Deans' stroke musings: Comparison Of Two Physiotherapy Approaches InAcute Stroke Rehabilitation: Motor RelearningProgram Versus Bobath Approach.

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, May 31, 2011

Comparison Of Two Physiotherapy Approaches InAcute Stroke Rehabilitation: Motor RelearningProgram Versus Bobath Approach.

More nails in the coffin of Bobath/NDT.
http://www.indianjournals.com/ijor.aspx?target=ijor:jor&volume=1&issue=1&article=012
Objective

To evaluate the efficacy of two rehabilitative approaches to restore function in subjects with acute middle cerebral artery stroke.

Study design

Nonblinded, randomized clinical intervention trial

Method
22 subjects with first unilateral stroke (middle cerebral artery territory involvement) participated in the study. Group 1 (12 subjects) and group 2 (10 subjects) received Motor Relearning Program (MRP) and Bobath approach respectively for a period of six weeks.

Outcome measures
Fugl Meyer (FM), Motor assessment scale (MAS), Barthel index (BI), Functional independence measure (FIM), Functional ambulation category (FAC) and Dynamic gait index (DGI).

Results
The magnitude of change on all our primary outcome measures except FM, was greater in the MRP group as compared to Bobath group (p<0.05) & inclination of higher trend of change starting at 2weeks seen in MRP. Conclusion This study indicates that the physiotherapy treatment using MRP shows early & better improvement in functional mobility and activities of daily living than Bobath approach. Subject in MRP were able to walk early.