Journal of Rehabilitation Research & Development (JRRD)

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Volume 50 Number 1, 2013
   Pages 133 — 140

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

Ilke Keser, PhD, PT;1* Nuray Kirdi, Prof PhD, PT;2 Aydin Meric, PhD, PT;2 Asli Tuncer Kurne, Assoc Prof MD;3 Rana Karabudak, Prof MD3
1Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University Ankara, Turkey; Departments of 2Physical Therapy and Rehabilitation, Faculty of Health Sciences, and 3Neurology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Abstract — 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 performed 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.

Key words: Berg Balance Scale, Bobath, exercise, International Cooperative Ataxia Rating Scale, multiple sclerosis, Multiple Sclerosis Functional Composite, neurorehabilitation, physiotherapy, trunk control, Trunk Impairment Scale.


View HTML  ¦  View PDF  ¦  Contents Vol. 50, No. 1
This article and any supplementary material should be cited as follows:
Keser I, Kirdi N, Meric A, Kurne AT, Karabudak R. Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study. J Rehabil Res Dev. 2013;50(1):133–40.
http://dx.doi.org/10.1682/JRRD.2011.12.0231
ResearcherID: Ilke Keser, PhD, PT: A-8715-2013
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Last Reviewed or Updated  Monday, March 11, 2013 2:11 PM

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