title: The influence of NDT-Bobath and PNF methods on the field support and total path length measure foot pressure (COP) in patients after stroke.
abstract: In stroke patients, the NDT - (Bobath - Neurodevelopmental Treatment) and PNF (Proprioceptive Neuromuscular Facilitation) methods are used to achieve the main objective of rehabilitation, which aims at the restoration of maximum patient independence in the shortest possible period of time (especially the balance of the body). The aim of the study is to evaluate the effect of the NDT-Bobath and PNF methods on the field support and total path length measure foot pressure (COP) in patients after stroke. The study included 72 patients aged from 20 to 69 years after ischemic stroke with Hemiparesis. The patients were divided into 4 groups by a simple randomization. The criteria for this division were: the body side (right or left) affected by paresis and the applied rehabilitation methods. All the patients were applied the recommended kinesitherapeutic method (randomized), 35 therapy sessions, every day for a period of six weeks. Before initiation of therapy and after 6 weeks was measured the total area of the support and path length (COP (Center Of Pressure) measure foot pressure) using stabilometer platform - alpha. The results were statistically analyzed. After treatment studied traits decreased in all groups. The greatest improvement was obtained in groups with NDT-Bobath therapy. NDT-Bobath method for improving the balance of the body is a more effective method of treatment in comparison with of the PNF method. In stroke patients, the effectiveness of NDT-Bobath method does not depend on hand paresis.
authors: Physiotherapy Laboratory, Department of Physical Medicine, Medical University of Lodz, Lodz, Poland; Faculty of Pedagogy and Health Promotion, Some College of Informatics and Skills of Lodz, Lodz, Poland. Electronic address: jolanta.krukowska@umed.lodz.pl.
authors: Jolanta
authors: J
authors: Krukowska
authors: Department of Rehabilitation, Medical University of Lodz, Lodz, Poland. Electronic address: m.bugajski83@gmail.com.
authors: Marcin
authors: M
authors: Bugajski
authors: Department of Allergology and Respiratory Rehabilitation, Medical University of Lodz, Lodz, Poland. Electronic address: monika.sienkiewicz@umed.lodz.pl.
authors: Monika
authors: M
authors: Sienkiewicz
authors: Physiotherapy Laboratory, Department of Physical Medicine, Medical University of Lodz, Lodz, Poland. Electronic address: jan.czernicki@umed.lodz.pl.
authors: Jan
authors: J
authors: Czernicki
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005528:Foot; D006801:Humans; D008297:Male; D008875:Middle Aged; D052580:Muscle Stretching Exercises / Q000379:methods*; D010291:Paresis / Q000534:rehabilitation*; D004856:Postural Balance; D011312:Pressure; D020521:Stroke; D000071939:Stroke Rehabilitation / Q000379:methods*; D055815:Young Adult
keywords: Bobath – neurodevelopmental treatment; Proprioceptive neuromuscular facilitation; Stability; Stroke