Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study.


OBJECTIVE:To examine whether two different physiotherapy regimes caused any differences in outcome in rehabilitation after acute stroke. DESIGN:A double-blind study of patients with acute first-ever stroke. Sixty-one patients were consecutively included, block randomized into two groups, and stratified according to gender and hemiplegic site. Group 1 (33 patients) and group 2 (28 patients) had physiotherapy according to Motor Relearning Programme (MRP) and Bobath, respectively. The supplemental treatment did not differ in the two groups. MAIN OUTCOME MEASURES:The Motor Assessment Scale (MAS), the Sødring Motor Evaluation Scale (SMES), the Barthel ADL Index and the Nottingham Health Profile (NHP) were used. The following parameters were also registered: length of stay in the hospital, use of assistive devices for mobility, and the patient's accommodation after discharge from the hospital. RESULTS:Patients treated according to MRP stayed fewer days in hospital than those treated according to Bobath (mean 21 days versus 34 days, p = 0.008). Both groups improved in MAS and SMES, but the improvement in motor function was significantly better in the MRP group. The two groups improved in Barthel ADL Index without significant differences between the groups. However, women treated by MRP improved more in ADL than women treated by Bobath. There were no differences between the groups in the life quality test (NHP), use of assistive devices or accommodation after discharge from the hospital. CONCLUSION:The present study indicates that physiotherapy treatment using the MRP is preferable to that using the Bobath programme in the acute rehabilitation of stroke patients.


Clin Rehabil


Clinical rehabilitation


Langhammer B,Stanghelle JK




Has Abstract


2000-08-01 00:00:00












  • Why do patients decline participation in offered pulmonary rehabilitation? A qualitative study.

    abstract:OBJECTIVE:The purpose of this study is to produce insight in the explanations for declining pulmonary rehabilitation given by patients with chronic obstructive pulmonary disease. SETTING:The participants were recruited from a hospital in Denmark, among patients hospitalized due to an exacerbation of chronic obstructiv...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Mathar H,Fastholm P,Lange P,Larsen NS

    更新日期:2017-12-01 00:00:00

  • Criterion validity of lower extremity Motricity Index scores.

    abstract:OBJECTIVE:To examine the criterion validity of lower extremity Motricity Index scores. DESIGN:Retrospective cross-sectional comparison of lower extremity Motricity Index scores and hand-held dynamometer measurements obtained from 15 patients with stroke. RESULTS:For individual actions (ankle dorsiflexion, knee extens...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Cameron D,Bohannon RW

    更新日期:2000-04-01 00:00:00

  • Preoperative therapeutic exercise in frail elderly scheduled for total hip replacement: a randomized pilot trial.

    abstract:OBJECTIVE:To evaluate the feasibility and preliminary effectiveness of therapeutic exercise before total hip replacement in frail elderly. DESIGN:A single-blind, randomized clinical pilot trial. SETTING:Outpatient physiotherapy department. SUBJECTS:Frail elderly with hip osteoarthritis awaiting total hip replacement...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验


    authors: Hoogeboom TJ,Dronkers JJ,van den Ende CH,Oosting E,van Meeteren NL

    更新日期:2010-10-01 00:00:00

  • Psychometric evaluation of the Client-Centered Rehabilitation Questionnaire (CCRQ) in a large sample of German rehabilitation patients.

    abstract:OBJECTIVE:Structural analysis of the German translation of the "Client-Centered Rehabilitation Questionnaire" (CCRQ). DESIGN:Cross-sectional multicenter study. SETTING:Ten inpatient rehabilitation centers in Germany. SUBJECTS:The CCRQ was completed by patients in the ten rehabilitation centers. MAIN MEASURES:The ps...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,多中心研究


    authors: Körner M,Dangel H,Plewnia A,Haller J,Wirtz MA

    更新日期:2017-07-01 00:00:00

  • Psychometric testing of the modified Care Dependency Scale for Rehabilitation.

    abstract:OBJECTIVE:To determine the psychometric properties of the modified Care Dependency Scale for Rehabilitation. DESIGN:All patients were assessed independently by a different set of two randomly selected nurses. SETTING AND SUBJECTS:A convenience sample consisting of 1197 patients and 42 nurses was recruited in an Austr...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Eichhorn-Kissel J,Dassen T,Kottner J,Lohrmann C

    更新日期:2010-04-01 00:00:00

  • The role of meaning in life: mediating the effects of perceived knowledge of stroke on depression and life satisfaction among stroke survivors.

    abstract:OBJECTIVE:Meaning-making is a way of coping when facing adverse events. A paucity of literature suggests other possible factors (e.g. delivery of knowledge) can influence how chronic illness survivors (i.e. stroke survivors in rehabilitation) cope with illness. This article explores the importance and significance of m...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Chow EO

    更新日期:2017-12-01 00:00:00

  • The measurement properties and performance characteristics among older people of TURN180, a test of dynamic postural stability.

    abstract:OBJECTIVES:To establish the measurement properties of TURN180, a test of dynamic postural stability. DESIGN:One physiotherapist conducted three trials of TURN 180, one of which was also observed by a second therapist. SETTING:A day unit for elderly people accepting both inpatients and outpatients. SUBJECTS:Sixty-six...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Fitzpatrick C,Simpson JM,Valentine JD,Ryder S,Peacock-Edwards T,Sidnell P,Colognese M

    更新日期:2005-06-01 00:00:00

  • Assessing the concurrent validity of a gait analysis system integrated into a smart walker in older adults with gait impairments.

    abstract:OBJECTIVE:To assess the concurrent validity of a smart walker-integrated gait analysis system with the GAITRite® system for measuring spatiotemporal gait parameters in potential users of the smart walker. DESIGN:Criterion standard validation study. SETTING:Research laboratory in a geriatric hospital. PARTICIPANTS:Tw...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Werner C,Chalvatzaki G,Papageorgiou XS,Tzafestas CS,Bauer JM,Hauer K

    更新日期:2019-10-01 00:00:00

  • Six-month reviews for stroke survivors: a study of the modified Greater Manchester Stroke Assessment Tool with care home residents.

    abstract:OBJECTIVES:To explore the feasibility of using a stroke-specific toolkit for six-month post-stroke reviews in care homes to identify unmet needs and actions. DESIGN:An observational study including qualitative interviews to explore the process and outcome of reviews. SETTING:UK care homes. PARTICIPANTS:Stroke surviv...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Patchwood E,Woodward-Nutt K,Rothwell K,Perry C,Tyrrell P,Bowen A

    更新日期:2020-05-01 00:00:00

  • Comparing disability between traumatic brain injury and spinal cord injury using the 12-item WHODAS 2.0 and the WHO minimal generic data set covering functioning and health.

    abstract:OBJECTIVE::To compare disability between two patient groups using short validated tools based on International Classification of Functioning, Disability and Health (ICF). DESIGN::Cross-sectional study. SETTING::University hospital specialist outpatient clinic. SUBJECTS::A total of 94 patients with traumatic brain in...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Tarvonen-Schröder S,Tenovuo O,Kaljonen A,Laimi K

    更新日期:2018-12-01 00:00:00

  • A study of measurement properties of the Life-Space Assessment questionnaire in older adults with chronic obstructive pulmonary disease.

    abstract:OBJECTIVE:To test the measurement properties (reliability, interpretability, and validity) of the Life-Space Assessment questionnaire for older adults with chronic obstructive pulmonary disease. DESIGN:Clinimetric study. SETTING:Pneumology service, ambulatory care, São Paulo, SP, Brazil. PARTICIPANTS:Consecutive sam...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Garcia IFF,Tiuganji CT,Simões MDSMP,Lunardi AC

    更新日期:2018-10-01 00:00:00

  • Immunotherapy to reduce frequency of urinary tract infections in people with neurogenic bladder dysfunction; a pilot randomised, placebo-controlled trial.

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    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Wade DT,Cooper J,Peckham N,Belci M

    更新日期:2020-12-01 00:00:00

  • Pre- and postoperative inspiratory muscle training in patients undergoing cardiac surgery: systematic review and meta-analysis.

    abstract:OBJECTIVE:To determine the effects of pre- and postoperative inspiratory muscle training on length of postoperative hospital stay and pulmonary function in patients undergoing cardiac surgery. DESIGN AND METHODS:We conducted a systematic search using databases (MEDLINE, CINAHL, EMBASE, PEDro and the Cochrane) to find ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,meta分析,评审


    authors: Gomes Neto M,Martinez BP,Reis HF,Carvalho VO

    更新日期:2017-04-01 00:00:00

  • Training patients in Time Pressure Management, a cognitive strategy for mental slowness.

    abstract:PURPOSE:To provide clinical practitioners with a framework for teaching patients Time Pressure Management, a cognitive strategy that aims to reduce disabilities arising from mental slowness due to acquired brain injury. Time Pressure Management provides patients with compensatory strategies to deal with time pressure i...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Winkens I,Van Heugten CM,Wade DT,Fasotti L

    更新日期:2009-01-01 00:00:00

  • The Southampton Needs Assessment Questionnaire (SNAQ): a valid tool for assessing the rehabilitation needs of disabled people.

    abstract:OBJECTIVE:To validate the Southampton Needs Assessment Questionnaire (SNAQ) for use with disabled people during face-to-face interviews. DESIGN:The SNAQ was designed to be used in a cross-sectional survey of disabled people with a physical disability with a follow-up study one year later. Content and criterion validit...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Kersten P,McLellan L,George S,Smith JA

    更新日期:2000-12-01 00:00:00

  • The impact of fatigue on cognitive functioning in patients with multiple sclerosis.

    abstract:OBJECTIVE:To study the impact of physical and mental fatigue on cognitive complaints and cognitive performance in patients with multiple sclerosis. DESIGN:Cross-sectional study. SETTING:An outpatient neurology clinic. SUBJECTS:Eighty patients diagnosed with clinically definite multiple sclerosis. MEASURES:The subsc...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Bol Y,Duits AA,Hupperts RM,Verlinden I,Verhey FR

    更新日期:2010-09-01 00:00:00

  • Hypnotic imagery as a treatment for phantom limb pain: two case reports and a review.

    abstract:OBJECTIVE:To provide a theoretical background, to review existing literature and to present new case material relevant to the treatment of phantom limb pain using hypnotic imagery. METHOD:This paper presents two new case reports involving the use of hypnotic imagery procedures in the alleviation of phantom limb pain a...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,评审


    authors: Oakley DA,Whitman LG,Halligan PW

    更新日期:2002-06-01 00:00:00

  • Video game play (Dance Dance Revolution) as a potential exercise therapy in Huntington's disease: a controlled clinical trial.

    abstract:OBJECTIVE:To investigate the feasibility, acceptability, and safety of a supervised video game exercise program administered via Dance Dance Revolution in individuals with Huntington's disease. DESIGN:A cross-over, controlled, single-blinded, six-week trial. SETTING:Home-based. PARTICIPANTS:Eighteen ambulatory indiv...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Kloos AD,Fritz NE,Kostyk SK,Young GS,Kegelmeyer DA

    更新日期:2013-11-01 00:00:00

  • Prevalence and determinants of physical activity and sedentary behaviour before and up to 12 months after total knee replacement: a longitudinal cohort study.

    abstract:OBJECTIVE:This study aims to evaluate the prevalence and determinants of inadequate physical activity and excessive sedentary behaviour before and after total knee replacement. DESIGN, SETTING AND SUBJECTS:Secondary analysis was performed on data from a cohort of 422 adults (45-74 years), drawn from 12 public or priva...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Hodges A,Harmer AR,Dennis S,Nairn L,March L,Crawford R,Parker D,Fransen M

    更新日期:2018-09-01 00:00:00

  • Relationship between timed 'up and go' and gait time in an elderly orthopaedic rehabilitation population.

    abstract:OBJECTIVE:To analyse the relationship between the timed 'up and go' (TUG) and gait time in an elderly orthopaedic population, in order to determine whether additional useful information is obtained by measuring both. DESIGN:Observational study. SETTING:Jewish Rehabilitation Hospital, Laval, Quebec. SUBJECTS:Seventy-...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Freter SH,Fruchter N

    更新日期:2000-02-01 00:00:00

  • Web-based Oral Reading for Language in Aphasia (Web ORLA®): A pilot randomized control trial.

    abstract:OBJECTIVE:To investigate an intensive asynchronous computer-based treatment delivered remotely with clinician oversight to people with aphasia. DESIGN:Single-blind, randomized placebo-controlled trial. SETTING:Free-standing urban rehabilitation hospital. PARTICIPANTS:Adults with aphasia (at least six months post-ons...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Cherney LR,Lee JB,Kim KA,van Vuuren S

    更新日期:2021-01-20 00:00:00

  • Very early social support following mild stroke is associated with emotional and behavioral outcomes three months later.

    abstract:OBJECTIVE:To investigate whether social contact and support received during hospitalization for acute ischemic stroke predict depression and daily life functioning three months later. DESIGN:Prospective observational study using Ecological Momentary Assessments to evaluate the number of social contacts as well as soci...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Villain M,Sibon I,Renou P,Poli M,Swendsen J

    更新日期:2017-01-01 00:00:00

  • Capacity to make a decision about discharge destination after stroke: a pilot study.

    abstract:OBJECTIVE:To investigate the effect of cognitive problems and other factors on the capacity to make a decision about discharge destination and to compare the impressions of multidisciplinary team (MDT) members regarding capacity with a formal assessment. DESIGN:Between-subjects comparison design. SETTING:One stroke r...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Mackenzie J,Lincoln N,Newby G

    更新日期:2008-12-01 00:00:00

  • Errorless learning is superior to trial and error when learning a practical skill in rehabilitation: a randomized controlled trial.

    abstract:OBJECTIVE:Errorless learning is an effective strategy for the cognitive rehabilitation of memory impairment, but there is little evidence to support its use for skill learning. This preliminary study investigates whether errorless learning is superior to treatment as usual (trial and error), when teaching people with a...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验


    authors: Donaghey CL,McMillan TM,O'Neill B

    更新日期:2010-03-01 00:00:00

  • Performance of a mail-administered version of a stroke-specific outcome measure, the Stroke Impact Scale.

    abstract:OBJECTIVE:To evaluate the feasibility and concurrent validity of a new, mail-administered, stroke-specific outcome measure, the Stroke Impact Scale (SIS). DESIGN:Observational cohort study. SETTING AND PATIENTS:Stroke patients who had lived independently in the community prior to their stroke and who were candidates ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Duncan PW,Reker DM,Horner RD,Samsa GP,Hoenig H,LaClair BJ,Dudley TK

    更新日期:2002-08-01 00:00:00

  • Sensory re-education after nerve injury of the upper limb: a systematic review.

    abstract:OBJECTIVE:To systematically review the available evidence for the effectiveness of sensory re-education to improve the sensibility of the hand in patients with a peripheral nerve injury of the upper limb. DATA SOURCES:Studies were identified by an electronic search in the databases MEDLINE, Cumulative Index to Nursing...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,评审


    authors: Oud T,Beelen A,Eijffinger E,Nollet F

    更新日期:2007-06-01 00:00:00

  • Long-term benefits of exercising on quality of life and fatigue in multiple sclerosis patients with mild disability: a pilot study.

    abstract:OBJECTIVE:To determine if exercise benefits patients with multiple sclerosis. DESIGN:Randomized controlled trial. SETTINGS:Participants exercised at home and also attended exercise classes held in a hospital physiotherapy gym. SUBJECTS:Thirty patients, diagnosed and independently mobile, were recruited in the Dublin...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验


    authors: McCullagh R,Fitzgerald AP,Murphy RP,Cooke G

    更新日期:2008-03-01 00:00:00

  • Patient and therapist experiences of using affordable feedback-based technology in rehabilitation: a qualitative study nested in a randomized controlled trial.

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    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验


    authors: Hamilton C,McCluskey A,Hassett L,Killington M,Lovarini M

    更新日期:2018-09-01 00:00:00

  • Short-term effects of goal-setting focusing on the life goal concept on subjective well-being and treatment engagement in subacute inpatients: a quasi-randomized controlled trial.

    abstract:OBJECTIVE:To investigate the short-term effects of the life goal concept on subjective well-being and treatment engagement, and to determine the sample size required for a larger trial. DESIGN:A quasi-randomized controlled trial that was not blinded. SETTING:A subacute rehabilitation ward. SUBJECTS:A total of 66 pat...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验


    authors: Ogawa T,Omon K,Yuda T,Ishigaki T,Imai R,Ohmatsu S,Morioka S

    更新日期:2016-09-01 00:00:00

  • Kinesio taping does not improve ankle functional or performance in people with or without ankle injuries: Systematic review and meta-analysis.

    abstract:OBJECTIVE:To investigate whether Kinesio taping technique, applied to ankles of healthy people as a preventive intervention and people with ankle injuries, is superior to sham or alternative interventions on ankle function. DATA SOURCES:Medline, Embase, Amed, CINAHL, SPORTDiscus, Cochrane Library and Web of Science, f...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章


    authors: Nunes GS,Feldkircher JM,Tessarin BM,Bender PU,da Luz CM,de Noronha M

    更新日期:2020-10-20 00:00:00