Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study

KESER İ., Kirdi N., Meric A., Kurne A. T., KARABUDAK R.

JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT, cilt.50, sa.1, ss.133-140, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 50 Sayı: 1
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1682/jrrd.2011.12.0231
  • Dergi Adı: JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Sayfa Sayıları: ss.133-140
  • Anahtar Kelimeler: Berg Balance Scale, Bobath, exercise, International Cooperative Ataxia Rating Scale, multiple sclerosis, Multiple Sclerosis Functional Composite, neurorehabilitation, physiotherapy, trunk control, Trunk Impairment Scale, ATAXIA RATING-SCALE, QUALITY-OF-LIFE, BALANCE DISORDERS, RELIABILITY, VALIDITY, CONTRACTION, PEOPLE, MOTION
  • Gazi Üniversitesi Adresli: Evet

Özet

This study compared trunk exercises based on the Bobath concept with routine neurorehabilitation approaches in multiple sclerosis (MS). Bobath and routine neurorehabilitation exercises groups were evaluated. MS cases were divided into two groups. Both groups joined a 3 d/wk rehabilitation program for 8 wk. The experimental group perfolined trunk exercises based on the Bobath concept, and the control group performed routine neurorehabilitation exercises. Additionally, both groups performed balance and coordination exercises. All patients were evaluated with the Trunk Impairment Scale (TIS), Berg Balance Scale (BBS), International Cooperative Ataxia Rating Scale (ICARS), and Multiple Sclerosis Functional Composite (MSFC) before and after the physiotherapy program. In group analysis, TIS, BBS, ICARS, and MSFC scores and strength of abdominal muscles were significantly different after treatment in both groups (p < 0.05). When the groups were compared, no significant differences were found in any parameters (p > 0.05). Although trunk exercises based on the Bobath concept are rarely applied in MS rehabilitation, the results of this study show that they are as effective as routine neurorehabilitation exercises. Therefore, trunk exercises based on the Bobath concept can be beneficial in MS rehabilitation programs.