progression of bed mobility, and knee and hip strength subsequently improved. The patient progressed from requiring assistance for repositioning to rolling right and left with minimal assistance and sitting for 10, 20, and finally 30 minutes. The program was temporarily withheld when the patient developed melena and severe anemia (hemoglobin 6.9 g/dL) requiring packed red blood cell transfusion. Dangling, standing, and walking were not achieved during hospitalization because lower-extremity strength and postural control remained insufficient and the inpatient rehabilitation period was limited. A progressive individualized rehabilitation program supported gradual improvement in muscle strength, bed mobility, and sitting tolerance while maintaining patient safety.]]>
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