The Effectiveness of the Bobath Concept in Stroke Rehabilitation | Zendy

Boudewijn J. Kollen | Zendy; Sheila Len | Zendy; Bernadette E Lyons | Zendy; Laura Wheatley-Smith | Zendy; Mark Scheper | Zendy; Jaap H. Buurke | Zendy; Jos Halfens | Zendy; Alexander C. H. Geurts | Zendy; Gert Kwakkel | Zendy

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The Effectiveness of the Bobath Concept in Stroke Rehabilitation

Author(s) -

Boudewijn J. Kollen,

Sheila Len,

Bernadette E Lyons,

Laura Wheatley-Smith,

Mark Scheper,

Jaap H. Buurke,

Jos Halfens,

Alexander C. H. Geurts,

Gert Kwakkel

Publication year - 2009

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.108.533828

Subject(s) - medicine , rehabilitation , physical medicine and rehabilitation , stroke (engine) , physical therapy , balance (ability) , randomized controlled trial , quality of life (healthcare) , sitting , medline , pooling , artificial intelligence , computer science , mechanical engineering , surgery , nursing , pathology , political science , law , engineering

In the Western world, the Bobath Concept or neurodevelopmental treatment is the most popular treatment approach used in stroke rehabilitation, yet the superiority of the Bobath Concept as the optimal type of treatment has not been established. This systematic review of randomized, controlled trials aimed to evaluate the available evidence for the effectiveness of the Bobath Concept in stroke rehabilitation. Method- A systematic literature search was conducted in the bibliographic databases MEDLINE and CENTRAL (March 2008) and by screening the references of selected publications (including reviews). Studies in which the effects of the Bobath Concept were investigated were classified into the following domains: sensorimotor control of upper and lower limb; sitting and standing, balance control, and dexterity; mobility; activities of daily living; health-related quality of life; and cost-effectiveness. Due to methodological heterogeneity within the selected studies, statistical pooling was not considered. Two independent researchers rated all retrieved literature according to the Physiotherapy Evidence Database (PEDro) scale from which a best evidence synthesis was derived to determine the strength of the evidence for both effectiveness of the Bobath Concept and for its superiority over other approaches.

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