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Cited by 70Stroke Rehabilitation and RecoveryCerebral Palsy and Movement DisordersBotulinum Toxin and Related Neurological Disorders

Efficacy of Bobath versus orthopaedic approach on impairment and function at different motor recovery stages after stroke: a randomized controlled study

Wang, Ray-Yau, Chen, Hsiu-I, Chen, Chen-Yin, Yang, Yea-Ru·2005·Clinical Rehabilitation
DOI 10.1191/0269215505cr850oa
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Abstract

Objective: To investigate the effectiveness of Bobath on stroke patients at different motor stages by comparing their treatment with orthopaedic treatment. Design: A single-blind study, with random assignment to Bobath or orthopaedic group. Setting: Physical therapy department of a medical centre. Subjects: Twenty-one patients with stroke with spasticity and 23 patients with stroke at relative recovery stages participated. Interventions: Twenty sessions of Bobath programme or orthopaedic treatment programme given in four weeks. Main outcome measures: Stroke Impairment Assessment Set (SIAS), Motor Assessment Scale (MAS), Berg Balance Scale (BBS) and Stroke Impact Scale (SIS) for impairment and functional limitation level. Results: Participants with spasticity showed greater improvement in tone control (change score: 1.209±1.03 versus 0.089±0.67, p =0.006), MAS (change score: 7.64±4.03 versus 4.009±1.95, p =0.011), and SIS (change score: 7.309±6.24 versus 1.259±5.33, p=0.023) after 20 sessions of Bobath treatment than with orthopaedic treatment. Participants with relative recovery receiving Bobath treatment showed greater improvement in MAS (change score: 6.149±5.55 versus 2.779±9.89, p=0.007), BBS (change score: 19.189±15.94 versus 6.859±5.23, p=0.015), and SIS scores (change score: 8.509±3.41 versus 3.629±4.07, p =0.006) than those with orthopaedic treatment. Conclusion: Bobath or orthopaedic treatment paired with spontaneous recovery resulted in improvements in impairment and functional levels for patient with stroke. Patients benefit more from the Bobath treatment in MAS and SIS scores than from the orthopaedic treatment programme regardless of their motor recovery stages.

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  • The intervention described as Bobath, with the exception of Wang et al, is often not recognizable as current Bobath practice.

    “However, the intervention described as Bobath, with the exception of Wang et al, 45 is often not recognizable as current Bobath practice.”

    From The Effectiveness of the Bobath Concept in Stroke Rehabilitation: What is the Evidence? (2009) · cites this paper as [45]

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Authors
Wang, R.-Y., Chen, H.-I., Chen, C.-Y., & Yang, Y.-R.
Affiliations
  • National Yang Ming University (TW)
  • Chang Gung University (TW)
  • Physical Therapy, Rehabilitation Department, Chung-Gung Memorial Hospital, Tao-Yuan, Taiwan
ORCID
Venue
Clinical Rehabilitation
Publisher
SAGE Publications
Published
2005-03
Volume
19
Issue
2
Pages
155-164
ISSN
  • 0269-2155 (ISSN-L)
  • 1477-0873
DOI
10.1191/0269215505cr850oa
OpenAlex
W2109392934
Cited by
70
References
24
Citations by year
2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 4 · 2013: 5 · 2012: 1
FWCI
5.31
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)
Funders
  • National Science Council
  • National Health Research Institutes
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
  • Health Sciences › Medicine › Neurology › Botulinum Toxin and Related Neurological Disorders
Keywords
stroke, Bobath therapy, orthopaedic treatment, spasticity, relative recovery, stroke rehabilitation, motor impairment, balance, functional outcome, stroke impact
MeSH terms
Stroke Rehabilitation, Exercise Therapy, Female, Humans, Male, Middle Aged, Muscle Spasticity, Treatment Outcome

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