Background: Bobath method was initially applied in adults and then in children with cerebral palsy. Studies conducted in recent years have shown that the NDT-Bobath method improves function and mobility among persons ...Background: Bobath method was initially applied in adults and then in children with cerebral palsy. Studies conducted in recent years have shown that the NDT-Bobath method improves function and mobility among persons with Multiple Sclerosis (MS) and Hemiplegia. Purpose: The purpose of the present study was to investigate the effect of NDT-Bobath method in the mobility of patients with neurological disorders (hemiplegia, multiple sclerosis), as evaluated using the TUG, BBS, TMT, and MAS tests. Methods: The study included 20 persons with neurological disorders (11 persons with multiple sclerosis and 9 persons with hemiplegia). The mean age of the participants was 38.7 ± 13.9 years and mean body mass was 65.1 ± 13.1 kg. The participants in the two groups Low Frequency (LF) and High Frequency (HF) followed two different intervention Bobath-NDT programs in terms of frequency. For the statistical analysis a two-way repeated measures analysis of variance (ANOVA) was performed. Results: Bobath-NDT method improves both mobility and functionality of patients with neurological disorders (BBS, p = 0.095 and Tinetti test, p = 0.099) but did not improve spasticity according to the results of MAS scale, p = 0.095. Conclusions: Overall, the results of the present investigation provided considerable evidence suggesting that Bobath-NDT method improves mobility according to the tests (BBS, TMT), but did not improve spasticity according to the results of MAS scale. Therefore, it was concluded that Bobath-NDT method improves both mobility and functionality of patients with neurological disorders. More researches will have to be done in the future.展开更多
Background: In recent years, many tests have been developed to evaluate the mobility and functional capacity of people with neurological disorders (Hemiplegia, MS). The purpose of this study was to test the reliabilit...Background: In recent years, many tests have been developed to evaluate the mobility and functional capacity of people with neurological disorders (Hemiplegia, MS). The purpose of this study was to test the reliability and additionally to determine the measurement error of Modified Ashworth Scale and BBS in adults with neurological disorders (hemiplegia, MS). Methods: In the study of tests 20 adults (11 with multiple sclerosis and 9 with hemiplegia) who were retrospectively registered, participated. The average age of adults was 38.7 ± 13.9 years old and their average body mass was 65.1 ± 13.1 kgr. The Greek version of the tests and a Nikon 5300 digital camera for video recording were used for data collection. ICC was calculated, by means of a two-way ANOVA model. Results: The results showed that there were no statistically significant differences between the two independent evaluators and that the BBS (ICC > 0.989) had strong reliability. The reliability of Modified Ashworth Scale has been found to be average: K = 0.502, (p Conclusions: Overall, the results of the present investigation provided considerable evidence suggesting that the test BBS and MAS are reliable and can be used to evaluate kinetic and balance disorders. Therefore, it was concluded that the tests should be applied in order to reliably estimate the mobility and functional ability of adults with neurological disorders. More research shall be carried out in the future on other patients in order to evaluate the reliability of the above tests.展开更多
文摘Background: Bobath method was initially applied in adults and then in children with cerebral palsy. Studies conducted in recent years have shown that the NDT-Bobath method improves function and mobility among persons with Multiple Sclerosis (MS) and Hemiplegia. Purpose: The purpose of the present study was to investigate the effect of NDT-Bobath method in the mobility of patients with neurological disorders (hemiplegia, multiple sclerosis), as evaluated using the TUG, BBS, TMT, and MAS tests. Methods: The study included 20 persons with neurological disorders (11 persons with multiple sclerosis and 9 persons with hemiplegia). The mean age of the participants was 38.7 ± 13.9 years and mean body mass was 65.1 ± 13.1 kg. The participants in the two groups Low Frequency (LF) and High Frequency (HF) followed two different intervention Bobath-NDT programs in terms of frequency. For the statistical analysis a two-way repeated measures analysis of variance (ANOVA) was performed. Results: Bobath-NDT method improves both mobility and functionality of patients with neurological disorders (BBS, p = 0.095 and Tinetti test, p = 0.099) but did not improve spasticity according to the results of MAS scale, p = 0.095. Conclusions: Overall, the results of the present investigation provided considerable evidence suggesting that Bobath-NDT method improves mobility according to the tests (BBS, TMT), but did not improve spasticity according to the results of MAS scale. Therefore, it was concluded that Bobath-NDT method improves both mobility and functionality of patients with neurological disorders. More researches will have to be done in the future.
文摘Background: In recent years, many tests have been developed to evaluate the mobility and functional capacity of people with neurological disorders (Hemiplegia, MS). The purpose of this study was to test the reliability and additionally to determine the measurement error of Modified Ashworth Scale and BBS in adults with neurological disorders (hemiplegia, MS). Methods: In the study of tests 20 adults (11 with multiple sclerosis and 9 with hemiplegia) who were retrospectively registered, participated. The average age of adults was 38.7 ± 13.9 years old and their average body mass was 65.1 ± 13.1 kgr. The Greek version of the tests and a Nikon 5300 digital camera for video recording were used for data collection. ICC was calculated, by means of a two-way ANOVA model. Results: The results showed that there were no statistically significant differences between the two independent evaluators and that the BBS (ICC > 0.989) had strong reliability. The reliability of Modified Ashworth Scale has been found to be average: K = 0.502, (p Conclusions: Overall, the results of the present investigation provided considerable evidence suggesting that the test BBS and MAS are reliable and can be used to evaluate kinetic and balance disorders. Therefore, it was concluded that the tests should be applied in order to reliably estimate the mobility and functional ability of adults with neurological disorders. More research shall be carried out in the future on other patients in order to evaluate the reliability of the above tests.
