Hi,

I have worked with many GB pts - some make a full recovery and some dont. A lot depends on initial management. 3 months down the track a full recovery is unlikely - especially if the pt is middle aged or older. As for hydrotherapy, if a patient is unable to stand independently, getting them in and out of a pool without a ramp and water chair is too dangerous. Doing this on your own without the above could be a recipe for disaster. However if you do - you need a float under the knees, bottom and head (proper floats for hydro - not noodles etc), concentrate on each limb in turn, pushing/pulling away from you, working on proximal muscles and TA control. Usually in GB pts, they with recover prox first and distal later. And if you do this, dont wear them out, high reps, low resistance works best. And get someone to go in with you. Good luck. Remember, GB is stubborn, just work with what their body gives you, functional is always best.