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Neurodevelopmental treatment na een CVA:

populair - maar werkt niet

  • Wetenschappelijk artikel
  • Published:
Tijdschrift voor VerpleeghuisGeneeskunde

semenvatting

  1. 1.

    Neurodevelopmental treatment (NDT) (also referred to as Bobath-therapy), is widely used in the care of stroke patients.

  2. 2.

    In this study the effects of NDT on the functional status, shoulder pain, depression and Quality of Life of 324 patients were measured.

  3. 3.

    Our findings did not show any beneficial effects of the NDTtherapy.

  4. 4.

    The use of the NDT-therapy in the care of stroke patients is not effective and should be terminated. Due to the lack of effects found in this study one may seriously question the wide application of the NDT in the care of stroke patients.

Keywords: Stroke, functional status, depression, Quality of Life.

Samenvatting

  1. 1.

    Neurodevelopmental treatment (NDT) (ook Bobath-therapie of NDT-concept genoemd) wordt veel toegepast in de zorg voor patiënten met een CVA.

  2. 2.

    In dit onderzoek zijn de effecten van NDT op functionele toestand, schouderpijn, depressie en Kwaliteit van Leven bij 324 patiënten met een CVA gemeten.

  3. 3.

    In deze studie konden geen positieve effecten bij patiënten worden vastgesteld.

  4. 4.

    Het toepassen van de NDT-therapie bij patiënten met een CVA heeft geen meerwaarde voor CVA-patienten en zou gestopt moeten worden. Er zou meer aandacht besteedt moeten worden aan goede wetenschappelijk onderbouwing voor therapie na een CVA.

Sleutelwoorden: CVA, functionele status, depressie, Kwaliteit van Leven.

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Figuur 1

Notes

  1. Bobath B. Adult Hemiplegia: Evaluation and Treatment. Oxford: Butterworth Heinemann Ltd.; 1990.

  2. Halfens J.H.G. De plaats van het NDT-concept binnen de neurorevalidatie: huidige aannamen en ontwikklingen. Nederlands Tijdschrift voor Fysiotherapie 2004;114(6):159-67.

  3. Pomeroy VM,Tallis RC. Need to focus research in stroke rehabilitation. Lancet 2000 Mar 4;355(9206):836-7.

  4. Lennon S. The Bobath concept: a critical review of the theoretical assumptions that guide physiotherapy practice in stroke rehabilitation. Physical Therapy Reviews (PHYS THER REV ) 1996 Sep ; 1(1): 35 45 (37 ref ) 1996 Jan 1;1(1):35.

  5. Davidson I., Waters K. Physiotherapists working with stroke patients: A national survey. Physiotherapy 2000 Feb;86(2):69-80.

  6. Lennon S, Baxter D, Ashburn A. Physiotherapy based on the Bobath concept in stroke rehabilitation: A survey within the UK. Disabil Rehabil 2001;15(23):254-62.

  7. Dickstein R, Hocherman S, Pillar T, Shaham R, Stern FM, Gorga D. Stroke rehabilitation.Three exercise therapy approaches. Phys Ther 1986 Aug;66(8):1233-8.

  8. Mulder T, Hulstijn W, van der Meer J. EMG feedback and the restoration of motor control.A controlled group study of 12 hemiparetic patients.American Journal of Physical Medicine 1986 Jan 1;65(4):173-88.

  9. Lewis NA. Functional gains in CVA patients:A nursing approach. Rehabil Nurs 1986 Jan 1;11(2):25-7.

  10. Salter J, Camp Y, Pierce LL, Mion LC. Rehabilitation Nursing Approaches to Cerebrovascular Accident: A comparison of two approaches. Rehabil Nurs 1991 Mar 1;16(2):62-6.

  11. Lord JP, Hall K. Neuromuscular reeducation versus traditional programs for stroke rehabilitation. Arch Phys Med Rehabil 1986 Feb;67(2):88-91.

  12. Wagenaar RC, Meijer OG, van Wieringen PC, Kuik DJ, Hazenberg GJ, Lindeboom J, et al. The functional recovery of stroke: A comparison between neuro-developmental treatment and the Brunnstrom method. Scand J Rehabil Med 1990 Jan 1;22:1-8.

  13. Brunham S, Snow CJ. The effectiveness of Neurodevelopmental Treatment in adults with neurological conditions: a single-subject study. Physiotherapy Theory and Practice 1992 Jan 1;8(4):215-22.

  14. Hesse S, Bertelt C, Jahnke MT, Schaffrin A, Baake P, Malezic M, et al. Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients. Stroke 1995 Jun;26(6):976-81.

  15. Logigian MK, Samuels MA, Falconer JA, agar R. Clinical exercise trial for stroke patients. Arch Phys Med Rehabil 1983 Jan 1;64:364-7.

  16. Basmajian JV, Gowland CA, Finlayson MA, Hall AL, Swanson LR, Stratford PW, et al. Stroke treatment: comparison of integrated behavioral-physical therapy vs traditional physical therapy programs. Arch Phys Med Rehabil 1987 May;68(5 Pt 1):267-72.

  17. Partridge C.J., Edwards S.M., Mee R., van Langenberghe H.V.K. Hemiplegic shoulder pain: a study of two methods of physiotherapy treatment. Clinical Rehabilitation 1990;4:43-9.

  18. Langhammer B, Stanghelle JK. Bobath or Motor Relearning Programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study. Clinical Rehabilitation 2000 Jan 1;14(4):361-9.

  19. Gelber DA, Josefczyk PB, Herrman D, Good DC, Verhulst SJ. Comparison of two therapy approaches in the rehabilitation of the pure motor hemiparetic stroke patient. Journal of Neurologic Rehabilitation 1995;9(4):191-196 1995;9(4):191.

  20. Wang RY, Chen HI, Chen CY, Yang YR. Efficacy of Bobath versus orthopaedic approach on impairment and function at different motor recovery stages after stroke: a randomized controlled study. Clin Rehabil 2005 Mar;19(2): 155-64.Effecten van de NDT-therapie op de functionele status (MBI) (Odds ratio’s ,gecontroleerd voor: leeftijd, woonsituatie, opleiding, de Rankin Scahaal, de Barthel Index (modified), Mini Mental Status Examination en CES-D met 95% betrouwbaarheidsintervallen)

  21. Lewis NA. Functional gains in CVA patients:A nursing approach. Rehabil Nurs 1986 Jan 1;11(2):25-7.

  22. Lewis NA. Functional gains in CVA patients:A nursing approach. Rehabil Nurs 1986 Jan 1;11(2):25-7.

  23. Wang RY, Chen HI, Chen CY, Yang YR. Efficacy of Bobath versus orthopaedic approach on impairment and function at different motor recovery stages after stroke: a randomized controlled study. Clin Rehabil 2005 Mar;19(2): 155-64.Effecten van de NDT-therapie op de functionele status (MBI) (Odds ratio’s ,gecontroleerd voor: leeftijd, woonsituatie, opleiding, de Rankin Scahaal, de Barthel Index (modified), Mini Mental Status Examination en CES-D met 95% betrouwbaarheidsintervallen)

  24. Langhammer B, Stanghelle JK. Bobath or Motor Relearning Programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study. Clinical Rehabilitation 2000 Jan 1;14(4):361-9.

  25. Lord JP, Hall K. Neuromuscular reeducation versus traditional programs for stroke rehabilitation. Arch Phys Med Rehabil 1986 Feb;67(2):88-91.

  26. Langhammer B, Stanghelle JK. Bobath or Motor Relearning Programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study. Clinical Rehabilitation 2000 Jan 1;14(4):361-9.

  27. Hafsteinsdóttir T.B, Algra A, Kappelle LJ, Grypdonck MHF. Neurodevelopmental Treatment (NDT) after stroke: A comparative study. Journal of Neurology, Neurosurgery and Psychiatry 2005;76:788-92.

  28. de Haan R, Limburg M, Bossuyt P, van der MJ, Aaronson N. The clinical meaning of Rankin "Handicap" grades after stroke. Stroke (STROKE) 1995 Nov ; 26 (11): 2027 30 (14 ref )26(11):2027.

  29. Radloff L.S.,Teri L. Use of the Center for Epidemiological Studies-Depression scale with older adults. Clinical Gerontology.New York:The Hawthorne Press; 1986. p. 119-36.

  30. Turner-Stokes L, Rusconi S. Screening for ability to complete a questionnaire: a preliminary evaluation of the AbilityQ and ShoulderQ for assessing shoulder pain in stroke patients. Clin Rehabil 2003 Mar;17(2):150-7.

  31. Ware J.E.jr., Sherbourne C.D.The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473-83.

  32. Hafsteinsdóttir T.B, Grypdonck M. NDT-Nursing competence measured with nurses in the rehabilitation of stroke patients . Journal of Neuroscience Nursing 2004;36(5):289-94.

  33. Hafsteinsdóttir T.B, van Meeteren N., Grypdonck M. Is Neurodevelopmental treatment used by physiotherapists in the care of stroke patients? Advances in Physiotherapy 2005.

  34. Dickstein R, Hocherman S, Pillar T, Shaham R, Stern FM, Gorga D. Stroke rehabilitation.Three exercise therapy approaches. Phys Ther 1986 Aug;66(8):1233-8.

  35. Mulder T, Hulstijn W, van der Meer J. EMG feedback and the restoration of motor control.A controlled group study of 12 hemiparetic patients.American Journal of Physical Medicine 1986 Jan 1;65(4):173-88.

  36. Lord JP, Hall K. Neuromuscular reeducation versus traditional programs for stroke rehabilitation. Arch Phys Med Rehabil 1986 Feb;67(2):88-91.

  37. Wagenaar RC, Meijer OG, van Wieringen PC, Kuik DJ, Hazenberg GJ, Lindeboom J, et al. The functional recovery of stroke: A comparison between neuro-developmental treatment and the Brunnstrom method. Scand J Rehabil Med 1990 Jan 1;22:1-8.

  38. Hesse S, Bertelt C, Jahnke MT, Schaffrin A, Baake P, Malezic M, et al. Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients. Stroke 1995 Jun;26(6):976-81.

  39. Logigian MK, Samuels MA, Falconer JA, agar R. Clinical exercise trial for stroke patients. Arch Phys Med Rehabil 1983 Jan 1;64:364-7.

  40. Basmajian JV, Gowland CA, Finlayson MA, Hall AL, Swanson LR, Stratford PW, et al. Stroke treatment: comparison of integrated behavioral-physical therapy vs traditional physical therapy programs. Arch Phys Med Rehabil 1987 May;68(5 Pt 1):267-72.

  41. Partridge C.J., Edwards S.M., Mee R., van Langenberghe H.V.K. Hemiplegic shoulder pain: a study of two methods of physiotherapy treatment. Clinical Rehabilitation 1990;4:43-9.

  42. Langhammer B, Stanghelle JK. Bobath or Motor Relearning Programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study. Clinical Rehabilitation 2000 Jan 1;14(4):361-9.

  43. Gelber DA, Josefczyk PB, Herrman D, Good DC, Verhulst SJ. Comparison of two therapy approaches in the rehabilitation of the pure motor hemiparetic stroke patient. Journal of Neurologic Rehabilitation 1995;9(4):191-196 1995;9(4):191.

  44. International Classification of Functioning, Disability and Health (ICF) [computer program]. Geneva, Switzerland: Whorld Health Organisation; 2001.

  45. Kwakkel G, Kollen B, Lindeman E. Understanding the pattern of functional recovery after stroke: facts and theories. Restor Neurol Neurosci 2004;22(3-5):281-99.

  46. Shumway-Cook A., Woolacott M.H. Motor control. Theory and Practical Applications. London: Lippincott Williams and Wilkins; 2001.

  47. Shumway-Cook A., Woolacott M.H. Motor control. Theory and Practical Applications. London: Lippincott Williams and Wilkins; 2001.

  48. Bernhardt J, Dewey H, Thrift A, Donnan G. Inactive and alone: physical activity within the first 14 days of acute stroke unit care. Stroke 2004 Apr;35(4):1005-9.

  49. Halfens J.H.G. De plaats van het NDT-concept binnen de neurorevalidatie: huidige aannamen en ontwikklingen. Nederlands Tijdschrift voor Fysiotherapie 2004;114(6):159-67.

  50. Paolucci S, Antonucci G, Grasso MG, Morelli D, Troisi E, Coiro P, et al. Poststroke depression, antidepressant treatment and rehabilitation results.A casecontrol study. Cerebrovasc Dis 2001;12(3):264-71.

  51. Pomeroy VM,Tallis RC. Need to focus research in stroke rehabilitation. Lancet 2000 Mar 4;355(9206):836-7.

  52. Lennon S. The Bobath concept: a critical review of the theoretical assumptions that guide physiotherapy practice in stroke rehabilitation. Physical Therapy Reviews (PHYS THER REV ) 1996 Sep ; 1(1): 35 45 (37 ref ) 1996 Jan 1;1(1):35.

  53. Davidson I., Waters K. Physiotherapists working with stroke patients: A national survey. Physiotherapy 2000 Feb;86(2):69-80.

  54. Kwakkel G, Kollen B, Lindeman E. Understanding the pattern of functional recovery after stroke: facts and theories. Restor Neurol Neurosci 2004;22(3-5):281-99.

  55. Visser-Meily JMA. Voortschrijdend inzicht. Nederlands Tijdschrift voor Fysiotherapie 2004;114(6):163-4.

  56. Kwakkel G. Het verniuewde NDT-concept: een aantal antwoorden, maar nog veel vragen. Nederlands Tijdschrift voor Fysiotherapie 2004;114(164):167.

  57. Latash M.A., Anson J.G. What are "normal movements" in atypical populations? Behavioural and Brain Sciences 1996;19:55-106.

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    Thóra B. Hafsteinsdóttir

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  1. Thóra B. Hafsteinsdóttir
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  2. Ale Algra
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  3. L. Jaap Kappelle
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  4. Mieke H. F. Grypdonck
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Correspondence to Thóra B. Hafsteinsdóttir.

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Dr. Thóra B. Hafsteinsdóttir, verpleegkundige en stafmedewerker onderzoek divisie Hersenen van het Universitair Medisch Centrum Utrecht.Prof. dr. Ale Algra, hoogleraar klinische epidemiologie afdeling Neurologie en Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde.

Prof. dr. L. Jaap Kappelle hoogleraar neurologie afdeling Neurologie van het Universitair Medisch Centrum Utrecht Prof. dr. Mieke H. F. Grypdonck verpleegkundige en hoogleraar Verplegingswetenschap, van het Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde. Namens de NDT Study Groep* zie

Dit artikel is gebaseerd op een eerdere publicatie van dezelfde auteurs in het tijdschrift Journal of Neurology Neurosurgery and Psychiatry: Neurodevelopmental treatment after stroke: a comparative study. Journal of Neurology Neurosurgery and Psychiatry. 2005; 76;788-792.

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Hafsteinsdóttir, T.B., Algra, A., Kappelle, L.J. et al. Neurodevelopmental treatment na een CVA:. TVVG 31, 9–15 (2006). https://doi.org/10.1007/BF03075128

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