Bobath Concept versus constraint-induced movement therapy to improve arm functional recovery in stroke patients:A randomized controlled trial

Huseyinsinoglu, Burcu Ersoz; Ozdincler, Arzu Razak; Krespi, Yakup

doi:10.1177/0269215511431903

Cited by 51Stroke Rehabilitation and RecoveryTranscranial Magnetic Stimulation StudiesCerebral Palsy and Movement Disorders

Bobath Concept versus constraint-induced movement therapy to improve arm functional recovery in stroke patients:A randomized controlled trial

Huseyinsinoglu, Burcu Ersoz, Ozdincler, Arzu Razak, Krespi, Yakup·2012·Clinical Rehabilitation

DOI 10.1177/0269215511431903

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Abstract

OBJECTIVE: To compare the effects of the Bobath Concept and constraint-induced movement therapy on arm functional recovery among stroke patients with a high level of function on the affected side. DESIGN: A single-blinded, randomized controlled trial. SETTING: Outpatient physiotherapy department of a stroke unit. SUBJECTS: A total of 24 patients were randomized to constraint-induced movement therapy or Bobath Concept group. INTERVENTION: The Bobath Concept group was treated for 1 hour whereas the constraint-induced movement therapy group received training for 3 hours per day during 10 consecutive weekdays. MAIN MEASURES: Main measures were the Motor Activity Log-28, the Wolf Motor Function Test, the Motor Evaluation Scale for Arm in Stroke Patients and the Functional Independence Measure. RESULTS: The two groups were found to be homogeneous based on demographic variables and baseline measurements. Significant improvements were seen after treatment only in the 'Amount of use' and 'Quality of movement' subscales of the Motor Activity Log-28 in the constraint-induced movement therapy group over the the Bobath Concept group (P = 0.003; P = 0.01 respectively). There were no significant differences in Wolf Motor Function Test 'Functional ability' (P = 0.137) and 'Performance time' (P = 0.922), Motor Evaluation Scale for Arm in Stroke Patients (P = 0.947) and Functional Independence Measure scores (P = 0.259) between the two intervention groups. CONCLUSIONS: Constraint-induced movement therapy and the Bobath Concept have similar efficiencies in improving functional ability, speed and quality of movement in the paretic arm among stroke patients with a high level of function. Constraint-induced movement therapy seems to be slightly more efficient than the Bobath Concept in improving the amount and quality of affected arm use.

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Critically Appraised Paper for “Bobath concept versus constraint-induced movement therapy to improve arm functional recovery in stroke patients: A randomized controlled trial.” Clinical Rehabilitation
Garnica, E., Hancock, S., Huang, T., Phung, J., & Li, K. (2017) · Dominican Scholar (Dominican University of California)
Effects of Modified Constraint-Induced Movement Therapy with Trunk Restraint versus Bobath Approach on Motor Function and Activities of Daily Living in Hemiplegic Upper Extremity after Stroke
Hussain, T., Hayat, K., Naseer, S., Baig, A., Ahmad, I., Rana, F. M., & Asif, A. A. (2025) · The Healer Journal of Physiotherapy and Rehabilitation Sciences · doi:10.55735/psqp2t98 · Cited by 2 · see citing works
An Effect of Modified Constraint Induced Movement Therapy Versus Bobath Therapy on Upper Extremity Motor Control and Performance in Subjects with Chronic Stroke
Sonara, M., & Jani, P. (2024) · International Journal of Science and Research (IJSR) · doi:10.21275/sr24621135459
The Effects of Constraint Induced Movement Therapy in Improving Functions of Upper Limb in Patients with Stroke
Rahman, H. D. G. (2017) · Journal of Islamic International Medical College
A comparative study on effectiveness of constraint induced movement therapy Versus conventional therapy in improving upper limb functional on patients with stroke.
Kalaiselvan, M. S. (2012)

Authors: Huseyinsinoglu, B. E., Ozdincler, A. R., & Krespi, Y.
Affiliations: Stroke Unit, Florence Nightingale Hospital, Istanbul, Turkey
Istanbul University School of Physical Therapy and Rehabilitation, Istanbul, Turkey
Istanbul Florence Nightingale Hospital (TR)
ORCID: Krespi, Yakup
Venue: Clinical Rehabilitation
Publisher: SAGE Publications
Published: 2012-01-18
Volume: 26
Issue: 8
Pages: 705-715
ISSN: 0269-2155 (ISSN-L)
1477-0873
DOI: 10.1177/0269215511431903
OpenAlex: W2137793460
Cited by: 51
References: 32
Citations by year: 2025: 5 · 2024: 1 · 2023: 7 · 2022: 3 · 2021: 1 · 2020: 7 · 2019: 5 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 4 · 2013: 6 · 2012: 2
FWCI: 5.41
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Clinical Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
Keywords: Bobath concept, constraint-induced movement therapy, stroke, paretic arm, motor rehabilitation, arm use, motor function, functional independence
MeSH terms: Stroke Rehabilitation, Arm, Female, Humans, Male, Middle Aged, Rehabilitation, Single-Blind Method, Recovery of Function, Exercise Movement Techniques

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Bobath Concept versus constraint-induced movement therapy to improve arm functional recovery in stroke patients:A randomized controlled trial

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