Bobath Approach On Hemiplegic Shoulder Pain (BAHSP)

Istanbul Arel University

Status: Completed

Conditions: Hemiplegic Shoulder Pain

Treatments: Procedure: Conventional physiotherapy; Procedure: Bobath treatment approach

Study type: Interventional

Funder types: Other

Identifiers

NCT04768140

BAHSP

Details and patient eligibility

About

In this study, it is investigated that whether Bobath approach is superior to conventional physiotherapy in terms of improving hemiplegic shoulder pain, spasticity and upper extremity functionality in stroke patients.

Full description

Objective: This study aims to determine the effect of Bobath approach on hemiplegic shoulder pain, spasticity and upper extremity functionality in stroke patients.

Patients and Methods: For this prospective, randomized, controlled and single-blind trial, 30 stroke patients aged 40-65 years with hemiplegic shoulder pain were included. Patients were divided into two groups and randomized into these groups. Only conventional physiotherapy was applied to the control group, whereas both conventional physiotherapy and Bobath exercises were also applied to the experimental group. Visual analog scale (horizontal) for shoulder pain, modified Ashworth scale for spasticity and Fugl-Meyer assessment of the upper extremity for functionality were used for both pre-test and post-test.

Enrollment: 30 patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients between the ages of 40 and 65
• Patients who had a stroke for the first time and had a disease duration of at least four weeks
• Patients who were diagnosed with ischemic or hemorrhagic stroke
• Patients who had Brunnstrom stage 3, 4 or 5 and had hemiplegic shoulder pain were included in the study.

Exclusion criteria

• Patients with severe cognitive impairment who could not understand simple verbal commands
• Those who had severe dysarthria to prevent verbal communication
• Those with unilateral neglect syndrome
• Those with loss of sensation in the upper extremity of the hemiplegic side
• Those with botulinum toxin-A injected to the hemiplegic upper extremity muscles
• Those with previous shoulder-related trauma or pain history
• Those with other accompanying neurological disease were excluded from the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Bobath group

Experimental group

Description:

A conventional physiotherapy program was applied to this group. Additionally, Bobath treatment approach was applied for 10 repetitions during a 30-min session in the experimental group, in addition to the conventional physiotherapy program.

Treatment:

Procedure: Bobath treatment approach

Procedure: Conventional physiotherapy

Conventional physiotherapy group

Active Comparator group

Description:

Only conventional physiotherapy program was applied to this group.

Treatment:

Procedure: Conventional physiotherapy