The Effects of Bobath Method and Task-Oriented Approach in Stroke Patients

Hacettepe University

Status: Completed

Conditions: Stroke

Treatments: Other: Task-Oriented Approach; Other: Bobath Method

Study type: Interventional

Funder types: Other

Identifiers

NCT04816929

KA-20063

Details and patient eligibility

About

Trunk impairment and asymmetry that occur after stroke negatively affect many functional activities in the daily lives of patients. There are different neurophysiological approaches such as Bobath method and task-oriented approach used in post-stroke rehabilitation programs in the literature. However, there are not many studies that comprehensively evaluate and compare the effects of these neurophysiological approaches on trunk muscles, balance and gait in stroke patients. The aim of this study is to examine and compare the effects of Bobath method and task-oriented approach on architectural features and activation of trunk muscles and functional performance in stroke patients. In addition, this study will demonstrate with muscle thickness and activation the asymmetry that may occur between the hemiparetic and non-paretic trunk muscles of stroke patients, and will allow examining the effects of these features on functional performance. This study was planned to include two treatment groups. The Bobath group will receive Bobath based trunk, balance and walking exercises, while the task-oriented group will receive exercises for oriented task. Trunk impairment, motor functions, thickness and activation of trunk muscles, spatio-temporal parameters of gait, balance and goal attainment will be assessed before and after 8 weeks treatment program. As a result; effectiveness of Bobath method and task-oriented approach will be compared and relationship between muscle thickness, activation and functional performance will be examined.

Enrollment: 30 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Unilateral stroke for more than 3 months
• Being over the age of 18
• Having trunk impairment (not having full points in the Trunk Impairment Scale)
• Being able to walk without support or with walking aid.

Exclusion criteria

• Having recurrent stroke
• Having an orthopedic or neurological disorders other than stroke that may affect motor performance
• Having a cognitive problem (Not having Mini Mental State Examination score ≥ 24)

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 Method Group

Experimental group

Description:

The Bobath based exercises for 60 minutes will be formed according to the needs of the individual and will involve trunk exercises such as placing, stretching, functional reach, rotations, functional strengthening and, balance and walking exercises etc. It will be performed 3 days a week for 8 weeks.

Treatment:

Other: Bobath Method

Task-Oriented Approach Group

Active Comparator group

Description:

The task-oriented approach for 60 minutes will be formed according to the needs of the individual and involve exercises targeting functional tasks determined. It will be performed 3 days a week for 8 weeks.

Treatment:

Other: Task-Oriented Approach