Abstract
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.
Highlights
The Neurodevelopmental treatment (Bobath-neurodevelopmental treatment” (NDT)) method is a physical therapy technique for the treatment and rehabilitation of people with motor difficulties due to acquired neurological conditions and other neurological conditions such as Cerebral Palsy
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 Modify Asworth Scale (MAS) scale, p = 0.095
Overall, the results of the present investigation provided considerable evidence suggesting that Bobath-NDT method improves mobility according to the tests (BBS, Tinetti Mobility Test (TMT)), but did not improve spasticity according to the results of MAS scale
Summary
The Neurodevelopmental treatment (Bobath-NDT) method is a physical therapy technique for the treatment and rehabilitation of people with motor difficulties due to acquired neurological conditions (such as Stroke, Brain Injuries, Multiple Sclerosis, Spinal cord injuries) and other neurological conditions such as Cerebral Palsy. In the Bobath-NDT approach, controlling the normal alignment of the joints is the basis on which patients start developing their skills Patients undergoing this treatment usually learn how to control their postures and movements, and the tasks they perform. 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. 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. More researches will have to be done in the future
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