Journals / Turkish Journal of Medical Sciences / 2019 / Cilt: 49 - Sayı: 1

The effects of early neurodevelopmental Bobath approach and mobilization on quadriceps muscle thickness in stroke patients

Pages
318–326
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Additionally, when the admission and discharge results were compared, improvements in functionalextremity 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 physiotherapyand mobilization initiated in the early period following stroke.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background/aim: Following stroke, damage to the central nervous system and adaptive changes in muscle tissue are factors responsiblefor the loss of muscle strength.
📊
Key Findings & Data:The aim of this study is to investigate the effects of early physiotherapy andmobilization 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 wereincluded in the study.
💡
Conclusion & Impact:Additionally, when the admission and discharge results were compared, improvements in functionalextremity 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 physiotherapyand mobilization initiated in the early period following stroke.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/aim: Following stroke, damage to the central nervous system and adaptive changes in muscle tissue are factors responsiblefor the loss of muscle strength. Even though it is suggested that early physiotherapy and mobilization prevent structural adaptive changesin muscle tissue, studies regarding this issue are insufficient. The aim of this study is to investigate the effects of early physiotherapy andmobilization 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 wereincluded 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 theneurodevelopmental 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 nonaffectedside were similar (P > 0.05). Additionally, when the admission and discharge results were compared, improvements in functionalextremity 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 physiotherapyand mobilization initiated in the early period following stroke.

🔖

Cite This Article

YAZICI, G., NAZLIEL, B., ÇAĞLAYAN, H. Z. B., ÖZKUL, Ç., GÜNDÜ, A. G., KÜÇÜK, H. (2022). The effects of early neurodevelopmental Bobath approach and mobilization on quadriceps muscle thickness in stroke patients. Turkish Journal of Medical Sciences, Cilt: 49 - Sayı: 1, 318–326. https://ajindex.com/articles/609962

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Kelly-Hayes M, Beiser A, Kase CS, Scaramucci A, D’Agostino RB, Wolf PA. The influence of gender and age on disability following ischemic stroke: the Framingham study. J Stroke Cerebrovasc Dis 2003; 12: 119-126
  2. Arasaki K, Igarashi O, Ichikawa Y, Machida T, Shirozu I, Hyodo A, Ushijima R. Reduction in the motor unit number estimate (MUNE) after cerebral infarction. Suppl Clin Neurophysiol 2009; 60: 189-195
  3. English C, McLennan H, Thoirs K, Coates A, Bernhardt J. Loss of skeletal muscle mass after stroke: a systematic review. Int J Stroke 2010; 5: 395-402
  4. De Deyne PG, Hafer-Macko CE, Ivey FM, Ryan AS, Macko RF. Muscle molecular phenotype after stroke is associated with gait speed. Muscle Nerve 2004; 30: 209-215
  5. Bernhardt J, Dewey H, Thrift A, Donnan G. Inactive and alone: physical activity within the first 14 days of acute stroke unit care. Stroke 2004; 35: 1005-1009
  6. Kortebein P, Ferrando A, Lombeida J, Wolfe R, Evans WJ. Effect of 10 days of bed rest on skeletal muscle in healthy older adults. JAMA 2007; 297: 1772-1774
  7. Carin-Levy G, Greig C, Young A, Lewis S, Hannan J, Mead G. Longitudinal changes in muscle strength and mass after acute stroke. Cerebrovasc Dis 2006; 21: 201-207
  8. Jørgensen L, Jacobsen BK. Changes in muscle mass, fat mass, and bone mineral content in the legs after stroke: a 1 year prospective study. Bone 2001; 28: 655-659
  9. Scherbakov N, Von Haehling S, Anker SD, Dirnagl U, Doehner W. Stroke induced sarcopenia: Muscle wasting and disability after stroke. Int J Cardiol 2013; 170: 84-94
  10. Dee M, Lennon O, O’Sullivan C. A systematic review of physical rehabilitation interventions for stroke in low and lower-middle income countries. Disabil Rehabil 2018; 3: 1-29
  11. Winstein CJ, Stein J, Arena R, Bates B, Cherney LR, Cramer SC, Deruyter F, Eng JJ, Fisher B, Harvey RL et al. American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research. Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke 2016; 47: e98-e169
  12. Bindawas SM, Vennu V, Moftah E. Improved functions and reduced length of stay after inpatient rehabilitation programs in older adults with stroke: a systematic review and meta-analysis of randomized controlled trials. Neurorehabilitation 2017; 40: 369-390
  13. Nozoe M, Kanai M, Ku