NDT-Bobath method in post-stroke rehabilitation in adults aged 42–55 years – Preliminary findings
More details
Hide details
Rehabilitation Clinic, The 10th Military Clinical Hospital with Polyclinic, Bydgoszcz, Poland
Disorders of Consciousness Research and Neurorehabilitation Unit, Neurocognitive Laboratory, Centre for Modern Interdisciplinary Technologies, Nicolaus Copernicus University, Toruń, Poland
Emilia Mikołajewska   

Powstańców Warszawy 5, 85-681 Bydgoszcz, Poland. Tel.: +48 725 889 909.
Submission date: 2014-07-20
Acceptance date: 2015-03-05
Online publication date: 2015-04-19
Publication date: 2020-03-26
Pol. Ann. Med. 2015;22(2):98–104
Stroke is among the leading causes of death in both developed and developing countries. Although stroke is perceived predominantly as a disease of middle aged and older people, its occurrence in younger people is not rare, influencing all aspects of young people's lives, including the ability to work.

Pilot study – a single group before-and-after preliminary study to investigate the feasibility of conducting a larger randomized controlled trial investigation of the efficacy of the NDT-Bobath method with the younger adult stroke survivor population.

Material and methods:
Patients were admitted to the neurological rehabilitation unit after ischemic stroke. Ten sessions of the NDT-Bobath therapy were provided within 2 weeks, constituting 10 days of the therapy. The therapy was performed every day for 5 days a week. Measurements of the Ashworth Scale, the Bobath Scale, the Barthel Index, gait velocity, cadence and stride length were conducted twice: on admission, and after the last session of the rehabilitation.

Results and discussion:
Statistically significant and favorable changes in the muscle tone, hand functions, selected activities of daily living, gait velocity, cadence and stride length have been observed.

Findings confirm that the NDT-Bobath method for adults may be perceived as a promising form of post-stroke rehabilitation in young adults.

None declared.
Gore FM, Bloem PJ, Patton GC, et al. Global burden of disease in young people aged 10–24 years: a systematic analysis. Lancet. 2011;377(9783):2093–2102.
Johnston SC, Mendis S, Mathers CD. Global variation in stroke burden and mortality: estimates from monitoring, surveillance, and modelling. Lancet Neurol. 2009;8(4):345–354.
Boudewijn JK, Lennon S, Lyons B, et al. The effectiveness of the Bobath concept in stroke rehabilitation: what is the evidence? Stroke. 2009;40(4):e89–e97.
Langhorne P, Coupar F, Pollock A. Motor recovery after stroke: a systematic review. Lancet Neurol. 2009;8(8):740–754.
Carr JH, Shepherd RB. The changing face of neurological rehabilitation. Rev Bras Fisioter. 2006;10(2):147–156.
Huseyinsinoglu BE, Ozdincler AR, Yakup Krespi Y. Bobath concept versus constraint-induced movement therapy to improve arm functional recovery in stroke patients: a randomized controlled trial. Clin Rehabil. 2012;26(8):705–715.
Langhammer B, Stanghelle JK. Can physiotherapy after stroke based on the Bobath concept result in improved quality of movement compared to the motor relearning programme. Physiother Res Int. 2011;16(2):69–80.
Mikołajewska E. NDT-Bobath method in normalization of muscle tone in post-stroke patients. Adv Clin Exp Med. 2012;21(4):513–517.
Mikołajewska E. The value of the NDT-Bobath method in post-stroke gait training. Adv Clin Exp Med. 2013;22(2):261–272.
Paci M. Physiotherapy based on the Bobath concept for adults with post-stroke hemiplegia: a review of effectiveness studies. J Rehabil Med. 2003;35(1):2–7.
Brock KA, Cotton SM. Concerns about standards of reporting of clinical trials: an RCT comparing the Bobath concept and motor relearning interventions for rehabilitation of stroke patients as an exemplar. Physiother Res Int. 2012;17(2):123–124.
Lawrence M. Young adults' experience of stroke: a qualitative review of the literature. Br J Nurs. 2010;19(4):241–248.
O'Brien AN, Wolf TJ. Determining work outcomes in mild to moderate stroke survivors. Work. 2010;36(4):441–447.
Wang Y-C, Kapellusch J, Garg A. Important factors influencing the return to work after stroke. Work. 2013;47(4.).
Medin J, Ekberg K, Nordlund A, Eklund J. Organisational change, job strain and increased risk of stroke? A pilot study. Work. 2008;31(4):443–449.
Gilworth G, Phil M, Cert A, Sansam KA, Kent RM. Personal experiences of returning to work following stroke: an exploratory study. Work. 2009;34(1):95–103.
Wolfenden B, Grace M. Returning to work after stroke: a review. Int J Rehabil Res. 2009;32(2):93–97.
Treger I, Shames J, Giaquinto S, Ring H. Return to work in stroke patients. Disabil Rehabil. 2007;29(17):1397–1403.
Morris S. Ashworth and Tardieu Scales: their clinical relevance for measuring spasticity in adult and paediatric neurological populations. Phys Ther Rev. 2002;7(1):53–62.
Pandyan AD, Price CI, Barnes MP, Johnson GR. A biomechanical investigation into the validity of the modified Ashworth Scale as a measure of elbow spasticity. Clin Rehabil. 2003;17(3):290–293.
Alibiglou L, Rymer WZ, Harvey RL, Mirbagheri MM. The relation between Ashworth scores and neuromechanical measurements of spasticity following stroke. J Neuroeng Rehabil. 2008;5:18.
Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. Int Disabil Stud. 1988;10(2):61–63.
Ghandehari K, Ghandehari K, Saffarian-Toosi G, et al. Comparative interrater reliability of Asian Stroke Disability Scale, modified Rankin Scale and Barthel Index in patients with brain infarction. ARYA Atheroscler. 2012;8(3):153–157.
Huybrechts KF, Caro JJ. The Barthel Index and modified Rankin Scale as prognostic tools for long-term outcomes after stroke: a qualitative review of the literature. Curr Me Res Opin. 2007;23(7):1627–1636.
Mikołajewska E. Eclectic approach as the natural way of development in neurological rehabilitation of adults. Int J Disabil Hum Dev. 2013;12(3):373–378.
Kowalski IM. Modern neurobiology and progress in rehabilitation. Adv Rehabil. 2005;1(1):121–125.
Kristiunas A, Kowalski IM. Ensuring rehabilitation and full value life to patients with chronic non-infectious diseases. Pol Ann Med. 2010;17(1):112–122.