Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Monday, April 3, 2017

Bobath and traditional approaches in post-stroke gait rehabilitation in adults

Why the hell are we still writing about NDT/Bobath? It has been proven multiple times to not be effective.

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

 

Motor Relearning Program vs. Bobath:
http://cre.sagepub.com/content/14/4/361.short

 

And here is Peter Levines take on NDT:
http://recoverfromstroke.blogspot.com/2013/01/neuro-developmental-treatment.html


 

The latest crap here: 

Bobath and traditional approaches in post-stroke gait rehabilitation in adults

Emilia Mikołajewska
1,2
1
Department of Physiotherapy, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus
Copernicus University in Toruń, Poland;
2
Neurocognitive Laboratory, Centre for Modern Interdysciplinary Technologies,
Nicolaus Copernicus University in Toruń, Poland
Summary
Study aim
: The aim of this study was to compare the outcomes of a study of post-stroke gait reeducation using the Bobath neuro-developmental treatment (NDT-Bobath) method and the traditional approach.
Material and methods
: The study included 30 adult patients after ischemic stroke, aged 32–82. Patients were randomly assigned to one of the treatment groups: the study group (treated with the NDT-Bobath method combined with the traditional approach, ten sessions), and a reference group (treated with the traditional method only, ten sessions). The measurements (spatio-temporal gait
parameters based on 10 m walking test: gait velocity, normalized gait velocity, cadence, normalized cadence, stride length, and normalized stride length) were administered twice: on admission (before the therapy) and after the last therapy session.
Results
: Statistically significant and favorable changes in the gait velocity, cadence and stride length regarding their normalized values were observed. Moderate and high correlations among changes of assessed spatio-temporal gait parameters were observed in both groups.
Conclusions
: The NDT-Bobath method may be regarded as a more effective form of gait post-stroke rehabilitation in young adults compared to traditional rehabilitation.

 


 


 


No comments:

Post a Comment