Type of Article : Original Research

Year: 2015 | Volume 3 | Issue 2 | Page No. 912-918

Date of Publication: 28-02-2015

DOI: 10.16965/ijpr.2015.102

A STUDY ON THE EFFECTIVENESS OF BOBATH APPROACH VERSUS CONSTRAINT INDUCED MOVEMENT THERAPY (CIMT) TO IMPROVE THE ARM MOTOR FUNCTION AND THE HAND DEXTERITY FUNCTION IN POST STROKE PATIENTS  

Bushra Rehman ¹, Praveen Rawat ², Vaibhav Agarwal * ³, Shiv Kumar Verma ³.  

¹Physiotherapist, Max Hospital, Dehradun, India.
² Assistant Lecturer, Physiotherapy Department, Swami Rama Himalayan University, HIMS, Jolly Grant , Dehradun, India.
^*3,4 Lecturer Physiotherapy Department Swami Rama Himalayan University, HIMS, Jolly Grant, Dehradun, India.

Corresponding author: Vaibhav Agarwal, Lecturer Physiotherapy Department Swami Rama Himalayan University, HIMS, Jolly Grant, Dehradun, India.
E-Mail: vaibhavagarwalphysio@yahoo.co.in

Abstract:

Objective: To compare the effects of the Bobath Therapy and Constraint-Induced Movement Therapy on arm motor function and hand dexterity function among stroke patients with a high level of function on the affected side.
Materials and Methods:  Study has conducted at the Outpatient physiotherapy department of a stroke unit. With a total of 30 patients were conveniently recruited and then randomized to Bobath Concept group and constraint-induced movement therapy group. Intervention included were the Bobath Concept group was treated for 1.5 hours per day during 5 consecutive weekdays for 4 weeks whereas the constraint-induced movement therapy group received training for 2 hours per day during 5 consecutive weekdays for 3 weeks. Outcome measures by the Wolf Motor Function Test, and Jebsen Taylor Hand Function Test.
Results: The two groups were found to be homogeneous based on demographic variables and baseline measurements. There were no significant differences in Wolf Motor Function Test at post test (p = 0.861) and at follow up (p = 0.395). There is a significant improvement in JTHFT in both the groups with sight better improvement in group B (except writing components post test p=0.752and checkers at post test p=0.197 and follow up p=0.167)) as compared to Group A.
Conclusions: Bobath therapy and the Constraint-induced movement therapy have similar efficiencies in improving arm motor function in the paretic arm among stroke patients with a high level of function. Constraint-induced movement therapy seems to be slightly more efficient than the Bobath Concept in improving hand dexterity function.
KEYWORDS: Stroke, Rehabilitation, Learned Nonuse, Bobath Therapy, Upper Extremity, Arm, Dexterity Function, Gross Arm Motor Functions.

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Bushra Rehman, Praveen Rawat, Vaibhav Agarwal, Shiv Kumar Verma. A STUDY ON THE EFFECTIVENESS OF BOBATH APPROACH VERSUS CONSTRAINT INDUCED MOVEMENT THERAPY (CIMT) TO IMPROVE THE ARM MOTOR FUNCTION AND THE HAND DEXTERITY FUNCTION IN POST STROKE PATIENTS. Int J Physiother Res 2015;3(2):912-918. DOI: 10.16965/ijpr.2015.102