Effects of Bobath treatment and specific mobilizations on gait in stroke patients: A randomized clinical trial

Čovčić, Gordana Grozdek; Jurak, Ivan; Telebuh, Mirjana; Macek, Z; Bertić, Želimir; Žura, Nikolino; Grubišić, Mihaela; Matić, Hrvoje; Tišlar, Marina Horvat; Jakuš, Lukrecija

doi:10.3233/nre-210326

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…MRF therapy is thought to normalize the length and sliding properties of restricted myofascial tissue, restoring joint mobility to some extent [32,60,61]. We selected MRF therapy for our combined approach using these considerations and hypothesized that it had a facilitating effect on both ballistic training exercises and HIIT program completion by the patient.…”

Section: Discussionmentioning

confidence: 99%

Enhanced Gait Recovery in Chronic Post-COVID-19 Stroke: The Role of Combined Physical Rehabilitation

Fodor,

Dávid,

Czont

et al. 2023

Reports

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Background: Rehabilitation programs applied in cases of COVID-19-related stroke should counteract not only the effects of the stroke but also the effects of long-term COVID-19. As the molecular processes underlying these cases are still not fully understood, and evidence-based clinical outcomes are scarcely documented, there is a valid need to gather information and develop rehabilitation strategies for these patients. The risks, already clarified in the case of stroke, need to be assessed taking into account the coincidence of the two diseases. Endothelial injuries and emboli that develop after the hypercoagulable state of COVID-19 may take longer to heal, and complications may occur during exercise. This case study attempts to determine what the rehabilitation of a COVID-19-related stroke patient should include. The participant was a 64-year-old male with ischemic right middle cerebral artery stroke, left-side hemiplegia, and middle cerebral artery stenosis, and the CT showed a well-defined area of hypoattenuation in the basal ganglia territory involving the right lentiform nucleus, the anterior and posterior limbs of the internal capsule, and the dorsal part of the external capsule. His NIHSS score was 14, and he registered 15 points on the Barthel index. The patient had a COVID-19 infection two weeks before the stroke event. Methods: Conventional physical therapy was combined with adaptive ballistic strength training, a high-intensity interval training regimen, and manual treatment for myofascial release throughout the chronic recovery phase. Our primary goals were gait rehabilitation, muscle strengthening, weakness management, as well as spasticity reduction, while three different rehabilitation approaches were adopted in a single rehabilitation program to improve the outcome and long-term functional recovery of the patient. Results: The patient progressed in almost every aspect of the assessment criteria. This combined approach’s main success was improved gait speed, gait quality, and improved cardiovascular fitness. Take-away message: In the case of a stroke caused by COVID-19, where the endothelium cells are compromised, HIIT may be questionable due to the poor vascular condition. Based on our results, the low-volume HIIT approach proved appropriate and effective.

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Section: Discussionmentioning

confidence: 99%

Enhanced Gait Recovery in Chronic Post-COVID-19 Stroke: The Role of Combined Physical Rehabilitation

Fodor,

Dávid,

Czont

et al. 2023

Reports

View full text Add to dashboard Cite

show abstract

“…The inclusion criteria were as follows: (1) individuals aged ≥ 65 years, (2) those who can walk independently or with assistive devices, (3) those with a lower limb muscle strength of ≥ level III and sitting and standing balance of ≥ level II [ 10 ], (4) those who underwent routine assessment of the lumbar spine and femoral neck BMD (T-score < − 2.5 SD), and (5) those who have normal cognitive ability and can understand and cooperate with the training. The exclusion criteria were as follows: (1) individuals with severely impaired vision or hearing, (2) those with neurological diseases affecting balance ability, (3) those with lower limb injury or a history of surgery, (4) those with severe cardiopulmonary and vascular diseases, (5) those with different acute-phase or acute-onset chronic diseases, and (6) those with any type of waist or hip fracture.…”

Section: Methodsmentioning

confidence: 99%

The effect of virtual reality technology on anti-fall ability and bone mineral density of the elderly with osteoporosis in an elderly care institution

Zhao

Guan

et al. 2023

Eur J Med Res

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Objective To explore the impact of virtual reality (VR) training on anti-fall ability and bone mineral density (BMD) among elderly patients admitted to a healthcare institution. Methods People (aged 50) with osteoporosis in an elderly care institution in Anhui Province June 2020 to October 2021 were selected and randomly divided into VR group (n = 25) and control group (n = 25). In VR group, the virtual reality rehabilitation training system was used for training, while control group was treated with traditional fall prevention exercise intervention. The changes of Berg Balance Scale (BBS), timed up and go test (TUGT), functional gait assessment (FGA), bone mineral density (BMD) and falls during 12 months of training were compared between the two groups. Results BBS and FGA were positively correlated with BMD of the lumbar vertebrae and femoral neck, and TUGT was negatively correlated with BMD of the lumbar vertebrae and femoral neck. After 12 months of training, the BBS score, TUGT evaluation and FGA evaluation of the two groups were significantly improved compared with those prior to training (P < 0.05). However, there was no significant difference in the lumbar spine and femoral neck BMD between the two groups 6 months after the intervention. The femoral neck and lumbar spine BMD of the VR group improved, and it was significantly higher than that of the control group 12 months after the intervention. Nevertheless, there was no significant difference in terms of the incidence of adverse events between the two groups. Conclusion VR training can improve anti-fall ability and increase femoral neck and lumbar spine BMD and can effectively prevent and reduce the risk of injury among elderly people with osteoporosis.

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Effects of Bobath treatment and specific mobilizations on gait in stroke patients: A randomized clinical trial

Cited by 2 publications

References 22 publications

Enhanced Gait Recovery in Chronic Post-COVID-19 Stroke: The Role of Combined Physical Rehabilitation

Enhanced Gait Recovery in Chronic Post-COVID-19 Stroke: The Role of Combined Physical Rehabilitation

The effect of virtual reality technology on anti-fall ability and bone mineral density of the elderly with osteoporosis in an elderly care institution

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