Improving Directional Control of the Upper Limb in Severe Stroke: Efficacy of the Bobath Concept: A Pilot Randomised Trial.
This study investigated whether a brief intervention based on the Bobath concept in people with severe stroke receiving inpatient rehabilitation resulted in enhanced directional control of the upper limb compared to a control intervention. Fifty-three people with severe upper limb deficits between f...
| Publicado en: | New Zealand Journal of Physiotherapy Vol. 50; no. 3; pp. 117 - 126 |
|---|---|
| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Physiotherapy New Zealand Inc.
Sep2022
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160388703&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160388703 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03037193 H2E jtl: New Zealand Journal of Physiotherapy issn: 03037193 maglogo: N pubinfo: dt: Sep2022 vid: 50 iid: 3 pid: 19300 pub: Physiotherapy New Zealand Inc. artinfo: ui: 160388703 160388703 160388703 10.15619/NZJP/50.3.03 160388703 ppf: 117 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Improving Directional Control of the Upper Limb in Severe Stroke: Efficacy of the Bobath Concept: A Pilot Randomised Trial. aug: au: Brock, Kim A. Luke, Carolyn Tillyard, Jane Simondson, Janine Black, Susie affil: Physiotherapy Department, St Vincent's Hospital, Melbourne, Australia sug: subj: Upper Extremity Exercises Functional Status Stroke Rehabilitation Severity of Illness Neuromuscular Facilitation Human Randomized Controlled Trials Pilot Studies Treatment Outcomes Stroke Patients Comparative Studies Single-Blind Studies Transcutaneous Electric Nerve Stimulation Grip Strength Training Effect (Physiology) Multicenter Studies Australia Clinical Assessment Tools Outcome Assessment Occupational Therapy Random Assignment Male Female Adult Middle Age Aged Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: This study investigated whether a brief intervention based on the Bobath concept in people with severe stroke receiving inpatient rehabilitation resulted in enhanced directional control of the upper limb compared to a control intervention. Fifty-three people with severe upper limb deficits between four to 18 weeks post stroke participated in a single blinded randomised controlled trial, in addition to usual care. Participants in the Bobath group (n = 30) were allocated to six one-hour interventions. Those in the control group (n = 26) received a time-matched intervention including passive or assisted active movement, positioning, and sham transcutaneous electrical nerve stimulation. The primary dependent variable was the Pre-Functional Upper Limb Test (PreFULT). Secondary measures included the Stroke Rehabilitation Assessment of Movement (STREAM), grip strength, and the Chedoke Arm and Hand Inventory. Following the intervention, the Bobath intervention group had significantly higher scores on the PreFULT than the control group (p = 0.042); Bobath baseline median 27.2 cm (interquartile range [IQR] 14.9, 73.4), post intervention median 59 cm (IQR 28.7, 136.4; n = 29), control baseline median 21.7 cm (IQR 11.9, 39.6), post intervention median 35.8 cm (IQR 17.4, 63.8, n = 24). Higher scores were observed for the STREAM post intervention for the Bobath group (p < 0.001). No differences between groups were observed for the other measures. Interventions based on the Bobath concept may be more beneficial for recovery of upper limb control in people with severe deficits following stroke than usual care. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|