An evaluation of the hemiplegic patient based on the Bobath approach: A reliability study

Corriveau, Hélène; Arsenault, André; Dutil, Élisabeth; Besner, C; Dupuis, Cedric; Guarna, F; Lambert, Jean

doi:10.3109/09638289209167075

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…From these remaining studies, 8 were excluded because they did not evaluate the effectiveness of Bobath as an intervention in an experimental and a control group. 4,[25][26][27][28][29][30][31] Four studies were written in a language other than English or Dutch with no available translations. [32][33][34][35] One study used Bobath as a treatment modality for patients with Parkinson disease and was therefore excluded.…”

Section: Resultsmentioning

confidence: 99%

The Effectiveness of the Bobath Concept in Stroke Rehabilitation

Kollen

Lennon

Lyons

et al. 2009

Stroke

250

144

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Background and Purpose-In the Western world, the Bobath Concept or neurodevelopmental treatment is the most popular treatment approach used in stroke rehabilitation, yet the superiority of the Bobath Concept as the optimal type of treatment has not been established. This systematic review of randomized, controlled trials aimed to evaluate the available evidence for the effectiveness of the Bobath Concept in stroke rehabilitation. Method-A systematic literature search was conducted in the bibliographic databases MEDLINE and CENTRAL (March 2008) and by screening the references of selected publications (including reviews). Studies in which the effects of the Bobath Concept were investigated were classified into the following domains: sensorimotor control of upper and lower limb; sitting and standing, balance control, and dexterity; mobility; activities of daily living; health-related quality of life; and cost-effectiveness. Due to methodological heterogeneity within the selected studies, statistical pooling was not considered. Two independent researchers rated all retrieved literature according to the Physiotherapy Evidence Database (PEDro) scale from which a best evidence synthesis was derived to determine the strength of the evidence for both effectiveness of the Bobath Concept and for its superiority over other approaches. Results-The search strategy initially identified 2263 studies. After selection based on predetermined criteria, finally, 16 studies involving 813 patients with stroke were included for further analysis. There was no evidence of superiority of Bobath on sensorimotor control of upper and lower limb, dexterity, mobility, activities of daily living, health-related quality of life, and cost-effectiveness. Only limited evidence was found for balance control in favor of Bobath. Because of the limited evidence available, no best evidence synthesis was applied for the health-related quality-of-life domain and cost-effectiveness. Conclusions-This systematic review confirms that overall the Bobath Concept is not superior to other approaches. Based on best evidence synthesis, no evidence is available for the superiority of any approach. This review has highlighted many methodological shortcomings in the studies reviewed; further high-quality trials need to be published. Evidence-based guidelines rather than therapist preference should serve as a framework from which therapists should derive the most effective treatment. (Stroke. 2009;40:e89-e97.)

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Section: Resultsmentioning

confidence: 99%

The Effectiveness of the Bobath Concept in Stroke Rehabilitation

Kollen

Lennon

Lyons

et al. 2009

Stroke

250

144

View full text Add to dashboard Cite

show abstract

“…For evaluation of righting, equilibrium, and protective reactions, the scale for evaluation of PR described by Corriveau et al 20 has been used previously. The present authors selected this evaluation for inclusion in the proposed battery, although this protocol was specially prepared to evaluate therapeutic modality developed by Bobath 44 and quantifiable patient progress in connection with this concept.…”

Section: Discussionmentioning

confidence: 99%

“…The BBS is a 14-item five-point rating scale, each item ranging from 0 to 4 (where 0 indicates the lowest level of function), that assesses the performance of functional tasks. Further, PRs (righting, equilibrium, and protective reactions)18 were evaluated from videotape, using a rating scale from 0 to 3 (where 0 indicates only head righting reactions noted and 3 indicates normal reactions – all equilibrium and protective reactions are present),19 in 12 actions (being drawn left and right by another person in a sitting position on a stationary supporting surface; tipped backwards, forwards, left, and right in standing; and steps to save forwards, backwards, left, and right) 20…”

Section: Methodsmentioning

confidence: 99%

Assessment set for evaluation of clinical outcomes in multiple sclerosis: psychometric properties

Řasová¹,

Martinková²,

Vyskotová³

et al. 2012

PROM

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Purpose:Multiple sclerosis (MS) manifests itself in a wide range of symptoms. Physiotherapy plays an important role in the treatment of those symptoms connected with mobility. For this therapy to be at its most effective it should be based on a systematic examination that is able to describe and classify damaged clinical functions meaningfully. The purpose of this study was to develop and validate a battery of tests and composite tests that can be used to systematically evaluate clinical features of MS treatable by physiotherapy.Methods:The authors assembled a proposed battery of tests comprising known, standard, and validated assessments (low-contrast letter acuity testing; the Motricity Index; the Modified Ashworth Scale; the Berg Balance Scale; scales of postural reactions, tremor, dysdiadochokinesia, and dysmetria; the Nine-Hole Peg Test; the Timed 25-Foot Walk; and the 3-minute version of the Paced Auditory Serial Addition Test) and one test (knee hyperextension) of the authors’ own. Normalization was calculated and six composite assessments were measured. Seventeen ambulatory subjects with MS were tested twice with the assessment set before undergoing physiotherapy, and 12 were also tested with the assessment set after the physiotherapy. The test–retest reliability, stability, internal consistency of composite measurements, sensitivity to changes after therapy, and correlation between measurements and the Kurtzke Expanded Disability Status Scale score were evaluated for all tests in the assessment set.Results:A good internal consistency was confirmed for all tests in the proposed battery, and most of the tests also showed good test–retest reliability. While no significant changes occurred without treatment, significant posttreatment improvement was proved in all tests except for low-contrast letter acuity testing, where only a trend to improvement was proved.Conclusion:The proposed assessment set is a good tool for the evaluation of clinical features of MS treatable by physiotherapy. This battery of tests is applicable in both clinical practice and research.

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Development of a Consensus and Evidence-based Standardised Clinical Assessment and Record Form for Neurological Inpatients: The Neuro Dataset

Crow¹,

Harmeling²

2002

Physiotherapy

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An evaluation of the hemiplegic patient based on the Bobath approach: A reliability study

Cited by 4 publications

References 8 publications

The Effectiveness of the Bobath Concept in Stroke Rehabilitation

The Effectiveness of the Bobath Concept in Stroke Rehabilitation

Assessment set for evaluation of clinical outcomes in multiple sclerosis: psychometric properties

Development of a Consensus and Evidence-based Standardised Clinical Assessment and Record Form for Neurological Inpatients: The Neuro Dataset

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