Journal of the Korean Academy of Clinical Electrophysiology (대한임상전기생리학회지)

The Korean Academy of Clinical Electrophysiology (대한임상전기생리학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Bobath Therapy on Balance and Walking in Patients with Stroke

보바스 치료가 뇌졸중 환자에 균형과 보행에 미치는 효과

  • Lee, Sang-Ho (Department of Physical Therapy, Graduate School, Kwangju Women's University) ;
  • Kim, Moon-Jeong (Department of Physical Therapy, Graduate School, Kwangju Women's University) ;
  • Lee, Tae-Han (Medicine & Rehabilitation Center, Cheju Halla General Hospital) ;
  • Kim, Sang-Yeong (Department of Physical Therapy, Graduate School, Kwangju Women's University) ;
  • Yoon, Se-Won (Department of Physical Therapy, Kwangju Women's University)
  • 이상호 (광주여자대학교 일반대학원 물리치료학과) ;
  • 김문정 (광주여자대학교 일반대학원 물리치료학과) ;
  • 이태한 (제주한라병원 재활의학센터) ;
  • 김상영 (광주여자대학교 일반대학원 물리치료학과) ;
  • 윤세원 (광주여자대학교 물리치료학과)
  • Received : 2012.11.16
  • Accepted : 2012.04.08
  • Published : 2013.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : The purpose of this study was to examine the effect of bobath treatment on the balance and gait in adult hemiplegia. Methods : The study was performed with patients of hemiparesis caused by cerebral stroke. The participants were based on random sampling method. The hemiplegia patient received Bobath therapy. Each rehabilitation program lasted 40 minutes a day, 5 days a week, for 6 weeks. Pertinent indicators Berg's balance scale (BBS), gait velocity, and static balance analysis were recorded before and after the programs, as well as every 2 weeks during the rehabilitation programs. Results : There was showed a significantly increase of BBS score. Static open and close showed statistically significant in interaction by time and groups. There was significant difference of gait velocity. Conclusion : These findings in this study that the Bobath therapy was effective therapy in improving dynamic balance and gait velocity.

Keywords

References

  1. Forster A, Szabo K, Hennerici MG. Pathophysiological concepts of stroke in hemodynamic risk zones-do hypoperfusion and embolism interact? Nat Clin Pract Neurol. 2008;4(4):216-25. https://doi.org/10.1038/ncpneph0757
  2. Chae J, Johnston M, Kim H et al. Admission motor impairment as a predictor of physical disability after stroke rehabilitation. Am J Phys Med Rehabil. 1995;74(3):218-23. https://doi.org/10.1097/00002060-199505000-00007
  3. Tatemichi TK, Desmond DW, Stern Y et al. Cognitive impairment after stroke: Frequency, patterns, and relationship to functional abilities. J Neurol Neurosurg Psychiatry. 1994;57(2):202-7. https://doi.org/10.1136/jnnp.57.2.202
  4. Nichols DS, Miller L, Colby LA et al. Sitting balance: Its relation to function in individuals with hemiparesis. Arch Phys Med Rehabil. 1996;77(9):865-9. https://doi.org/10.1016/S0003-9993(96)90271-3
  5. Yang YR, Chen YC, Lee CS et al. Dual-task-related gait changes in individuals with stroke. Gait and Posture. 2007;25(2):185-90. https://doi.org/10.1016/j.gaitpost.2006.03.007
  6. Hochstenbach J, Donders R, Mulder T et al. Long-term outcome after stroke: A disability-orientated approach. Int J Rehabil Res. 1996;19(3):189-200. https://doi.org/10.1097/00004356-199609000-00001
  7. Shumway-Cook A, Anson D, Haller S. Postural sway biofeedback: Its effect on reestablishing stance stability in hemiplegic patients. Arch Phys Med Rehabil. 1988;69(6):395-400.
  8. Choi SS. The effect of dual tasks on gait and static standing in stroke patients. Daegu University. Dissertation of Master's Degree. 2009.
  9. Nardone A, Godi M, Artuso A et al. Balance rehabilitation by moving platform and exercises in patients with neuropathy or vestibular deficit. Arch Phys Med Rehabil. 2010;91(12):1869-77. https://doi.org/10.1016/j.apmr.2010.09.011
  10. Carr JH, Shepherd RB, Nordholm L et al. Investigation of a new motor assessment scale for stroke patients. Phys Ther. 1985;65(2):175-80. https://doi.org/10.1093/ptj/65.2.175
  11. Brandstater ME, de Bruin H, Gowland C et al. Hemiplegic gait: Analysis of temporal variables. Arch Phys Med Rehabil. 1983;64(12):583-7.
  12. Cheng PT, Liaw MY, Wong MK et al. The sit-to-stand movement in stroke patients and its correlation with falling. Arch Phys Med Rehabil. 1998;79(9):1043-6. https://doi.org/10.1016/S0003-9993(98)90168-X
  13. Weiss A, Suzuki T, Bean J et al. High intensity strength training improves strength and functional performance after stroke. Am J Phys Med Rehabil. 2000;79(4):369-76;quiz 91-4. https://doi.org/10.1097/00002060-200007000-00009
  14. Bayouk JF, Boucher JP, Leroux A. Balance training following stroke: Effects of task-oriented exercises with and without altered sensory input. Int J Rehabil Res. 2006;29(1):51-9. https://doi.org/10.1097/01.mrr.0000192100.67425.84
  15. Dodd KJ, Morris ME. Lateral pelvic displacement during gait: Abnormalities after stroke and changes during the first month of rehabilitation. Arch Phys Med Rehabil. 2003;84(8):1200-5. https://doi.org/10.1016/S0003-9993(03)00142-4
  16. Bohannon RW, Horton MG, Wikholm JB. Importance of four variables of walking to patients with stroke. Int J Rehabil Res. 1991;14(3):246-50. https://doi.org/10.1097/00004356-199109000-00010
  17. Flansbjer UB, Miller M, Downham D et al. Progressive resistance training after stroke: Effects on muscle strength, muscle tone, gait performance and perceived participation. J Rehabil Med. 2008;40(1):42-8. https://doi.org/10.2340/16501977-0129
  18. Roerdink M, Lamoth CJ, van Kordelaar J et al. Rhythm perturbations in acoustically paced treadmill walking after stroke. Neurorehabil Neural Repair. 2009;23(7):668-78. https://doi.org/10.1177/1545968309332879
  19. Krishnamoorthy V, Hsu WL, Kesar TM et al. Gait training after stroke: A pilot study combining a gravity-balanced orthosis, functional electrical stimulation, and visual feedback. J Neurol Phys Ther. 2008;32(4):192-202. https://doi.org/10.1097/NPT.0b013e31818e8fc2
  20. Bae SS. A study of proprioceptive neuromuscular facilitation principles. The Journal of Korean Society of Physical Therapy. 1993;5(1):109-14.
  21. Lee GH, Goo BO, Bae SS. The report of vojta therapy in hydrocephalus on traumatic brain Injury. The Journal of Korean Society of Physical Therapy. 2002;14(1):125-30.
  22. Lee KH, Kim HS, Han DW et al. The effect of bobath and conventional method in gate of adult hemiplegic patients. Journal of the Korean Society of Physical Medicine. 2008;3(4):277-84.
  23. Current ME, Kwon HC. A clinical study on the effects of bobath treatment in stroke patients. Journal of Korean Physical Therapy Association. 1986;7(2):13-21.
  24. Kim DJ. The effects of bobath treatment for trunk aligment on the balance and gait in adult hemiplegic patients. DanKook University. Dissertation of Master's Degree. 2006.
  25. Eich HJ, Mach H, Werner C et al. Aerobic treadmill plus bobath walking training improves walking in subacute stroke: A randomized controlled trial. Clin Rehabil. 2004;18(6):640-51. https://doi.org/10.1191/0269215504cr779oa
  26. Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: Effects on function and spasticity. Arch Phys Med Rehabil. 1997;78(11):1231-6. https://doi.org/10.1016/S0003-9993(97)90337-3
  27. Harley C, Boyd JE, Cockburn J et al. Disruption of sitting balance after stroke: Influence of spoken output. J Neurol Neurosurg Psychiatry. 2006;77(5):674-6. https://doi.org/10.1136/jnnp.2005.074138
  28. Choi JG. The effect of combined exercise on activities of daily living and gait ability in stroke patients. Donga University. Dissertation of Doctorate Degree. 2008.