Clinical trial NCT04816929: The Effects of Bobath Method and Task-Oriented Approach in Stroke Patients
Official title: Investigation of Effects of Bobath Method and Task-Oriented Approach on Architectural Features and Activation of Trunk Muscles and Functional Performance in Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Keywords: Stroke
Cerebrovascular Disorders
Trunk
Muscle Thickness
Ultrasonography
Muscle Activation
Electromyography
Gait
Balance
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2021-03-25
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Trunk impairment and asymmetry that occur after stroke negatively affect many functional activities in the daily lives of patients. There are different neurophysiological approaches such as Bobath method and task-oriented approach used in post-stroke rehabilitation programs in the literature. However, there are not many studies that comprehensively evaluate and compare the effects of these neurophysiological approaches on trunk muscles, balance and gait in stroke patients. The aim of this study is to examine and compare the effects of Bobath method and task-oriented approach on architectural features and activation of trunk muscles and functional performance in stroke patients. In addition, this study will demonstrate with muscle thickness and activation the asymmetry that may occur between the hemiparetic and non-paretic trunk muscles of stroke patients, and will allow examining the effects of these features on functional performance. This study was planned to include two treatment groups. The Bobath group will receive Bobath based trunk, balance and walking exercises, while the task-oriented group will receive exercises for oriented task. Trunk impairment, motor functions, thickness and activation of trunk muscles, spatio-temporal parameters of gait, balance and goal attainment will be assessed before and after 8 weeks treatment program. As a result; effectiveness of Bobath method and task-oriented approach will be compared and relationship between muscle thickness, activation and functional performance will be examined.


Eligibility criteria: Inclusion Criteria:

* Unilateral stroke for more than 3 months
* Being over the age of 18
* Having trunk impairment (not having full points in the Trunk Impairment Scale)
* Being able to walk without support or with walking aid.

Exclusion Criteria:

* Having recurrent stroke
* Having an orthopedic or neurological disorders other than stroke that may affect motor performance
* Having a cognitive problem (Not having Mini Mental State Examination score ≥ 24)

Primary outcomes:
measure: Evaluation of Muscle Thickness with Ultrasonography
timeFrame: change from baseline in muscle thickness of trunk muscles at 8 weeks
measure: Evaluation of Muscle Activation with Superficial Electromyography
timeFrame: change from baseline in muscle activation of trunk muscles at 8 weeks
measure: Evaluation of Spatio-Temporal Parameters of Gait with GAITRite Analysis System
timeFrame: change from baseline in spatio-temporal parameters of gait at 8 weeks
measure: Evaluation of Balance
timeFrame: change from baseline in balance at 8 weeks
Secondary outcomes:
measure: Trunk Impairment Scale
timeFrame: change from baseline in trunk performance at 8 weeks
measure: Stroke Rehabilitation Assessment of Movement
timeFrame: change from baseline in motor function at 8 weeks
measure: Goal Attainment Scaling
timeFrame: change in satisfaction regarding how to reach the goals related exercise therapy at 8 weeks
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University, Faculty of Physical Therapy and Rehabilitation
state: Altındağ
Study officials:
References: