Saturday, May 02, 2015

Musing: NDT-bobath Method in Post-stroke Rehabilitation in Adults Aged 42–55 Years – Preliminary Findings

Dean Reinke
Deans’ Stroke Musing
Saturday, April 25, 2015

I can't see how they can refute these earlier findings unless this is just to confuse the issue. Why the hell are we still writing about NDT/Bobath? It has been proven multiple times to not be effective.
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doi:10.1016/j.poamed.2015.03.001
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ABSTRACT


Introduction


Stroke is among the leading causes of death in both developed and developing countries. Although stroke is perceived predominantly as a disease of middle aged and older people, its occurrence in younger people is not rare, influencing all aspects of young people's lives, including the ability to work.

Aim


Pilot study – a single group before-and-after preliminary study to investigate the feasibility of conducting a larger randomized controlled trial investigation of the efficacy of the NDT-Bobath method with the younger adult stroke survivor population.

Material and methods


Patients were admitted to the neurological rehabilitation unit after ischemic stroke. Ten sessions of the NDT-Bobath therapy were provided within 2 weeks, constituting 10 days of the therapy. The therapy was performed every day for 5 days a week. Measurements of the Ashworth Scale, the Bobath Scale, the Barthel Index, gait velocity, cadence and stride length were conducted twice: on admission, and after the last session of the rehabilitation.

Results and discussion


Statistically significant and favorable changes in the muscle tone, hand functions, selected activities of daily living, gait velocity, cadence and stride length have been observed. (You have done nothing to rule out that all this recovery is due to spontaneous recovery, go back to school and learn how to do clinical research)

Conclusions


Findings confirm that the NDT-Bobath method for adults may be perceived as a promising form of post-stroke rehabilitation in young adults.



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