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    re: Bobath

    There are now are number of studies that have examined the use of the Wikipedia reference-linkBobath method in stroke rehabilitation. Most of the studies examine how effective the method is in relation to functional activities, although some also address issues such as effect on dexterity and sensori-motor control which may be what you are interested in. The method has mainly been compared against other methods rather than as a control

    Overall the results are disappointing. The Bobath method has not been shown to be more effective than any other method. That is not to say that it is worse than other methods although in some cases more intensive task oriented approaches appear more effective. One is exception is that the method might be more effective in improving balance but the effect size is very small.

    There is a good recent review which you can obtain from the journal Stroke:

    PEDro - Detailed Search Results

    You can find articles that look at individual studies from this review. Here is the summary of the results:

    Results—The search strategy initially identified 2263 studies. After selection based on predetermined criteria, finally, 16 studies
    involving 813 patients with stroke were included for further analysis. There was no evidence of superiority of Bobath on sensorimotor control of upper and lower limb, dexterity, mobility, activities of daily living, health-related quality of life, and cost-effectiveness. Only limited evidence was found for balance control in favour of Bobath. Because of the limited evidence available, no best evidence synthesis was applied for the health-related quality-of-life domain and cost-effectiveness.
    Conclusions—This systematic review confirms that overall the Bobath Concept is not superior to other approaches. Based on best evidence synthesis, no evidence is available for the superiority of any approach. This review has highlighted many methodological shortcomings in the studies reviewed; further high-quality trials need to be published. Evidence-based guidelines rather than therapist preference should serve as a framework from which therapists should derive the most effective treatment.



  2. The Following User Says Thank You to gcoe For This Useful Post:

    Bobath

    physiobob (18-09-2011)


 

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