Preliminary communication
https://doi.org/10.24141/1/3/1/5
Analysis of Effects of Bobath Treatment and Classic Physiotherapy Treatment on Activities of Daily Living in Patients after Stroke
Martina Cipan
; University of Applied Health Sciences, Zagreb, Croatia
Gordana Grozdek Čovčić
; University of Applied Health Sciences, Zagreb, Croatia
Mirjana Telebuh
; University of Applied Health Sciences, Zagreb, Croatia
Abstract
Introduction:
Stroke is among the leading causes of mortality and disability, and the first in disability in the Republic of Croatia. The consequences of a stroke may include different degrees of physical, cognitive and psychosocial disorders. The most severe consequence is the loss of ability to perform activities of daily living and dependence on help from the others. The recovery of the patient depends on the type of stroke, the area that has been affected and the severity of disability, family support, and maintaining the status quo. The primary objective of neurorehabilitation is functional progress through maximum possible regaining of independence in performing daily activities. In order for rehabilitation to be as effective as possible active participation from the patient’s families, staff specific training and early start of rehabilitation are necessary.
Aim:
The aim of the study was to examine the effectiveness of Bobath treatment and classic physiotherapy treatment on the performance of activities of daily living in patients after the stroke.
Materials and methods:
The study included 30 respondents which were divided in two experimental groups. The basic criteria for the selection of respondents was that they all suffered a stroke. The first experimental group (E1) underwent traditional physiotherapy treatment, and the second experimental group (E2) underwent the Bobath treatment. Both groups were treated for 15 days, within the period of three weeks, and the treatment lasted for 45 minutes per day. The evaluation of activities of daily living was carried out by using the standardized Barthel index, at the beginning and end of the treatment.
Results:
The results of the study showed that the effects of classical physiotherapy treatment and Bobath treatment are not statistically significant. The results of the Barthel index show that Bobath treatment has a greater impact on improving the performance of activities of daily living in patients after the stroke (E2x = 15.6), than in classical physiotherapeutic treatment (E1x = 12.44), but this has not been statistically confirmed.
Conclusion:
The results between initial and final measurements in both groups did not show any statistically significant effects on the activities of daily living, although the results indicate a positive tendency of both groups to be independent of performing daily life activities, especially in the second group of respondents.
Keywords
stroke; activities of daily living; neurorehabilitation; Barthel Index
Hrčak ID:
183291
URI
Publication date:
26.6.2017.
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