Deans' stroke musings: Associations between Results of Post-Stroke NDT-Bobath Rehabilitation in Gait Parameters, ADL and Hand Functions

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.

Thursday, November 21, 2013

Associations between Results of Post-Stroke NDT-Bobath Rehabilitation in Gait Parameters, ADL and Hand Functions

I couldn't tell from the English abstract if Bobath/NDT was useful or not. You can have your doctor and therapist wade through the 8 pages of Polish. Demand they do that for all their stroke patients, or have them contact their colleagues in Poland. You do expect your doctor to have a worldwide network in all the best stroke therapies? Don't you?
http://www.advances.am.wroc.pl/pdf/2013/22/5/731.pdf

Emilia Mikołajewska

Associations between Results of Post-Stroke

NDT-Bobath Rehabilitation in Gait Parameters,

ADL and Hand Functions

Korelacje między wynikami rehabilitacji metodą NDT-Bobath

z zakresu reedukacji chodu, czynności życia codziennego

oraz funkcji ręki

Rehabilitation Clinic, Military Clinical Hospital No.

10 and Polyclinic, Bydgoszcz, Poland

Abstract

Background.

In patients after a stroke there are variable disorders. These patients often need rehabilitation in more than one area because of multiple limitations of the ability to perform everyday activities.

Objectives.

The aim of the study was to assess correlations – statistical relationships between observed gait parameters, ADL and hand functions –

results of rehabilitation of patients after ischaemic stroke according to the NDT-Bobath method for adults.

Material and Methods.

The investigated group consisted of 60 patients after ischemic stroke, who participated in the rehabilitation programme. 10 sessions of the NDT-Bobath therapy were provided in 2 weeks (10 days of the

therapy). The calculation of correlations was made based on changes of parameters: Bobath Scale (to assess hand functions), Barthel Index (to assess ADL), gait velocity, cadence and stride lenght. Measurements were performed in every patient twice: on admission (before the therapy) and after last session of the therapy to assess rehabilitation effects.

Results.

The main statistically relevant corellations observed in the study were as follows: in the whole group of patients: poor and moderate (negative) correlation between changes of gait parameters and Bobath Scale and

Barthel Index, moderate and severe (negative) correlation between changes of gait parameters and Bobath Scale and Barthel Index in the group of women, correlation between changes in Bobath Scale and Barthel Index in the group of patients with left side of paresis, (negative) correlation between changes of gait parameters and Bobath Scale in group of patients younger than 68 years, moderate, high and very high correlations between changes in gait parameters in groups of women, men, younger than 68

years and older than 68 years.

Conclusions.

There have been observed statistically significant and favorable changes in the health status of patients, described by gait parameters, changes in hand functions and ADL.

Based on the presented correlations there is an assumption that it is hard to achieve simultaneous recovery in all areas: gait parameters, hand functions

and ADLs in two weeks of rehabilitation (Adv Clin Exp Med 2013, 22, 5, 731–738).