Bobath Concept versus constraint-induced movement therapy to improve arm functional recovery in stroke patients: a randomized controlled trial

Abstract

Constraint-induced movement therapy and the Bobath Concept have similar efficiencies in improving functional ability, speed and quality of movement in the paretic arm among stroke patients with a high level of function. Constraint-induced movement therapy seems to be slightly more efficient than the Bobath Concept in improving the amount and quality of affected arm use.

NDT-Bobath method in post-stroke rehabilitation in adults aged 42–55 years – Preliminary findings

“…25 Despite many rehabilitation models and techniques within post-stroke neurorehabilitation we have not reached one dominant model. [4][5][6][7]26,27 The knowledge and experience of the therapist still remains main basement of clinical decision making within post-stroke neurorehabilitation. 4 The next part of the research will be both studies on bigger samples, with reference group, and comparative studies between young adults and older stroke survivors.…”

“…Despite a long tradition (since the 1940s) and the wide use of NDT-Bobath concept, there are only a few studies in the area of its outcomes in stroke survivors. [3][4][5][6][7][8][9] The magnitude of the results of the intervention using the Bobath concept does not exceed other intervention approaches. What is more, there seems to be a lack of outcome studies that focus on younger adults with stroke.…”

The Bobath (NDT) concept in adult neurological rehabilitation: what is the state of the knowledge? A scoping review. Part II: intervention studies perspectives

“…Twelve of these studies were experimental designs (RCTs/one prospective parallel group design) [10,[26][27][28][29][30][31][32][33][34][35][36], while five studies used an N-of-1/case report design to describe clinical practice with respect to a specific client/clients, with study design varying from a case report [37,38], to a case series, to a more sophisticated single subject research design (SSRDs) [40,41]. One other paper was a systematic review [11].…”

“…Admission to these studies varied from 2 days to 87 months post-stroke, with three studies not identifying diagnosis chronicity [30][31][32]. Only four studies noted a specific time range for inclusion: two addressed the post-acute phase of rehabilitation 4-24 weeks [26] and 4-20 weeks [28]; and, the other two addressed the chronic phase of rehabilitation 3-15 months [33] and 3-24 months [27]. The two SSRDs [40,41] investigated clients with other neurological diagnoses (multiple sclerosis and muscular dystrophy, respectively), with a specific description of each subject's clinical presentation.…”

Influence of age on outcomes of Bobath-based neurorehabilitation of adults – pilot study

“…Researchers and clinicians still look for effective rehabilitation approaches in post-stroke therapy. The Bobath-based approach is considered one of the most common in contemporary post-stroke rehabilitation, but there are only a few studies in the area of its outcomes in stroke survivors [4,5,6,7,8,9,10,11]. It can be perceived as a key problem in neurorehabilitation based on the Evidence-Based Medicine (EBM) paradigm.…”