国际神经康复杂志

A Study on Efficacy of Bobath Technique and Motor Relearning Programme on Functional Activities in Hemiplegic Patients

Abstract

Bhojan Kannabiran*, Cathrine S, Ramasamy Nagarani, Raja Senthil K and Shankar Sahayaraj M

Objective: To compare the efficacy of Motor Relearning Programme and Bobath technique with Motor Relearning Programme in improving functional activities among hemiplegic patients. Design: Two group experimental studies designed with pre-test and post-test.

Background: The primary goal of strokeil rehabitation is functional enhancement by maximizing the independence, life style and dignity of the patient. A new development for stroke treatment in specialized and well organized manner generated by different neurological treatment approaches includes Bobath technique and Motor Relearning Programme. There has been less research explaining about the importance of Bobath technique for improvement in functional activities. Bobath technique with MRP still remains to be optimized and lacks the much needed standardization. In this study comparison of the efficacy of MRP and Bobath technique with MRP in improving functional activities among hemiplegic patients was done.

Method: Thirty subjects aged 40 to 55 years with stroke under Brunnstorm recovery stage II were selected under purposive sampling technique and assigned into two groups with 15 subjects each, one group received Motor Relearning Programme and the other group received Bobath technique with Motor Relearning Programme for a period of 4 weeks.

Outcome measure: The Functional Independence Measure scale was used to evaluate functional activities (ADL). Intervention values for self-care and transfer activities were measured before and after treatment.

Results: Statistical analysis done by using student ‘t’ test and independent ‘t’ test showed that there was significant improvement in subjects who received Bobath technique with Motor Relearning Programme.

Conclusion: Bobath technique with Motor Relearning Programme shows significant improvement in functional activities than Motor Relearning Programme.