Effect of Bobath Concept Combined with Task-Oriented Exercises on Improving Postural Stability in Chronic Stroke Patients: A Randomized Controlled Trial

Shreen I. Taha¹, Mahmoud Y.Elzanaty², Shaima M.Abdelmageed³, Abdel El-Hamied I.El. Sherbini⁴ and Wanees M. Badawy^3,

¹Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Beni Suef University, Egypt

²Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University and Deraya university, Egypt

³Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt

⁴Department of Occupational Therapy, National Institute of Longevity Elderly Science NILES, Beni Suef University, Egypt

Cite this paper:
Shreen I. Taha, Mahmoud Y.Elzanaty, Shaima M.Abdelmageed, Abdel El-Hamied I.El. Sherbini and Wanees M. Badawy. Effect of Bobath Concept Combined with Task-Oriented Exercises on Improving Postural Stability in Chronic Stroke Patients: A Randomized Controlled Trial. International Journal of Clinical and Experimental Neurology. 2018; 6(1):8-11. doi: 10.12691/ijcen-6-1-2

Abstract

Background: Stroke patients often experience higher postural sway, asymmetry in weight distribution, and disrupted equilibrium reactions. Objective: To examine the effects of applying the Bobath concept combined with task-oriented exercises on improving postural stability in chronic stroke patients. Methods: 30 stroke cases randomly allocated to 2 groups as study & control. Study group which exposed to specific Bobath-based exercises plus task-oriented exercises while the control group received the task-oriented exercises only. Training regime was 3 times / week for 8 successive weeks. Outcome of training regime either Pre or post were: Berg Balance Scale, Timed Up and Go test and trunk and pelvis malalignment detecting by using Formetric II device. Results: Positive increasing in all measurments in both groups while study group seen better than control. Conclusions: It was suggested that combining both Bobath-based training and task-oriented exercises were beneficial in improving postural stability in chronic stroke patients.

Keywords:
stroke bobath-based training task-oriented exercise postural stability rasterstereography

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