RESEARCH PAPER
NDT-Bobath method in post-stroke rehabilitation in adults aged 42–55 years – Preliminary findings
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1
Rehabilitation Clinic, The 10th Military Clinical Hospital with Polyclinic, Bydgoszcz, Poland
2
Disorders of Consciousness Research and Neurorehabilitation Unit, Neurocognitive Laboratory, Centre for Modern Interdisciplinary Technologies, Nicolaus Copernicus University, Toruń, Poland
Submission date: 2014-07-20
Acceptance date: 2015-03-05
Online publication date: 2015-04-19
Publication date: 2020-03-26
Pol. Ann. Med. 2015;22(2):98-104
KEYWORDS
ABSTRACT
Introduction:
Stroke is among the leading causes of death in both developed and developing countries. Although stroke is perceived predominantly as a disease of middle aged and older people, its occurrence in younger people is not rare, influencing all aspects of young people's lives, including the ability to work.
Aim:
Pilot study – a single group before-and-after preliminary study to investigate the feasibility of conducting a larger randomized controlled trial investigation of the efficacy of the NDT-Bobath method with the younger adult stroke survivor population.
Material and methods:
Patients were admitted to the neurological rehabilitation unit after ischemic stroke. Ten sessions of the NDT-Bobath therapy were provided within 2 weeks, constituting 10 days of the therapy. The therapy was performed every day for 5 days a week. Measurements of the Ashworth Scale, the Bobath Scale, the Barthel Index, gait velocity, cadence and stride length were conducted twice: on admission, and after the last session of the rehabilitation.
Results and discussion:
Statistically significant and favorable changes in the muscle tone, hand functions, selected activities of daily living, gait velocity, cadence and stride length have been observed.
Conclusions:
Findings confirm that the NDT-Bobath method for adults may be perceived as a promising form of post-stroke rehabilitation in young adults.
CONFLICT OF INTEREST
REFERENCES (27)
1.
Gore FM, Bloem PJ, Patton GC, et al. Global burden of disease in young people aged 10–24 years: a systematic analysis. Lancet. 2011;377(9783):2093–2102.
2.
Johnston SC, Mendis S, Mathers CD. Global variation in stroke burden and mortality: estimates from monitoring, surveillance, and modelling. Lancet Neurol. 2009;8(4):345–354.
3.
Boudewijn JK, Lennon S, Lyons B, et al. The effectiveness of the Bobath concept in stroke rehabilitation: what is the evidence? Stroke. 2009;40(4):e89–e97.
4.
Langhorne P, Coupar F, Pollock A. Motor recovery after stroke: a systematic review. Lancet Neurol. 2009;8(8):740–754.
5.
Carr JH, Shepherd RB. The changing face of neurological rehabilitation. Rev Bras Fisioter. 2006;10(2):147–156.
6.
Huseyinsinoglu BE, Ozdincler AR, Yakup Krespi Y. Bobath concept versus constraint-induced movement therapy to improve arm functional recovery in stroke patients: a randomized controlled trial. Clin Rehabil. 2012;26(8):705–715.
7.
Langhammer B, Stanghelle JK. Can physiotherapy after stroke based on the Bobath concept result in improved quality of movement compared to the motor relearning programme. Physiother Res Int. 2011;16(2):69–80.
8.
Mikołajewska E. NDT-Bobath method in normalization of muscle tone in post-stroke patients. Adv Clin Exp Med. 2012;21(4):513–517.
9.
Mikołajewska E. The value of the NDT-Bobath method in post-stroke gait training. Adv Clin Exp Med. 2013;22(2):261–272.
10.
Paci M. Physiotherapy based on the Bobath concept for adults with post-stroke hemiplegia: a review of effectiveness studies. J Rehabil Med. 2003;35(1):2–7.
11.
Brock KA, Cotton SM. Concerns about standards of reporting of clinical trials: an RCT comparing the Bobath concept and motor relearning interventions for rehabilitation of stroke patients as an exemplar. Physiother Res Int. 2012;17(2):123–124.
12.
Lawrence M. Young adults' experience of stroke: a qualitative review of the literature. Br J Nurs. 2010;19(4):241–248.
13.
O'Brien AN, Wolf TJ. Determining work outcomes in mild to moderate stroke survivors. Work. 2010;36(4):441–447.
15.
Medin J, Ekberg K, Nordlund A, Eklund J. Organisational change, job strain and increased risk of stroke? A pilot study. Work. 2008;31(4):443–449.
16.
Gilworth G, Phil M, Cert A, Sansam KA, Kent RM. Personal experiences of returning to work following stroke: an exploratory study. Work. 2009;34(1):95–103.
17.
Wolfenden B, Grace M. Returning to work after stroke: a review. Int J Rehabil Res. 2009;32(2):93–97.
18.
Treger I, Shames J, Giaquinto S, Ring H. Return to work in stroke patients. Disabil Rehabil. 2007;29(17):1397–1403.
19.
Morris S. Ashworth and Tardieu Scales: their clinical relevance for measuring spasticity in adult and paediatric neurological populations. Phys Ther Rev. 2002;7(1):53–62.
20.
Pandyan AD, Price CI, Barnes MP, Johnson GR. A biomechanical investigation into the validity of the modified Ashworth Scale as a measure of elbow spasticity. Clin Rehabil. 2003;17(3):290–293.
21.
Alibiglou L, Rymer WZ, Harvey RL, Mirbagheri MM. The relation between Ashworth scores and neuromechanical measurements of spasticity following stroke. J Neuroeng Rehabil. 2008;5:18.
22.
Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. Int Disabil Stud. 1988;10(2):61–63.
23.
Ghandehari K, Ghandehari K, Saffarian-Toosi G, et al. Comparative interrater reliability of Asian Stroke Disability Scale, modified Rankin Scale and Barthel Index in patients with brain infarction. ARYA Atheroscler. 2012;8(3):153–157.
24.
Huybrechts KF, Caro JJ. The Barthel Index and modified Rankin Scale as prognostic tools for long-term outcomes after stroke: a qualitative review of the literature. Curr Me Res Opin. 2007;23(7):1627–1636.
25.
Mikołajewska E. Eclectic approach as the natural way of development in neurological rehabilitation of adults. Int J Disabil Hum Dev. 2013;12(3):373–378.
26.
Kowalski IM. Modern neurobiology and progress in rehabilitation. Adv Rehabil. 2005;1(1):121–125.
27.
Kristiunas A, Kowalski IM. Ensuring rehabilitation and full value life to patients with chronic non-infectious diseases. Pol Ann Med. 2010;17(1):112–122.