Study Results
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Basic Information
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COMPLETED
NA
30 participants
INTERVENTIONAL
2019-08-10
2020-06-12
Brief Summary
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Detailed Description
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Patients and Methods: For this prospective, randomized, controlled and single-blind trial, 30 stroke patients aged 40-65 years with hemiplegic shoulder pain were included. Patients were divided into two groups and randomized into these groups. Only conventional physiotherapy was applied to the control group, whereas both conventional physiotherapy and Bobath exercises were also applied to the experimental group. Visual analog scale (horizontal) for shoulder pain, modified Ashworth scale for spasticity and Fugl-Meyer assessment of the upper extremity for functionality were used for both pre-test and post-test.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Bobath group
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.
Bobath treatment approach
scapulothoracic mobilization exercise, reaching in different directions in the supine position and upper extremity weight transfer exercise.
Conventional physiotherapy
range of motion, stretching, strengthening exercises, electrotherapy, thermotherapy, balance and mobility exercises and exercises for daily living activities.
Conventional physiotherapy group
Only conventional physiotherapy program was applied to this group.
Conventional physiotherapy
range of motion, stretching, strengthening exercises, electrotherapy, thermotherapy, balance and mobility exercises and exercises for daily living activities.
Interventions
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Bobath treatment approach
scapulothoracic mobilization exercise, reaching in different directions in the supine position and upper extremity weight transfer exercise.
Conventional physiotherapy
range of motion, stretching, strengthening exercises, electrotherapy, thermotherapy, balance and mobility exercises and exercises for daily living activities.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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.
Exclusion Criteria
* 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.
40 Years
65 Years
ALL
No
Sponsors
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Istanbul Arel University
OTHER
Responsible Party
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NAZLI GÜNGÖR
Research Assistant, Department of Physiotherapy and Rehabilitation, Health Sciences School
Principal Investigators
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NAZLI GÜNGÖR, PT,MSc
Role: PRINCIPAL_INVESTIGATOR
Istanbul Arel University
Locations
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University of Health Sciences, Istanbul Physical Medicine and Rehabilitation Training and Research Hospital
Istanbul, Bahçelievler, Turkey (Türkiye)
Countries
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References
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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Other Identifiers
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BAHSP
Identifier Type: -
Identifier Source: org_study_id
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