TY  - JOUR
TI  - INVESTIGATION OF EARLY TERM NEURODEVELOPMENTAL TREATMENT-BOBATH APPROACH
RESULTS IN PATIENTS WITH STROKE
AB  - INTRODUCTION: Neurodevelopmental-Bobath (NDT-B) approach is a problem-solving method used in assessment and
treatment of individuals with neurological conditions. The purpose of this study is to investigate the effects of NDT-B
approach on functional recovery in patients with acute ischemic stroke.
METHODS: Thirty-nine patients with acute ischemic stroke were included in the study. The patients were randomly
assigned to NDT-B (n: 21) and standard rehabilitation (SR) (n: 18) groups. The patients were evaluated with Stroke
Rehabilitation Assessment of Movement Scale (STREAM), Trunk Impairment Scale (TIS), Berg Balance Scale (BBS) and
Barthel Index (BI) before initiation of the rehabilitation program and before discharge. In the NDT-B group, the
rehabilitation program was applied according to the Bobath method, five days per week, 60 minutes per session. In the SR
group, exercises were applied according to the hospital routine.
RESULTS: NDT-B reduced hospitalization period (median 8 days vs. 11.5 days, p=0.02) and was more effective than SR in
improving mobility and balance. When the treatment methods were compared, it was observed that lower extremity and
basic mobility skills improved more in the NDT-B group. Significant improvements were achieved only in the NDT-B group
in BBS. Improvements were observed in TIS and BI in both groups following treatment (p <0.05). No complications were
encountered during the study.
DISCUSSION AND CONCLUSION: Bobath rehabilitation is a task-oriented, multi-repetitive, 24-hour rehabilitation approach
and due to these components it has direct impact on level of disability. Early initiation of rehabilitation programs and
supporting rehabilitation with the Bobath approach may provide promising results.
AU  - ozkul, cagla
AU  - Nazliel, Bijen
AU  - Volkan Yazıcı, Melek
AU  - Batur Caglayan, Hale
AU  - GUCLU-GUNDUZ, ARZU
AU  - Yazici, Gokhan
DO  - 10.5505/tbdhd.2021.64426
PY  - 2021
JO  - Türk Beyin Damar Hastalıkları Dergisi
VL  - 27
IS  - 1
SN  - 1301-1375
SP  - 27
EP  - 33
DB  - TRDizin
UR  - http://search/yayin/detay/535412
ER  -