Investigation of Effects of Bobath Method and Task-Oriented Approach on Architectural Features and Activation of Trunk Muscles and Functional Performance in Stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Evaluation of Balance
研究概览
简要总结
Trunk impairment and asymmetry that occur after stroke negatively affect many functional activities in the daily lives of patients. There are different neurophysiological approaches such as Bobath method and task-oriented approach used in post-stroke rehabilitation programs in the literature. However, there are not many studies that comprehensively evaluate and compare the effects of these neurophysiological approaches on trunk muscles, balance and gait in stroke patients. The aim of this study is to examine and compare the effects of Bobath method and task-oriented approach on architectural features and activation of trunk muscles and functional performance in stroke patients. In addition, this study will demonstrate with muscle thickness and activation the asymmetry that may occur between the hemiparetic and non-paretic trunk muscles of stroke patients, and will allow examining the effects of these features on functional performance. This study was planned to include two treatment groups. The Bobath group will receive Bobath based trunk, balance and walking exercises, while the task-oriented group will receive exercises for oriented task. Trunk impairment, motor functions, thickness and activation of trunk muscles, spatio-temporal parameters of gait, balance and goal attainment will be assessed before and after 8 weeks treatment program. As a result; effectiveness of Bobath method and task-oriented approach will be compared and relationship between muscle thickness, activation and functional performance will be examined.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unilateral stroke for more than 3 months
- •Being over the age of 18
- •Having trunk impairment (not having full points in the Trunk Impairment Scale)
- •Being able to walk without support or with walking aid.
排除标准
- •Having recurrent stroke
- •Having an orthopedic or neurological disorders other than stroke that may affect motor performance
- •Having a cognitive problem (Not having Mini Mental State Examination score ≥ 24)
研究组 & 干预措施
Bobath Method Group
The Bobath based exercises for 60 minutes will be formed according to the needs of the individual and will involve trunk exercises such as placing, stretching, functional reach, rotations, functional strengthening and, balance and walking exercises etc. It will be performed 3 days a week for 8 weeks.
干预措施: Bobath Method (Other)
Task-Oriented Approach Group
The task-oriented approach for 60 minutes will be formed according to the needs of the individual and involve exercises targeting functional tasks determined. It will be performed 3 days a week for 8 weeks.
干预措施: Task-Oriented Approach (Other)
结局指标
主要结局
Evaluation of Balance
时间窗: change from baseline in balance at 8 weeks
The evaluation of limits of stability, anteroposterior and mediolateral sway range will be performed using the Bertec Balance Check ScreenerTM force platform system.
Evaluation of Muscle Thickness with Ultrasonography
时间窗: change from baseline in muscle thickness of trunk muscles at 8 weeks
The evaluation of muscle thickness of bilateral rectus abdominis, external oblique, latissimus dorsi and erector spinae with ultrasonography will be performed by a physician using a 5-10 MHz linear probe (Diasus Dynamic Imaging Ltd, Livingston, Scotland,UK) in resting position. Muscle Thickness would be expressed as centimeters.
Evaluation of Muscle Activation with Superficial Electromyography
时间窗: change from baseline in muscle activation of trunk muscles at 8 weeks
The evaluation of muscle activation of bilateral rectus abdominis, external oblique, latissimus dorsi and erector spinae will be performed using Delsys Trigno Superficial Electromyography System during maximum voluntary isometric contraction, gait and balance performance.
Evaluation of Spatio-Temporal Parameters of Gait with GAITRite Analysis System
时间窗: change from baseline in spatio-temporal parameters of gait at 8 weeks
The evaluation of spatio-temporal parameters of gait such as velocity, cadence, step time, step length, gait cycle in double and single support, stance phase, swing phase, base of support, gait symmetry will be performed using the GAITRite electronic walkway.
次要结局
- Trunk Impairment Scale(change from baseline in trunk performance at 8 weeks)
- Stroke Rehabilitation Assessment of Movement(change from baseline in motor function at 8 weeks)
- Goal Attainment Scaling(change in satisfaction regarding how to reach the goals related exercise therapy at 8 weeks)
研究者
Gülşah Sütçü
Principal Investigator
Hacettepe University