Bobath Approach On Hemiplegic Shoulder Pain

NCT04768140 | Completed

• 1 other identifier: BAHSP
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, it is investigated that whether Bobath approach is superior to conventional physiotherapy in terms of improving hemiplegic shoulder pain, spasticity and upper extremity functionality in stroke patients.

Conditions

Hemiplegic Shoulder Pain

Keywords

Hemiplegia; hemiplegic shoulder pain; neurodevelopmental treatment; spasticity; stroke

Outcome Measures

Primary Outcomes (1)

• Change from baseline Fugl-Meyer Assessment score at 30 sessions, 6 weeks

  Upper extremity functionality, min-max: 0-66, "0" indicates no function of upper extremity, "66" indicates the highest functionality of upper extremity as possible.

  First evaluation: immediately before starting the treatment; the last evaluation: at the end of the treatment of 6 weeks

Secondary Outcomes (2)

• Change from baseline Visual Analog Scale (horizontal) value at 30 sessions, 6 weeks

  First evaluation: immediately before starting the treatment; the last evaluation: at the end of the treatment of 6 weeks

• Change from baseline modified Ashworth scale value at 30 sessions, 6 weeks

  First evaluation: immediately before starting the treatment; the last evaluation: at the end of the treatment of 6 weeks

Other Outcomes (1)

• Change from baseline Brunnstrom Motor Recovery Staging value at 30 sessions, 6 weeks

  First evaluation: immediately before starting the treatment; the last evaluation: at the end of the treatment of 6 weeks

Study Arms (2)

Bobath group

EXPERIMENTAL

A conventional physiotherapy program was applied to this group. Additionally, Bobath treatment approach was applied for 10 repetitions during a 30-min session in the experimental group, in addition to the conventional physiotherapy program.

Procedure: Bobath treatment approach; Procedure: Conventional physiotherapy

Conventional physiotherapy group

ACTIVE COMPARATOR

Only conventional physiotherapy program was applied to this group.

Procedure: Conventional physiotherapy

Interventions

Bobath treatment approach PROCEDURE

scapulothoracic mobilization exercise, reaching in different directions in the supine position and upper extremity weight transfer exercise.

Also known as: Neurodevelopmental treatment

Bobath group

Conventional physiotherapy PROCEDURE

range of motion, stretching, strengthening exercises, electrotherapy, thermotherapy, balance and mobility exercises and exercises for daily living activities.

Bobath group; Conventional physiotherapy group

Eligibility Criteria

• Age: 40 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients between the ages of 40 and 65
• Patients who had a stroke for the first time and had a disease duration of at least four weeks
• Patients who were diagnosed with ischemic or hemorrhagic stroke
• Patients who had Brunnstrom stage 3, 4 or 5 and had hemiplegic shoulder pain were included in the study.

You may not qualify if:

• Patients with severe cognitive impairment who could not understand simple verbal commands
• Those who had severe dysarthria to prevent verbal communication
• Those with unilateral neglect syndrome
• Those with loss of sensation in the upper extremity of the hemiplegic side
• Those with botulinum toxin-A injected to the hemiplegic upper extremity muscles
• Those with previous shoulder-related trauma or pain history
• Those with other accompanying neurological disease were excluded from the study.

Sponsors & Collaborators

• Istanbul Arel University: lead

Study Sites (1)

University of Health Sciences, Istanbul Physical Medicine and Rehabilitation Training and Research Hospital

Istanbul, Bahçelievler, 34186, Turkey (Türkiye)

Location

Related Publications (11)

• Huseyinsinoglu BE, Ozdincler AR, Krespi Y. Bobath Concept versus constraint-induced movement therapy to improve arm functional recovery in stroke patients: a randomized controlled trial. Clin Rehabil. 2012 Aug;26(8):705-15. doi: 10.1177/0269215511431903. Epub 2012 Jan 18.

  PMID: 22257503 BACKGROUND

• Tang QP, Yang QD, Wu YH, Wang GQ, Huang ZL, Liu ZJ, Huang XS, Zhou L, Yang PM, Fan ZY. Effects of problem-oriented willed-movement therapy on motor abilities for people with poststroke cognitive deficits. Phys Ther. 2005 Oct;85(10):1020-33.

  PMID: 16180951 BACKGROUND

• Langhammer B, Stanghelle JK. Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study. Clin Rehabil. 2000 Aug;14(4):361-9. doi: 10.1191/0269215500cr338oa.

  PMID: 10945420 BACKGROUND

• Suputtitada A, Suwanwela NC, Tumvitee S. Effectiveness of constraint-induced movement therapy in chronic stroke patients. J Med Assoc Thai. 2004 Dec;87(12):1482-90.

  PMID: 15822545 BACKGROUND

• Platz T, Eickhof C, van Kaick S, Engel U, Pinkowski C, Kalok S, Pause M. Impairment-oriented training or Bobath therapy for severe arm paresis after stroke: a single-blind, multicentre randomized controlled trial. Clin Rehabil. 2005 Oct;19(7):714-24. doi: 10.1191/0269215505cr904oa.

  PMID: 16250190 BACKGROUND

• Hafsteinsdottir TB, Kappelle J, Grypdonck MH, Algra A. Effects of Bobath-based therapy on depression, shoulder pain and health-related quality of life in patients after stroke. J Rehabil Med. 2007 Oct;39(8):627-32. doi: 10.2340/16501977-0097.

  PMID: 17896054 BACKGROUND

• Fazekas G, Horvath M, Troznai T, Toth A. Robot-mediated upper limb physiotherapy for patients with spastic hemiparesis: a preliminary study. J Rehabil Med. 2007 Sep;39(7):580-2. doi: 10.2340/16501977-0087.

  PMID: 17724559 BACKGROUND

• van Vliet PM, Lincoln NB, Foxall A. Comparison of Bobath based and movement science based treatment for stroke: a randomised controlled trial. J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):503-8. doi: 10.1136/jnnp.2004.040436.

  PMID: 15774435 BACKGROUND

• van der Lee JH, Wagenaar RC, Lankhorst GJ, Vogelaar TW, Deville WL, Bouter LM. Forced use of the upper extremity in chronic stroke patients: results from a single-blind randomized clinical trial. Stroke. 1999 Nov;30(11):2369-75. doi: 10.1161/01.str.30.11.2369.

  PMID: 10548673 BACKGROUND

• Arya KN, Verma R, Garg RK, Sharma VP, Agarwal M, Aggarwal GG. Meaningful task-specific training (MTST) for stroke rehabilitation: a randomized controlled trial. Top Stroke Rehabil. 2012 May-Jun;19(3):193-211. doi: 10.1310/tsr1903-193.

  PMID: 22668675 BACKGROUND

• 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. doi: 10.1191/0269215505cr850oa.

  PMID: 15759530 BACKGROUND

MeSH Terms

Conditions

Hemiplegia; Muscle Spasticity; Stroke

Condition Hierarchy (Ancestors)

Paralysis; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Muscular Diseases; Musculoskeletal Diseases; Muscle Hypertonia; Neuromuscular Manifestations; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• NAZLI GÜNGÖR, PT,MSc

  Istanbul Arel University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: SINGLE-BLIND TRIAL The patients were blinded to their group allocation.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant, Department of Physiotherapy and Rehabilitation, Health Sciences School

Model Details: A PROSPECTIVE, RANDOMIZED, CONTROLLED AND SINGLE-BLIND TRIAL

Study Record Dates

• First Submitted: February 19, 2021
• First Posted: February 24, 2021
• Study Start: August 10, 2019
• Primary Completion: March 17, 2020
• Study Completion: June 12, 2020
• Last Updated: February 24, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)