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2015 | 69 | 76–80
Article title

Influence of age on outcomes of Bobath-based neurorehabilitation of adults – pilot study

Title variants
Wpływ wieku na wyniki neurorehabilitacji pacjentów dorosłych opartej na Koncepcji Bobatów – badanie pilotażowe
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INTRODUCTION: Functional activity in post-stroke survivors is often impaired and has a significant negative impact on the patient, his/her family, community and society. MATERIAL AND METHODS: Pilot study – a two-group, before-and-after preliminary study was carried out to investi-gate the feasibility of conducting a larger randomized controlled trial investigation of the efficacy of Bobath-based poststroke neurorehabilitation. Patients were admitted to the neurological rehabilitation unit after ischemic stroke. Both groups (group I aged 40–55 years and group II aged 67–82 years received ten half-an-hour physiotherapy sessions over a two-week period. Measurements of the the Barthel Index, gait velocity, cadence and stride length were conducted twice: on admission, and after the last session of rehabilitation. RESULTS AND DISCUSSION: Statistically significant and favourable changes in the selected activities of daily living, gait velocity and stride length were observed in both age groups. CONCLUSIONS: This pilot study indicates a short-term benefit for using interventions based on the Bobath Concept. The findings presented suggest that Bobath-based rehabilitation may be considered an effective form of post-stroke rehabilitation in various age groups.
WSTĘP: Czynności funkcjonalne u osób po udarze są często obciążone deficytem, a przez to wpływają negatywnie na pacjenta, jego rodzinę, społeczność lokalną i całe społeczeństwo. MATERIAŁ I METODY: Badanie pilotażowe – ocena pacjentów przed i po terapii. Pacjenci po udarze niedokrwiennym mózgu zostali przyjęci na oddział rehabilitacji neurologicznej. Obie grupy (grupa I: 42–55 lat oraz grupa II: 67–82 lata) otrzymały 10 półgodzinnych sesji terapeutycznych w ciągu dwóch tygodni. Pomiar wskaźnika Barthel, prędkości chodu, tempa chodu oraz cyklu chodu został przeprowadzony dwukrotnie: przy przyjęciu oraz po zakończeniu rehabilitacji. WYNIKI: W obu grupach zostały zaobserwowane statystycznie znaczące pozytywne zmiany wybranych czynności codziennego życia, prędkości chodu oraz długości dwukroku. WNIOSKI: Badanie pilotażowe wskazuje krótkoterminowe korzyści wynikające z wykorzystania terapii opartej na koncepcji Bobath. Wyniki sugerują, że terapia taka może być wykorzystana jako efektywny sposób rehabilitacji poudarowej w różnych grupach wiekowych.

Physical description
  • Rehabilitation Clinic, The 10th Military Clinical Hospital with Polyclinic in Bydgoszcz, Poland Disorders of Consciousness Research and Neurorehabilitation Unit, Neurocognitive Laboratory, Centre for Modern Interdisciplinary Technologies, Nicolaus Copernicus University, Toruń, Poland, ul. Jagiellońska 36B/11 85-074 Bydgoszcz, tel. +48 607 889 909,
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