Background:
Although the effectiveness of Bobath (BNDT) concept in chronic stroke
rehabilitation is acknowledged(Really?), there is limited evidence of the effects
on early stage after stroke.
Objective:
This study was conducted to investigate the effects of BNDT concept on
motor performance, balance, mobility and disability in patients with
stroke in the Neurointensive Care or Stroke Unit.
Patients and Methods/Material and Methods: Thirty-nine patients were included in the study. Patients were randomized into two groups; BNDT concept (n=21) and Standard Rehabilitation (SR) (n=18).
Rehabilitation was initiated as early as possible. The assessments were
performed using; Stroke Rehabilitation Assessment of Movement (STREAM),
Berg Balance Scale (BBS), Functional Ambulatory Scale (FAS) and
Modified Rankin Scale (MRS) at baseline and before discharge from the
hospital.
Results: There was no statistically significant difference between the groups in terms of the time Rehabilitation was initiated (BR:80,1±33,4/SR:92,2±24,8). The length of hospital stay was similar in both groups (BR:15,7±3,4/ SR:15,1±4,2).In
both groups, improvements were evident in all evaluation results when
the baseline and discharge evaluations were analyzed. When the groups
were compared; BBS, FAS, and MRS scores were statistically better in the
BNDT group (p<0,05).
Although there was improvement in both of the groups’ STREAM results,
no significant difference was found between the groups (p>0,05).
Conclusion:
The results of this study show that early BNDT concept used in ischemic
stroke patients lead to significant improvements in; balance, postural
control and mobility and also caused a greater reduction in the
disability rate when compared to standard rehabilitation program.
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