Shahid Z, Poblete Dioso R I, sarfraz S, ijaz M. Comparing Bobath Versus Task-oriented Approach in Young Stroke Patients. Iranian Rehabilitation Journal 2024; 22 (3) :437-448
URL:
http://irj.uswr.ac.ir/article-1-2004-en.html
1- Department of Health Sciences, Faculty of Sciences, Lincoln University College, Petaling Jaya, Malaysia.
2- Fatima Jinnah Medical College, Lahore, Pakistan.
3- Shaukat Khanum Hospital, Lahore, Pakistan.
Abstract: (1236 Views)
Objectives: This study determines the effect of the Bobath approach versus task task-oriented approach for motor activity, activities of daily living and quality of life (QoL) in young stroke patients.
Methods: Based on the inclusion and exclusion criteria, 60 patients participated in this study from different clinical setups (30 subjects in each group). The patients were analyzed after a three-month follow-up with the following three assessment tools: Barthel index (BI) scale for assessment of activities of daily living, motor assessment scale (MAS) for motor function and stroke-specific QoL scale (SSQOL) in post-stroke patients.
Results: This study included two treatment groups (group A and group B) with an equal distribution of participants. Paired sample t-tests were applied to compare pre and post-treatment measures within each group. The results indicated significant changes in several measures. In pair 1 (pre-BI vs post-BI), the index showed a significant improvement after treatment. In pair 2 (pre-MA vs post-MA), the index also showed a significant improvement after treatment. However, in pair 3 (pre-SSQOL vs post-SSQOL), there were no significant changes in the SSQOL index. Furthermore, the independent sample t-tests were conducted to compare the measures between the groups. Accordingly, the results showed significant differences in some measures. In terms of pre-treatment BI and post-treatment BI, group A showed a significantly higher improvement after treatment. Meanwhile, group A showed a significantly higher improvement after treatment in pre-treatment MA and post-treatment MA. However, in pre-treatment SSQOL and post-treatment SSQOL, there were no significant differences between group A and group B in terms of SSQOL after treatment.
Discussion: This study shows improvement in both treatment groups and effectiveness after the assessment of three different tools which assessed the overall body function of young stroke patients. Following the application of these tools, this study concluded which treatment is most effective as compared to other approaches in young stroke patients. However, in previous studies in which Bobath treatment was also compared with the motor relearning approach in geriatric stroke patients, in patients treated according to motor relearning, in patients who had a short stay in hospitals and those who were treated according to both treatment groups demonstrated effective improvement of body function; however, that study confirmed better results according to gender-wise description, i.e. women treated by motor relearning programme (MRP) are more effective and have better results compared to the Bobath approach.
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● Effectiveness of Bobath versus task-oriented approach in young stroke patients.
● Study objectives: This study compares the effectiveness of the Bobath approach and the task-oriented approach in improving motor activity, activities of daily living, and quality of life (QoL) in young stroke patients.
● Study participants: This study included 60 young stroke patients, with 30 patients assigned to each treatment group (Bobath approach and task-oriented approach).
● Assessment tools: After a three-month follow-up period, three assessment tools were used to evaluate the patient’s progress as follows: The Barthel index (BI) for activities of daily living, the motor assessment scale (MAS) or motor function, and the stroke-specific QoL scale (SSQOL) for QoL.
● Positive results: Both treatment groups demonstrated significant improvements based on the assessment results. This suggests that the Bobath approach and the task-oriented approach can be effective in enhancing motor activity, activities of daily living, and QoL in young stroke patients.
● Comparison with previous research: The study’s discussion section refers to previous research conducted on geriatric stroke patients, which compared the Bobath and motor relearning approaches. The previous studies found both approaches to be effective, but motor relearning showed better results, particularly in female patients.
● Study implications: The current study provides valuable insights into effective treatment approaches for young stroke patients. However, it also highlights the importance of considering gender-specific outcomes in future investigations to tailor treatment strategies more effectively.
Plain Language Summary
This study compares the effectiveness of the Bobath approach versus the task-oriented approach for motor activity, activities of daily living, and QoL in young stroke patients. A total of 60 patients were included in the study (30 subjects in each group). After a three-month follow-up, three assessment tools were used to evaluate the patients as follows: The BI for activities of daily living, the MA scale for motor function, and the SSQOL for QoL. Both treatment groups showed significant improvements based on the assessment results. The discussion highlights that previous research comparing Bobath and motor relearning approaches in geriatric stroke patients found both approaches effective, but motor relearning showed better results, especially in female patients. Overall, this study provides insights into effective treatment approaches for young stroke patients but suggests further investigation into gender-specific outcomes.
Article type:
Original Research Articles |
Subject:
Physiotherapy Received: 2023/07/1 | Accepted: 2023/11/25 | Published: 2024/09/1
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