Associations between Results of Post-Stroke NDT-Bobath Rehabilitation in Gait Parameters, ADL and Hand Functions

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Associations between Results of Post-Stroke NDT-Bobath Rehabilitation in Gait Parameters, ADL and Hand Functions

Journal Title: Advances in Clinical and Experimental Medicine - Year 2013, Vol 22, Issue 5

Abstract

Background. In patients after a stroke there are variable disorders. These patients often need rehabilitation in more than one area beceause of multiple limitations of the ability to perform everyday activities. Objectives. The aim of the study was to assess correlations – statistical relationships between observed gait parameters, ADL and hand functions – results of rehabilitation of patients after ischaemic stroke according to the NDTBobath method for adults. Material and Methods. The investigated group consisted of 60 patients after ischaemic stroke, who participated in the rehabilitation programme. 10 sessions of the NDT-Bobath therapy were provided in 2 weeks (10 days of the therapy). The calculation of correlations was made based on changes of parameters: Bobath Scale (to assess hand functions), Barthel Index (to assess ADL), gait velocity, cadence and stride lenght. Measurements were performed in every patient twice: on admission (before the therapy) and after last session of the therapy to assess rehabilitation effects. Results. The main statistically relevant corellations observed in the study were as follows: in the whole group of patients: poor and moderate (negative) correlation between changes of gait parameters and Bobath Scale and Barthel Index, moderate and severe (negative) correlation between changes of gait parameters and Bobath Scale and Barthel Index in the group of women, correlation between changes in Bobath Scale and Barthel Index in the group of patients with left side of paresis, (negative) correlation between changes of gait parameters and Bobath Scale in group of patients younger than 68 years, moderate, high and very high correlations between changes in gait parameters in groups of women, men, younger than 68 years and older than 68 years. Conclusions. There have been observed statistically significant and favourable changes in the health status of patients, described by gait parameters, changes in hand functions and ADL. Based on the presented correlations there is an assumption that it is hard to achieve simultaneous recovery in all areas: gait parameters, hand functions and ADLs in two weeks of rehabilitation.

Authors and Affiliations

Emilia Mikołajewska

Keywords

ischaemic stroke NDT-Bobath corellations Activities of Daily Living hand functions gait assessment udar niedokrwienny metoda NDT-Bobath korelacje czynności życia codziennego funkcje ręki ocena chodu

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