Bobath Approach for Trunk Control in Acute Stroke Patients

Hacettepe University

Status: Completed

Conditions: Stroke, Acute

Treatments: Other: physiotherapy; Other: trunk training

Study type: Interventional

Funder types: Other

Identifiers

NCT03429855

KA-16073

Details and patient eligibility

About

In stroke patients, the impairment of the trunk affects many functions negatively. For this reason training of the trunk is necessary in the early period. Taking into account of literature, various approaches have been used to improve sitting balance and trunk control such as conventional physiotherapy for stroke patients . Bobath concept is another method used for stroke rehabilitation. When the studies about stroke rehabilitation are investigated, it is seen that most of the studies included only chronic patients and Bobath concept did not adequately take place in literature about trunk training. The aim of this study is to determinate effectiveness of the Bobath based trunk training on trunk control in acute stroke patients.

Full description

In stroke patients, the impairment of the trunk affects many functions negatively. For this reason training of the trunk is necessary in the early period. Taking into account of literature, various approaches have been used to improve sitting balance and trunk control such as conventional physiotherapy for stroke patients . Bobath concept is another method used for stroke rehabilitation. Trunk control is an important issue in the Bobath approach since the acute period. It seems that the Bobath method, which includes both approaches to increase postural control and sitting, as well as applications to increase the sensation, seems to be an appropriate method to improve body control in stroke patients. When the studies about stroke rehabilitation are investigated, it is seen that most of the studies included only chronic patients and Bobath concept did not adequately take place in literature about trunk training in acute stroke. The aim of this study is to determinate effectiveness of the Bobath based trunk training on trunk control in acute stroke patients.

Enrollment: 81 patients

Sex: All

Ages: 42 to 78 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients scoring ≥14 on Glasgow Coma Scale and Mini Mental Test>24

Exclusion criteria

• patients scoring <14 on Glasgow Coma Scale
• patients with recurrent strokes
• patients with orthopedic or neurological disorders (other than strokes) that might affect their motor performance

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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81 participants in 2 patient groups

study group

Experimental group

Description:

Bobath based trunk exercises

Treatment:

Other: trunk training

control group

Other group

Description:

conventional physiotherapy approaches

Treatment:

Other: physiotherapy