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Physiotherapy Research International

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Institución detectada Período Navegá Descargá Solicitá
No detectada desde ene. 1996 / hasta dic. 2023 Wiley Online Library

Información

Tipo de recurso:

revistas

ISSN impreso

1358-2267

ISSN electrónico

1471-2865

Editor responsable

John Wiley & Sons, Inc. (WILEY)

País de edición

Estados Unidos

Fecha de publicación

Cobertura temática

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Developing a revised definition of the Bobath concept

Julie Vaughan‐GrahamORCID; Cheryl Cott; Ann Holland; Marc Michielsen; Alba Magri; Mitsuo Suzuki; Dina Brooks

<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>This study was developed as a consensus‐building exercise within the International Bobath Instructors Training Association (IBITA) to develop a revised definition of the Bobath concept.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A three‐phase design utilizing (a) focus groups, (b) survey methods, and, (c) real‐time Delphi. This paper details Phase 1 and 2.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Forty IBITA members participated in five focus groups. Eight broad themes were developed from the focus groups from which the survey statements were developed. There was a high level of agreement on all nine survey statements identifying overarching constructs and on 12 of the 13 statements identifying unique aspects of Bobath clinical practice. Lower scores were attributed to lack of understanding of the term humanistic, Bobath clinical practice addressing multiple domains such as impairments, activities, and participation and limited agreement on the description of the term “placing.”</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Focus groups and a web‐based survey were successful in soliciting the opinions of IBITA members on themes and statements of importance for the development of a revised Bobath definition. The results of Phase 1 and 2 will inform Phase 3, a real‐time Delphi, to gain consensus within IBITA on statements on which a revised Bobath definition is to be based.</jats:p></jats:sec>

Palabras clave: Physical Therapy, Sports Therapy and Rehabilitation.

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Association between balance recovery during inpatient rehabilitation and gait without physical assistance in severe subacute post‐stroke patients

Gath CFORCID; Gianella MG; Bonamico L; Russo MJ

<jats:title>Abstract</jats:title><jats:sec><jats:title>Background and Purpose</jats:title><jats:p>Studies that analyze gait without physical assistance recovery post‐stroke are scarce. There are few of the studies that analyze longitudinally the recovery of balance during the subacute post‐stroke inpatient rehabilitation. The aim of the study was to analyze the association between balance recovery during subacute stroke inpatient rehabilitation and gait without physical assistance achievement. Secondarily, to analyze the association between balance at admission of inpatient rehabilitation and gait without physical assistance achievement.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>An observational, longitudinal, and retrospective cohort study was conducted. Subacute stroke subjects with an admission Berg Balance Scale below or equal to 4 points were included (<jats:italic>n</jats:italic> = 164). Two logistic regression models were developed. Model 1 analyzes the association between balance recovery during inpatient rehabilitation and gait without physical assistance at discharge. Model 2 analyzes the association between balance at the admission and gait without physical assistance at discharge.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Of 164 severe post‐stroke patients, 60 (36.5%) achieved gait without physical assistance. Although the two models developed a statistically significant association (<jats:italic>p</jats:italic> &lt; 0.001), Model 1 evinced better discrimination performance (Model 1: area below the curve was of 0.987 ‐CI 95%: 0.975–0.998‐ vs. Model 2: area below the curve 2 was of 0.705 ‐CI 95%: 0.789–0.601‐).</jats:p></jats:sec><jats:sec><jats:title>Discussion</jats:title><jats:p>Balance recovery during rehabilitation was strongly associated with gait without physical assistance achievement at the time of discharge in severe subacute post‐stroke patients.</jats:p></jats:sec><jats:sec><jats:title>Implications for Physiotherapy Practice</jats:title><jats:p>The longitudinal analysis of motor recovery in severe subacute post‐stroke patients may be helpful in the decision making process during inpatient rehabilitation.</jats:p></jats:sec>

Palabras clave: Physical Therapy, Sports Therapy and Rehabilitation.

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