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

Mikołajewska, Emilia

doi:10.1016/j.poamed.2015.03.001

Cited by 7 publications

(5 citation statements)

References 22 publications

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“…The study by Kılınç et al (2016) provided evidence that NDTBobath-based rehabilitation improved walking ability in post-stroke patients more than traditional therapy [5]. The limited evidence (due to lack of a reference group) of efficiency of the NDT-Bobath method in gait reeducation in adult post-stroke patients was described previously in several studies [1,5,10,[12][13][14][15]19]. Results described in this article are similar to the aforementioned, but constitute stronger evidence.…”

Section: Discussionsupporting

confidence: 66%

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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Section: Discussionsupporting

confidence: 66%

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

Mikołajewska

2017

Biomedical Human Kinetics

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“…We should take into consideration that the study by Lee et al [15] showed relative influence of standing balance and trunk balance on gait ability. Value of the NDT-Bobath method in gait rehabilitation of adult stroke survivors was showed in several studies by Mikołajewska [16][17][18][19]. Their evidence was limited due to the lack of a reference group.…”

Section: Discussionmentioning

confidence: 99%

Bulletin of the Polish Academy of Sciences: Technical Sciences

Prokopowicz¹,

Mikołajewski²,

Tyburek³

et al. 2020

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Computational gait analysis constitutes a useful tool for quantitative assessment of gait disturbances, improving functional diag nosis, assessment of treatment planning, and monitoring of disease progress. There is little research on use of computational gait analysis in neurorehabilitation of post-stroke survivors, but current evidence on its clinical application supports a favorable cost-benefit ratio. The research was conducted among 50 adult people: 25 of them after ischemic stroke constituted the study group, and 25 healthy volunteers constituted the reference group. Study group members were treated for 2 weeks (10 neurorehabilitation sessions). Spatio-temporal gait parameters were assessed before and after therapy and compared using a novel fuzzy-based assessment tool, fractal dimension measurement and gait classification based on artificial neural networks. Measured results of rehabilitation (changes of gait parameters) were statistically relevant and reflected recovery. There is good evidence to extend its use to patients with various gait diseases undergoing neurorehabilitation. However, methodology for properly conducting and interpreting the proposed assessment and analysis procedures, providing validity and reliability of their results remains a key issue. More objective clinical reasoning, based on proposed novel tools, requires further research.

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“…Today, stroke is the foremost cause of death in both developed and emerging countries. 1 The World Health Organization currently defines stroke as being characterized by rapidly emerging neurological signs of localized (and global) deterioration of neurological function persisting over 24 hours or resulting in death, having no apparent cause beyond an internal circulatory source (defined in 1970 and still used). 2 As per a recent analysis primarily based on cross-sectional studies, it is estimated that in India stroke incidence ranges between 105 and 152/100,000 people per year.…”

Section: Introductionmentioning

confidence: 99%

“…These are not the particular set of exercises, but the 24h Â 7 days a week principle-oriented neuro rehabilitation, in which proper patterns and stimulation are made in a care-based manner, and the optimal usage of the patient's brain neuroplasticity, avoidance of compensatory mechanisms, and the patient's maximal independence in everyday activities. 1,14 According to Kabat, proprioceptive neuromuscular facilitation (PNF) is a technique which works based on the concept that increased voluntary responses are achieved when movement patterns are combined with other facilitative processes. In investigations of both subacute and chronic stroke, PNF intervention has been documented.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of dynamic neuromuscular stabilization, neurodevelopmental techniques and proprioceptive neuromuscular facilitation on trunk and gait parameters in patients with subacute stroke: A three-arm parallel randomised clinical trial

Udhoji,

Raghumahanti,

Kovela

2024

F1000Res

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Background Today, stroke is the principal cause of demise in both developed and developing countries. There are different techniques used to treat patients with sub-acute stroke. Trunk muscles play a key role, i.e. in keeping the spine and trunk in place. This stabilization requires moving the head and extremities freely and selectively. The aim of this study is to compare the effectiveness of dynamic neuromuscular stabilization (DNS), neurodevelopmental techniques (NDT) and proprioceptive neuromuscular facilitation (PNF) on trunk and gait parameters in the subacute phase of stroke. This study is intended to ascertain the efficacy of all three approaches individually and to compare the effectiveness of DNS, NDT and PNF on trunk and gait parameters. Furthermore, the findings of this study could be used to assist post-stroke survivors in their early recovery and improve their level of independence. Methods In this interventional study, participants will be divided into three groups, and in each group, 20 patients will be assigned randomly to each group using the sequentially numbered opaque sealed envelope method. Group A patients will be given DNS, Group B will be given NDT, and Group C will be given PNF. The patients will be given treatment for five days for four consecutive weeks. Outcome measures that will be used are trunk impairment scale (TIS), dynamic gait index (DGI) and gait parameters. Data will be collected before and after the 4-week treatment period. Conclusions After the study, a conclusion will be drawn regarding which treatment technique is most suitable among all the three strategies for treating stroke patients if the hypothesis of the study is found valid. Clinical Trials Registry – India (CTRI) reference no. CTRI/2022/06/043037; date of registration 22/05/2022.

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

Cited by 7 publications

References 22 publications

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

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

Bulletin of the Polish Academy of Sciences: Technical Sciences

Effectiveness of dynamic neuromuscular stabilization, neurodevelopmental techniques and proprioceptive neuromuscular facilitation on trunk and gait parameters in patients with subacute stroke: A three-arm parallel randomised clinical trial

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