3 research outputs found
The effects of early neurodevelopmental Bobath approach and mobilization on quadriceps muscle thickness in stroke patients
Background/aim: Following stroke, damage to the central nervous system
and adaptive changes in muscle tissue are factors responsible for the
loss of muscle strength. Even though it is suggested that early
physiotherapy and mobilization prevent structural adaptive changes in
muscle tissue, studies regarding this issue are insufficient. The aim of
this study is to investigate the effects of early physiotherapy and
mobilization on quadriceps muscle thickness (QMT) in stroke patients.
Materials and methods: Twelve stroke patients who were admitted to the
neurology intensive care unit and 13 healthy controls were included in
the study. QMT was examined at admission and discharge for each subject.
Additionally, functional extremity movements, balance, and functional
ambulation status were evaluated with the Stroke Rehabilitation
Assessment of Movement Scale (STREAM). All of the patients were
mobilized as early as possible by a physiotherapist and included in a
treatment program consisting of the neurodevelopmental Bobath approach.
Results: The patients' QMT values at admission and discharge were found
to be similar to those of the healthy control group (P > 0.05). When the
patients' QMT at the time of admission and discharge were compared, it
was seen that the affected side and the nonaffected side were similar (P
> 0.05). Additionally, when the admission and discharge results were
compared, improvements in functional extremity movements, balance, and
functional ambulation levels were observed (P < 0.05).
Conclusion: It can be seen that QMT can be preserved and functional
improvements can be provided through intense physiotherapy and
mobilization initiated in the early period following stroke