Publication: The effect of the Bobath therapy programme on upper limb and hand function in chronic stroke individuals with moderate to severe deficits
Issued Date
2019-10-02
Resource Type
ISSN
1759779X
17411645
17411645
Other identifier(s)
2-s2.0-85074572340
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Therapy and Rehabilitation. Vol.26, No.10 (2019)
Suggested Citation
Thanchanok Pumprasart, Noppol Pramodhyakul, Pagamas Piriyaprasarth The effect of the Bobath therapy programme on upper limb and hand function in chronic stroke individuals with moderate to severe deficits. International Journal of Therapy and Rehabilitation. Vol.26, No.10 (2019). doi:10.12968/ijtr.2018.0124 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/50949
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
The effect of the Bobath therapy programme on upper limb and hand function in chronic stroke individuals with moderate to severe deficits
Other Contributor(s)
Abstract
© 2019 MA Healthcare Ltd. All rights reserved. Background/Aims The Bobath concept has long been used to improve postural control and limb function post-stroke, yet its effect in patients with deficits have not been clearly demonstrated. This study aimed to investigate the effect of the latest Bobath therapy programme on upper limb functions, muscle tone and sensation in chronic stroke individuals with moderate to severe deficits. Methods A pre-post test design was implemented. The participants were chronic stroke individuals (n=26). Home-based intervention based on the Bobath concept was administered 3 days per week for 6 weeks (20 repetitions × 3 sets per task each session). Outcome measures consisted of the Wolf Motor Function Test, Fugl-Meyer Assessment for the upper extremity, Modified Ashworth Scale, and the Revised Nottingham Sensory Assessment. Data were analysed using the Wilcoxon Signed rank test. Results Almost all items of the Wolf Motor Function Test and the Fugl-Meyer Assessment for the upper extremity demonstrated statistically significant differences post-intervention. Finger flexor muscle tone and stereognosis were also significantly improved. Conclusions The 6-week Bobath therapy programme could improve upper limb function and impairments in chronic stroke individuals with moderate to severe deficits. Its effects were also demonstrated in improving muscle tone and cortical sensation.