Central European Journal of Medicine

, Volume 7, Issue 2, pp 176–182 | Cite as

Normalized gait parameters in NDT-Bobath post-stroke gait rehabilitation

Research Article

Abstract

The aim of the research was to evaluate the results of NDT-Bobath method in gait re-education of adult patients after ischemic stroke using normalized parameters of gait. The investigation group consisted of 60 patients, all sufferers of an ischemic stroke, and participated in a rehabilitation program: 10 sessions of NDT-Bobath therapy through 2 weeks (ten days of the therapy). Normalized parameters of gait were calculated based on anthropometric measures of patients and their gait parameters (gait velocity, cadence and stride length) measured in every patient on admission (before the therapy) and after the last session of the therapy to assess rehabilitation effects. Results among patients involved in the research were as follows:
  • in normalized gait velocity: recovery in 42 cases (70 %), relapse in 10 cases (16,67 %), no measurable changes in 8 cases (13.33 %)

  • in normalized cadence: recovery in 39 cases (65 %), relapse in 16 cases (26.67 %), no measurable changes in 5 cases (8.33 %)

  • in normalized stride length: recovery in 50 cases (83.33 %), relapse in 4 cases (6.67 %), no measurable changes in 6 cases (10 %).

Observed statistically significant and favourable changes in health status of patients, described by normalized gait parameters, confirm effectiveness of the NDT-Bobath method.

Keywords

Rehabilitation Ischaemic stroke Normalized parameters of gait NDT-Bobath Gait re-education Gait analysis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. [1]
    Błaszczyk B., Czernecki R., Prędota-Panecka H., Profilaktyka pierwotna i wtórna udarów mózgu, Studia Medyczne, 2008, 9, 71–75, (in Polish)Google Scholar
  2. [2]
    Członkowska A., Udar mózgu — perspektywy leczenia w Polsce w świetle osiągnięĆ światowych, Polski Przegląd Neurologiczny, 2005, 1, 1–7, (in Polish)Google Scholar
  3. [3]
    Członkowska A., Osiągnięcia w zakresie udaru mózgu, Medycyna po Dyplomie, 2005, Supl. 17, 5–11, (in Polish)Google Scholar
  4. [4]
    Palasik W., Nowe tendencje w terapii udaru niedokrwiennego, New trends in ischemic stroke therapy, Terapia, 2006, 1, 4–8, (in Polish)Google Scholar
  5. [5]
    Profilaktyka wtórna udaru mózgu, Rekomendacje grupy ekspertów Narodowego Programu Profilaktyki i Leczenia Udaru Mózgu, Neurol. Neurochir. Pol., 2003, Supl. 6, 17–43, (in Polish)Google Scholar
  6. [6]
    Muren M.A., Hütler M., Hooper J., Functional capacity and health-related quality of life in individuals post stroke, Top Stroke Rehabil., 2008, 15,1, 51–58PubMedCrossRefGoogle Scholar
  7. [7]
    Murtezani A., Hundozi H., Gashi S., Osmani T., Krasniqi V., Rama B., Factors associated with reintegration to normal living after stroke, Med. Arh., 2009, 63,4, 216–219PubMedGoogle Scholar
  8. [8]
    Starsky A.J., Sangani S.G., McGuire J.R., Logan B., Schmit B.D., Reliability of biomechanical spasticity measurements at the elbow of people poststroke, Arch. Phys. Med. Rehabil., 2005, 86,8, 1648–1654PubMedCrossRefGoogle Scholar
  9. [9]
    Platz T., Eickhof C., Nuyens G., Vuadens P., Clinical scales for the assessment of spasticity, associated phenomena, and function: a systematic review of the literature, Disabil. Rehabil., 2005, 27,1–2, 7–18PubMedCrossRefGoogle Scholar
  10. [10]
    Brashear A., Zafonte R., Corcoran M., Galvez-Jimenez N., Gracies J.M., Gordon M.F., et al., Inter- and intrarater reliability of the Ashworth Scale and the Disability Assessment Scale in patients with upper-limb poststroke spasticity, Arch. Phys. Med. Rehabil., 2002, 83,10, 1349–1354PubMedCrossRefGoogle Scholar
  11. [11]
    Bohannon R.W., Smith M.B., Interrater reliability of a modified Ashworth scale of muscle spasticity, Phys. Ther., 1987, 6, 206–207Google Scholar
  12. [12]
    Bromley I., Tetraplegia and paraplegia: a guide for physiotherapists, 6th ed., Churchill Livingstone, London, 2006Google Scholar
  13. [13]
    Davies P.M., Steps to follow: the comprehensive treatment of adult hemiplegia, 2nd ed., Springer, New York, 2000CrossRefGoogle Scholar
  14. [14]
    Howle J.M., Neuro-Developmental Treatment Approach. Theoretical foundations and principles of clinical practice, Neuro-Developmental Treatment Association, Laguna Beach, 2003Google Scholar
  15. [15]
    Mayston M.J., Problem solving in neurological physiotherapy — setting the scene, In: Edwards S. (Ed.), Neurological physiotherapy — a problem solving approach, 2nd ed., Churchill Livingstone, London, 2001Google Scholar
  16. [16]
    Lennon S., Ashburn A., The Bobath concept in stroke rehabilitation: a focus group study of the experienced physiotherapists’ perspective, Disabil. Rehabil., 2000, 15, 665–674Google Scholar
  17. [17]
    Lennon S., Baxter D., Ashburn A., Physiotherapy based on the Bobath concept in stroke rehabilitation: a survey within the UK, Disabil. Rehabil., 2001, 6, 254–262Google Scholar
  18. [18]
    Bobath B., Adult hemiplegia: evaluation and treatment, 3rd ed., Heinemann Medical Books, London, 1990Google Scholar
  19. [19]
    Paci M., Physiotherapy based on the Bobath Concept for adults with post-stroke hemiplegia: a review of effectiveness studies, J. Rehabil. Med., 2003, 1, 2–7CrossRefGoogle Scholar
  20. [20]
    Mikołajewska E., Przykład terapii chodu metodą NDT-Bobath u pacjenta z hemiplegią, Prakt. Fizjoter. Rehabil., 2010, 11, 16–20, (in Polish)Google Scholar
  21. [21]
    Mikołajewska E., Metoda NDT-Bobath w praktyce klinicznej, Praktyczna Fizjoterapia i Rehabilitacja, 2010, 11, 14–15, (in Polish)Google Scholar
  22. [22]
    Mikołajewska E., Metoda NDT-Bobath w usprawnianiu osób dorosłych: wprowadzenie do metody, Praktyczna Fizjoterapia i Rehabilitacja, 2010, 11, 8–13, (in Polish)Google Scholar
  23. [23]
    Mikołajewska E., Metoda NDT-Bobath w neurorehabilitacji pacjentów dorosłych, Wydawnictwo Lekarskie PZWL, Warsaw, 2011, (in Polish)Google Scholar
  24. [24]
    Lennon S., Gait re-education based on the Bobath concept in two patients with hemiplegia following stroke, Phys. Ther., 2001, 3, 924–935Google Scholar
  25. [25]
    Wall J.C., Kirtley C., Strategies for clinical gait assessment, Orthop. Phys. Ther. Clin. N. Am., 2001, 3, 35–54Google Scholar
  26. [26]
    Whittle M.W., Gait analysis: an introduction. 3rd ed., Butterworth Heinemann, Oxford-Waltham, 2002Google Scholar
  27. [27]
    Mikołajewska E., Analiza chodu pacjentów po udarze mózgu — rozwiązanie własne, Udar Mózgu Problemy Interdyscyplinarne, 2010, 12,1–2, 20–26, (in Polish)Google Scholar
  28. [28]
    Kirtley C., Whittle M.W., Jefferson R.J., Influence of walking speed on gait parameters, J. Biomed. Eng., 1985, 4, 282–287.CrossRefGoogle Scholar
  29. [29]
    Kirtley C., CGA Clinical Gait Analysis available on Dr Kirtley’s website (http://www.clinicalgaitanalysis.com/)

Copyright information

© © Versita Warsaw and Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Rehabilitation ClinicThe 10th Military Clinical Hospital with PolyclinicBydgoszczPoland

Personalised recommendations