Bobath and traditional approaches in post-stroke gait rehabilitation in adults

Abstract

SummaryStudy aim: The aim of this study was to compare the outcomes of a study of post-stroke gait reeducation using the Bobath neuro-developmental treatment (NDT-Bobath) method and the traditional approach. Material and methods: The study included 30 adult patients after ischemic stroke, aged 32-82. Patients were randomly assigned to one of the treatment groups: the study group (treated with the NDT-Bobath method combined with the traditional approach, ten sessions), and a reference group (treated with the traditional method only, ten sessions). The measurements (spatio-temporal gait parameters based on 10 m walking test: gait velocity, normalized gait velocity, cadence, normalized cadence, stride length, and normalized stride length) were administered twice: on admission (before the therapy) and after the last therapy session. Results: Statistically significant and favorable changes in the gait velocity, cadence and stride length regarding their normalized values were observed. Moderate and high correlations among changes of assessed spatio-temporal gait parameters were observed in both groups. Conclusions:The NDT-Bobath method may be regarded as a more effective form of gait post-stroke rehabilitation in young adults compared to traditional rehabilitation.

A Robot-Assisted Therapy to Increase Muscle Strength in Hemiplegic Gait Rehabilitation

“…This method uses techniques based on facilitation, therapeutic manipulation and activation of key control points, aimed at improving patients' motor control while using the different stages of normal motor development as a guide (Balzer, 2018). The Bobath concept is as effective method as other therapies and can be considered more effective than a standard rehabilitation process for the treatment of the lower limbs (Mikołajewska, 2017;Gray and Ford, 2018). In addition, it significantly improves basic mobility skills and balance.…”

Dynamics of Physical Development Indicators in Children with Cerebral Palsy using Bobat Method in the Course of Physical Therapy

“…Стандартні підходи до реабілітації дітей дошкі-льного віку з ураженнями ЦНС передбачали прове-дення занять з лікувальної фізичної культури та лікувального дитячого масажу [13].…”

“…При цьому ефект використан-ня методу Бобат, у порівнянні з традиційними під-ходами, є більш вагомим при тривалому застосу-ванні, що дозволяє стверджувати його суттєвий вплив на нормалізацію м'язового тонусу у ураже-них відділах нервово-м'язового апарату [16,17]. У даному випадку можна припустити більш оптима-льну аферентну пропріоцептивну імпульсацію, яка може сприяти відновленню рухової функції [13,17]. Не менш вагомим є вплив застосування методу Бобат на показник МТ, який не спостерігається при традиційних підходах до реабілітації.…”

Research Protocol of NDT- Bobath and Proprioceptive Neuromuscular Facilitation Vs Proprioceptive Neuromuscular Facilitation Alone, to Improve Trunk Control, Balance, and Gait Parameters in Post-Stroke Patients – A Randomized Clinical Trial

“…The studies conducted by Kılınç et.al ,2016, andLennon 2001 demonstrated that the individually developed bobath therapy exercise program improves trunk performance, balance, walking ability, more regular motor patterns and functional capabilities in stroke patients [10,14,15]. But few current systematic review studies performed by Díaz-Arribas et.al 2020, and Gray and Ford 2018 concludes that Bobath therapy alone is not more efficient than any other poststroke treatment [7,16].…”