Rehabilitation Nursing Approaches to Cerebrovascular Accident: A Comparison of Two Approaches

Salter, Judith; Camp, Yvonne; Pierce, Linda L.; Mion, Lorraine C.

doi:10.1002/j.2048-7940.1991.tb01180.x

Cited by 18 publications

(13 citation statements)

References 6 publications

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“…A quasi‐experimental approach is used to compare the functional gains of stroke patients treated with the Bobath technique and those treated with the traditional nursing approach to determine any differences between the two groups. Unlike previous research by Lewis (1986), Salter et al . (1991 ) could find no significant differences between the groups.…”

Section: Evaluation Of Specific Nursing Interventionscontrasting

confidence: 67%

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Neurological rehabilitation nursing: a review of the research

Thorn

2000

Journal of Advanced Nursing

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Neurological rehabilitation is increasingly seen as a specialist form of rehabilitation requiring specialist nursing knowledge. However, as in many areas of nursing, nurses in this field recognize that there is a need to increase their knowledge base to ensure that they provide the best and most up-to-date quality care for their patients and their families. To achieve high levels of competence, neurological rehabilitation nurses need to be aware of the existing body of research in this field so that they can make sound decisions regarding their practice and future research endeavours. This review aims to validate the existing knowledge base in this area by identifying and critically analysing research conducted in the area of neurological rehabilitation nursing during the decade 1988-1998 and by identifying any gaps and weaknesses that may be addressed by future research. Studies were included in the review if they examined an aspect of rehabilitation nursing, were concerned predominately with the neurological patient and were conducted in an in-patient setting. Research with a medical focus was not included and only research published in English was reviewed. Relevant research located examined the following areas: (1) the role of the rehabilitation nurse; (2) specific problems concerning the neurological rehabilitation patient; (3) specific nursing interventions; (4) rehabilitation nursing practice; (5) the delivery of rehabilitation programmes and team working; and (6) the family of the rehabilitation patient. The review concludes that research in this speciality remains limited both in quantity and quality. Most of the studies lack rigour and, because they were conducted at a single site, their generalizability to other clinical sites may be limited.

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Section: Evaluation Of Specific Nursing Interventionscontrasting

confidence: 67%

“…(1991 ) could find no significant differences between the groups. However, Salter et al . (1991 ) report the possibility of a type 11 error, meaning that the sample may have been too small to show differences between the two groups.…”

Section: Evaluation Of Specific Nursing Interventionsmentioning

confidence: 99%

Neurological rehabilitation nursing: a review of the research

Thorn

2000

Journal of Advanced Nursing

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“…Selected trials refer to effectiveness of general treatment (10)(11)(12)(13)(14)(15), treatment aimed at lower limb and/or gait (16)(17)(18)(19)(20)(21) and upper limb (22)(23)(24). Population characteristics are summarized in Tables III, V and VII, and study characteristics in Tables IV, VI and VIII.…”

Section: Resultsmentioning

confidence: 99%

Physiotherapy Based on the Bobath Concept for Adults With Post-Stroke Hemiplegia: A Review of Effectiveness Studies

Paci¹

2003

Journal of Rehabilitation Medicine

108

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The Bobath concept, also known as neurodevelopmental treatment, is a widely used approach in the rehabilitation of hemiparetic subjects in many countries. Despite 50 years of clinical use its effectiveness is questionable. This paper aims to examine whether there is evidence to accept neurodevelopmental treatment as an effective approach. A systematic literature search was undertaken. Fifteen trials have been selected and classified according to a 5-level hierarchic scale of evidence for clinical interventions. Results show no evidence proving the effectiveness of neurodevelopmental treatment or supporting neurodevelopmental treatment as the optimal type of treatment, but neither do methodological limitations allow for conclusions of non-efficacy. Methodological aspects of selected studies are discussed and requirements for further research are suggested.

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“…Most earlier studies have not demonstrated any benefits of BB therapy on the various outcomes, such as HRQoL (13), functional status (11,12,14,18,20,34,35), depression (12) or arm function (19). Only 2 studies have showed improved functional status as a result of BB therapy; one small retrospective study (16) and one comparing BB therapy with an orthopaedic treatment (17).…”

Section: Discussionmentioning

confidence: 99%

Effects of bobath-based therapy on depression, shoulder pain and health-related quality of life in patients after stroke

Hafsteinsdøttir

Kappelle²,

Grypdonck³

et al. 2007

Acta Derm Venereol

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Objective: To measure the effects of Bobath-based (BB) therapy on depression, shoulder pain and health-related quality of life (HRQoL) of patients during one year after stroke. Design: In a prospective, non-randomized design, the use of BB therapy was compared with a more task-oriented therapy and no BB therapy. Subjects: A total of 324 patients in 12 hospitals. Methods: Patients in the intervention group received BB therapy, whereas patients in the control group received no BB therapy and a more task-oriented therapy. HRQoL was measured using the SF-36; depression was measured with the Center of Epidemiological Studies Depression Scale and shoulder pain was measured with the Visual Analogue Scale at discharge, 6 and 12 months. Linear and logistic regression analyses were performed. Results: No effects of BB therapy on HRQoL or shoulder pain were found. After one year fewer patients were depressed in the BB group (30%) than in the non-BB group (43%); the adjusted odds ratio was 0.6 (95% confidence interval 0.3-1.0). Conclusion: BB therapy did not have any effect on HRQoL or shoulder pain in stroke patients. Healthcare professionals should reconsider the use of BB therapy in the care of stroke patients.

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Rehabilitation Nursing Approaches to Cerebrovascular Accident: A Comparison of Two Approaches

Cited by 18 publications

References 6 publications

Neurological rehabilitation nursing: a review of the research

Neurological rehabilitation nursing: a review of the research

Physiotherapy Based on the Bobath Concept for Adults With Post-Stroke Hemiplegia: A Review of Effectiveness Studies

Effects of bobath-based therapy on depression, shoulder pain and health-related quality of life in patients after stroke

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