Effects of Bobath Stretching Approach Prior to Modified Constraint-Induced Movement Therapy in Post-Stroke Patients: A Pilot Study | ||
| International Physical Therapy Conference - Cairo University | ||
| Volume 3, Issue 1 - Serial Number 20241, 2025, Pages 368-385 PDF (271.78 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/iptccu.2024.457151 | ||
| Authors | ||
| Maram I Ali Ibrahim* 1; Soheir S Rezkallah Samaan2 | ||
| 1Student of physiotherapy/Faculty of Physical Therapy/Cairo University | ||
| 2Professor of physical therapy/Basic science department/Faculty of Physical Therapy/Cairo University | ||
| Abstract | ||
| This pilot study examines the combined effects of modified Constraint-Induced Movement Therapy (mCIMT) and Bobath stretching on functional outcomes in chronic stroke patients [1]. Six male participants were divided into experimental and control groups. The experimental group underwent daily sessions of Bobath stretching followed by one hour of mCIMT for three weeks, alongside daily mitt wear, while the control group received standard care. Functional Independence Measure (FIM), Range of Motion (ROM), and Box and Block Test (BBT) were used to assess outcomes pre- and post-intervention. Statistical analysis showed no significant differences between groups at baseline (p = 0.691), indicating similar initial conditions [1, Table 1]. However, significant improvements were observed over time across both groups (p = 0.001), with substantial gains in ROM and FIM scores [1, Table 2]. The interaction effect between group and time was not significant (p = 0.144), suggesting comparable improvements between groups [1, Table 3]. These findings suggest that integrating Bobath stretching with mCIMT may effectively enhance motor function in chronic stroke patients [1, Table 2, Table 3]. Further research with larger sample sizes and extended intervention periods is recommended to confirm these preliminary results and optimize therapeutic approaches for stroke rehabilitation [1]. Purpose: The primary goal of this pilot study was to outline the methods and processes used in developing and implementing a treatment protocol that combines Bobath stretching approach with modified constraint-induced movement therapy (mCIMT). Additionally, the study seeks to assess the short-term effects of initial Bobath stretching approach on muscle dexterity, range of motion, and the ability to perform daily tasks independently in chronic stroke patients before starting mCIMT | ||
| Keywords | ||
| Bobath stretching; Modified Constraint-Induced Movement Therapy; Functional Independence Measure; Stroke rehabilitation; Upper extremity function | ||
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