|
Sign In to gain access to subscriptions and/or personal tools.
|
Bobath or Motor Relearning Programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study
Birgitta Langhammer
Department of Medicine and Physiotherapy, Bærum Hospital, Nesoddtangen, Norway
Johan K Stanghelle
Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway
Objective: To examine whether two different physiotherapy regimes caused any differences in outcome in rehabilitation after acute stroke.
Design: A double-blind study of patients with acute first-ever stroke. Sixty-one patients were consecutively included, block randomized into two groups, and stratified according to gender and hemiplegic site. Group 1 (33 patients) and group 2 (28 patients) had physiotherapy according to Motor Relearning Programme (MRP) and Bobath, respectively. The supplemental treatment did not differ in the two groups.
Main outcome measures: The Motor Assessment Scale (MAS), the Sødring Motor Evaluation Scale (SMES), the Barthel ADL Index and the Nottingham Health Profile (NHP) were used. The following parameters were also registered: length of stay in the hospital, use of assistive devices for mobility, and the patient's accommodation after discharge from the hospital.
Results: Patients treated according to MRP stayed fewer days in hospital than those treated according to Bobath (mean 21 days versus 34 days, p = 0.008). Both groups improved in MAS and SMES, but the improvement in motor function was significantly better in the MRP group. The two groups improved in Barthel ADL Index without significant differences between the groups. However, women treated by MRP improved more in ADL than women treated by Bobath. There were no differences between the groups in the life quality test (NHP), use of assistive devices or accommodation after discharge from the hospital.
Conclusion: The present study indicates that physiotherapy treatment using the MRP is preferable to that using the Bobath programme in the acute rehabilitation of stroke patients.
Clinical Rehabilitation, Vol. 14, No. 4,
361-369 (2000)
DOI: 10.1191/0269215500cr338oa
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
B. J. Kollen, S. Lennon, B. Lyons, L. Wheatley-Smith, M. Scheper, J. H. Buurke, J. Halfens, A. C.H. Geurts, and G. Kwakkel
The Effectiveness of the Bobath Concept in Stroke Rehabilitation: What is the Evidence?
Stroke,
April 1, 2009;
40(4):
e89 - e97.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Casadio, P. Giannoni, P. Morasso, and V. Sanguineti
A proof of concept study for the integration of robot therapy with physiotherapy in the treatment of stroke patients
Clinical Rehabilitation,
March 1, 2009;
23(3):
217 - 228.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Mangold, C. Schuster, T. Keller, A. Zimmermann-Schlatter, and T. Ettlin
Motor Training of Upper Extremity With Functional Electrical Stimulation in Early Stroke Rehabilitation
Neurorehabil Neural Repair,
February 1, 2009;
23(2):
184 - 190.
[Abstract]
[PDF]
|
|
|
|
|
|
|
B. Langhammer, B. Lindmark, and J. K. Stanghelle
Stroke patients and long-term training: is it worthwhile? A randomized comparison of two different training strategies after rehabilitation
Clinical Rehabilitation,
June 1, 2007;
21(6):
495 - 510.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M Pohl, C Werner, M Holzgraefe, G Kroczek, I Wingendorf, G Hoolig, R Koch, and S Hesse
Repetitive locomotor training and physiotherapy improve walking and basic activities of daily living after stroke: a single-blind, randomized multicentre trial (DEutsche GAngtrainerStudie, DEGAS)
Clinical Rehabilitation,
January 1, 2007;
21(1):
17 - 27.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. Higgins, N. M Salbach, S. Wood-Dauphinee, C. L Richards, R. Cote, and N. E Mayo
The effect of a task-oriented intervention on arm function in people with stroke: a randomized controlled trial
Clinical Rehabilitation,
April 1, 2006;
20(4):
296 - 310.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. Y. Chan, C. C. Chan, and D. K. Au
Motor relearning programme for stroke patients: a randomized controlled trial
Clinical Rehabilitation,
March 1, 2006;
20(3):
191 - 200.
[Abstract]
[PDF]
|
|
|
|
|
|
|
N. Yozbatiran, B. Donmez, N. Kayak, and O. Bozan
Electrical stimulation of wrist and fingers for sensory and functional recovery in acute hemiplegia
Clinical Rehabilitation,
January 1, 2006;
20(1):
4 - 11.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. Desrosiers, D. Bourbonnais, H. Corriveau, S. Gosselin, and G. Bravo
Effectiveness of unilateral and symmetrical bilateral task training for arm during the subacute phase after stroke: a randomized controlled trial
Clinical Rehabilitation,
June 1, 2005;
19(6):
581 - 593.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Stuart, C. Ryser, A. Levitt, S. Beer, J. Kesselring, S. Chard, and M. Weinrich
Stroke Rehabilitation in Switzerland versus the United States: A Preliminary Comparison
Neurorehabil Neural Repair,
June 1, 2005;
19(2):
139 - 147.
[Abstract]
[PDF]
|
|
|
|
|
|
|
P M van Vliet, N B Lincoln, and A Foxall
Comparison of Bobath based and movement science based treatment for stroke: a randomised controlled trial
J. Neurol. Neurosurg. Psychiatry,
April 1, 2005;
76(4):
503 - 508.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
I. Davidson, V. F Hillier, K. Waters, T. Walton, and J. Booth
A study to assess the effect of nursing interventions at the weekend for people with stroke
Clinical Rehabilitation,
February 1, 2005;
19(2):
126 - 137.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R.-Y. Wang, H.-I Chen, C.-Y. Chen, and Y.-R. Yang
Efficacy of Bobath versus orthopaedic approach on impairment and function at different motor recovery stages after stroke: a randomized controlled study
Clinical Rehabilitation,
February 1, 2005;
19(2):
155 - 164.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R P. Van Peppen, G Kwakkel, S Wood-Dauphinee, H J. Hendriks, P. J Van der Wees, and J Dekker
The impact of physical therapy on functional outcomes after stroke: what's the evidence?
Clinical Rehabilitation,
August 1, 2004;
18(8):
833 - 862.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. Luke, K. J Dodd, and K. Brock
Outcomes of the Bobath concept on upper limb recovery following stroke
Clinical Rehabilitation,
August 1, 2004;
18(8):
888 - 898.
[Abstract]
[PDF]
|
|
|
|
|
|
|
H. Woldag, G. Waldmann, G. Heuschkel, and H. Hummelsheim
Is the repetitive training of complex hand and arm movements benefi cial for motor recovery in stroke patients?
Clinical Rehabilitation,
July 1, 2003;
17(7):
723 - 730.
[Abstract]
[PDF]
|
|
|
|
|
|
|
B. Langhammer and J. K Stanghelle
Bobath or Motor Relearning Programme? A follow-up one and four years post stroke
Clinical Rehabilitation,
July 1, 2003;
17(7):
731 - 734.
[Abstract]
[PDF]
|
|
|
|
|
|
|
H. Rodgers, J. Mackintosh, C. Price, R. Wood, P. McNamee, T. Fearon, A. Marritt, and R. Curless
Does an early increased-intensity interdisciplinary upper limb therapy programme following acute stroke improve outcome?
Clinical Rehabilitation,
June 1, 2003;
17(6):
579 - 589.
[Abstract]
[PDF]
|
|
|
|
|
|
|
G. Grimby, J. Carlsson, and L. Nilsson
Response
Clinical Rehabilitation,
March 1, 2002;
16(3):
344 - 345.
[PDF]
|
|
|
|
|
|
|
P. M van Vliet, N. B Lincoln, and E. Robinson
Comparison of the content of two physiotherapy approaches for stroke
Clinical Rehabilitation,
April 1, 2001;
15(4):
398 - 414.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. A. Barrett
Bobath or Motor Relearning Programme: a continuing debate
Clinical Rehabilitation,
April 1, 2001;
15(4):
445 - 446.
[PDF]
|
|
|
|
|
|
|
B. Langhammer
Response
Clinical Rehabilitation,
January 1, 2001;
15(1):
111 - 113.
[PDF]
|
|
|
|
|
|
|
E. Panturin
The Bobath Concept
Clinical Rehabilitation,
January 1, 2001;
15(1):
111 - 111.
[PDF]
|
|
|
|
|
