Neurodevelopmental Therapy-Bobath Approach in The Early Term of Stroke; Safe and Effective
Stroke, Acute, Ischemic Stroke
About this trial
This is an interventional treatment trial for Stroke, Acute focused on measuring Stroke, Early term, Bobath, Neurodevelopmental treatment, Rehabilitation
Eligibility Criteria
Inclusion Criteria:
- Patients older than 18 years of age
- Systolic blood pressure between 120 and 220 mmHg
- Oxygen saturation >92% (with or without O2 support)
- A heart rate of 40 to 100 beats/min
- A body temperature of <38.5°C
- A disability level of ≤4 according to the Modified Rankin Scale
- Those who could respond to verbal commands
Exclusion Criteria:
- A history of previous stroke
- Concomitant progressive neurological disturbances
- Acute coronary disease
- Severe heart failure
- Concomitant rheumatologic diseases
- A fracture or an acute orthopedic disorder that would prevent mobilization
Sites / Locations
- Gazi University Hospital, Department of Neurology
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Neurodevelopmental Therapy-Bobath group
Standart Rehabilitation Group (SR group)
Bobath Approach Principles and exercises will be performed 5 days a week with physical therapists and everyday with caregivers. Physiotherapy will be initiated as early as possible according to the principles of the method by experienced NDT-B therapists. Exercises will be implemented according to the patients' status and will be used to maintain and improve muscle strength and endurance. Both the unaffected and affected side will be included in rehabilitation. The exercises given are designed to be simple, understandable, task-oriented and repetitive, in accordance with the Bobath approach and the functional state of the patient at that time. In order to prevent motor amnesia and neglect of the affected side, correct positioning and sensory input will be provided since the first session.
Patients will be included in standard rehabilitation sessions, 5 days per week. The rehabilitation sessions will be performed by standard clinical physiotherapists according to the hospital routine. The rehabilitation program will consist of in-bed joint range of motion exercises and bedside mobilization applications. The patients will be included in the rehabilitation program as early as possible and the program will continue until the patients are discharged