Does physiotherapy based on the Bobath concept, in conjunction with a task practice, achieve greater improvement in walking ability in people with stroke compared to physiotherapy focused on structured task practice alone? A pilot randomized controlled trial

Brock, Kim; Haase, Gerlinde; Rothacher, Gerhard; Cotton, Sue

doi:10.1177/0269215511406557

Cited by 36 publications

(35 citation statements)

References 22 publications

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“…26 From the other side, a compartmental study of interventions based on the Bobath concept, in conjunction with task practice, and structured task practice alone showed signifi cantly greater walking velocity, but no signifi cant difference in improvement between the 2 groups for the adapted 6-minute walk test and for the Berg Balance Scale. 27 Outcomes of an earlier study by Lennon et al 28 did not support the hypothesis that the Bobath approach restored more normal movement patterns to the gait cycle. Further research is required to investigate the treatment techniques that are effective at improving walking ability in people after stroke.…”

Section: Discussionmentioning

confidence: 90%

Changes in Functional Outcomes in Elderly Patients as a Result of Poststroke Rehabilitation Using the NDT-Bobath Method

Mikołajewska¹

2014

Topics in Geriatric Rehabilitation

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Aim:To assess the use of the NDT-Bobath method in poststroke geriatric rehabilitation. Subjects and Methods: Thirty-fi ve elderly poststroke patients admitted to the neurologic rehabilitation ward took part in 10 sessions of the NDT-Bobath therapy. Measurements of the parameters of muscle tone, hand functions, selected activities of daily living, and spatiotemporal gait parameters of velocity, cadence, and stride length were conducted by the same therapist twice: on admission, and after the last session of rehabilitation. Results and Conclusions: Positive statistically signifi cant results were observed within all assessed areas. These fi ndings confi rm that the NDT-Bobath method is an effective form of therapy in the elderly after ischemic stroke. There is a need for further research on larger samples of elderly patients, including the control group.

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Section: Discussionmentioning

confidence: 90%

Changes in Functional Outcomes in Elderly Patients as a Result of Poststroke Rehabilitation Using the NDT-Bobath Method

Mikołajewska¹

2014

Topics in Geriatric Rehabilitation

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“…Por ejemplo, Brock et al 45 compararon en pacientes en etapa aguda, los efectos a corto plazo del enfoque Bobath adicionando la práctica de actividades cotidianas y el tratamiento con énfasis en tareas funcionales; mientras que Tung, et al 44 compararon en pacientes crónicos los efectos de un enfoque ecléctico y el entrenamiento del paso de sedente a de pie.…”

Section: Resultados De La Búsqueda Bibliográficaunclassified

“…Durante la revisión se encontraron cinco estudios 35,38,41,42,45 que incluyeron dicho enfoque, sin embargo en dos de ellos se comparó su efecto con un programa de reaprendizaje motor 35,41 , uno con el tratamiento ortopédico 42 , uno con un enfoque ecléctico con énfasis en tareas funcionales 45 y otro con un grupo sin tratamiento 38 . En una revisión de Kollen, et al 50 se evaluó la evidencia en 16 ensayos clínicos controlados sobre la eficacia del enfoque Bobath en pacientes post-ECV, comparado con otros enfoques neuromusculares y el tratamiento convencional.…”

Section: Resultados De La Búsqueda Bibliográficaunclassified

Enfoques del ejercicio terapéutico sobre la espasticidad en miembro inferior post-Enfermedad Cerebro Vascular: revisión sistemática

Bacca

Patiño

Herrera

et al. 2017

revsal

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RESUMENIntroducción: En la enfermedad cerebro vascular uno de los principales problemas es la espasticidad, que compromete el control postural, la funcionalidad y la calidad de vida. Para lograr la mayor recuperación funcional, se han utilizado los enfoques neuromusculares del ejercicio terapéutico (Ej: Rood, Bobath, Brunnstrom y la Facilitación Neuromuscular Propioceptiva), sin embargo, existe controversia sobre la eficacia de estas intervenciones. Objetivo: Realizar un análisis crítico de la evidencia científica disponible sobre el efecto de los enfoques tradicionales en la espasticidad de los miembros inferiores en personas post-Enfermedad Cerebro Vascular. Métodos: Se incluyeron ensayos clínicos controlados de las bases de datos PUBMED, MEDLINE, PEDro, CINAHL, SCIENCEDIRECT y SCOPUS. La calidad metodológica de los artículos incluidos se evaluó por medio de la escala PeDro. Resultados: Once estudios cumplieron con los criterios de inclusión, obteniendo una calidad metodológica de intermedia a alta. Entre las limitaciones de los estudios revisados se destacan principalmente la ausencia del cálculo del tamaño de muestra, de enmascaramiento de los evaluadores, pérdida de participantes, muestras heterogéneas, carencia de protocolos estandarizados y diversidad de variables evaluadas. Conclusión: El tratamiento fisioterapéutico para disminuir la espasticidad puede ser efectivo aplicado entre tres y cinco días por semana, durante 40 minutos. Sin embargo, estos resultados están soportados en estudios con limitaciones metodológicas y dificultades en su comparación. Por ello, se requieren nuevos estudios para evaluar la eficacia de dichos enfoques, con el fin implementar intervenciones fisioterapéuticas basadas en la mejor evidencia, que contribuyan en una mejor calidad de vida de esta población.Palabras clave: Terapia por ejercicio, accidente cerebrovascular, espasticidad muscular, fisioterapia, rehabilitación. ABSTRACT Introduction: Spasticity due to a stroke is one of the major changes that leads to sensorimotor deficits, causing postural control and functional capability deficits. In order to achieve the best possible functional recovery, several neuromuscular therapeutic exercise approaches have been employed (eg Rood, Bobath, Brunnstrom and proprioceptive neuromuscular facilitation), but still there are many doubts about the effectiveness of these interventions. Purpose:To perform a critical analysis of the available scientific evidence on the effect of the traditional approaches in spasticity recovery of the lower limbs in post-stroke individuals. Methods: Randomized controlled Trials available in PubMed, MEDLINE, PEDro, CINAHL, and Scopus data SCIENCEDIRECT bases were included in this study. The methodological quality of included articles was evaluated by the PEDro scale. Results: Eleven studies were included, obtaining a methodological quality of intermediate to high. The main observed limitations of the analyzed studies were: the absence of sample size estimation, the lack of blind evaluators, loss of partici...

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“…Further evidence concerning improvement in walking long distances on different surfaces and around obstacles after 3 weeks of NDT-Bobath rehabilitation in post-stroke patients was provided by Benito Garcia et al [1]. On the other hand, the motor relearning program (MRP) was more effective than the NDT-Bobath approach in acute rehabilitation of patients with stroke [2]. Improvement of gait ability in the group of patients with post-stroke hemiparesis treated with the NDT-Bobath method was assessed as similar to outcomes of robot-based therapy [4].…”

Section: Discussionmentioning

confidence: 99%

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

Mikołajewska

2017

Biomedical Human Kinetics

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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.

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Does physiotherapy based on the Bobath concept, in conjunction with a task practice, achieve greater improvement in walking ability in people with stroke compared to physiotherapy focused on structured task practice alone? A pilot randomized controlled trial

Abstract: This pilot study indicates short-term benefit for using interventions based on the Bobath concept for improving walking velocity in people with stroke. A sample size of 32 participants per group is required for a definitive study.

Cited by 36 publications

References 22 publications

Changes in Functional Outcomes in Elderly Patients as a Result of Poststroke Rehabilitation Using the NDT-Bobath Method

Changes in Functional Outcomes in Elderly Patients as a Result of Poststroke Rehabilitation Using the NDT-Bobath Method

Enfoques del ejercicio terapéutico sobre la espasticidad en miembro inferior post-Enfermedad Cerebro Vascular: revisión sistemática

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

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