A Study On The Effects Of Physical Therapy Management Using The Bobath Method For The Functional Recovery Of The Upper Limbs And Trunk In Post-Stroke Patients
DOI:
https://doi.org/10.53555/ejac.v20i1.1147Keywords:
Stroke, Bobath Approach, Neurodevelopmental treatment, Motor activity log scale, Fugl-Meyer AssessmentAbstract
Introduction: Stroke is a leading cause of disability, significantly affecting upper limb and trunk function. Conventional rehabilitation methods have limited effectiveness in restoring motor function. The Bobath approach, a neurodevelopmental treatment, emphasizes postural control, movement coordination, and functional activity, making it a widely used rehabilitation method.
Aim and Objectives:This study aims to evaluate the effectiveness of the Bobath approach in improving upper limb and trunk function in post-stroke patients. The objectives include assessing its impact on motor recovery and comparing its efficacy with conventional therapy. Methodology: A randomized controlled trial was conducted with 36 post-stroke patients divided into two groups: one receiving Bobath therapy combined with conventional rehabilitation and the other undergoing only conventional therapy. The intervention lasted four weeks, with assessments conducted using the Motor Activity Log (MAL) and Fugl- Meyer Assessment (FMA). Statistical analysis was performed using SPSS software. Results: Patients receiving Bobath therapy showed greater functional improvement compared to the control group. The Bobath group’s FMA scores improved from 38.51 to 50.57, while the conventional therapy group improved from 33.78 to 43.78. Similarly, MAL scores demonstrated a significant increase in functional use of the affected limb in the Bobath group. Discussion: Findings suggest that the Bobath approach effectively enhances upper limb function and trunk stability post-stroke. However, other modern rehabilitation techniques, such as task-specific training and robotics, may provide superior outcomes. Further research is needed to explore the integration of multiple rehabilitation strategies. Conclusion: The study concludes that the Bobath approach is more effective than conventional rehabilitation in improving motor function in post-stroke patients. Future studies should investigate combining Bobath therapy with advanced rehabilitation methods for optimal recoveryReferences
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