1Sancheti Institute College of Physiotherapy, Pune, India.
Address of correspondence: Dr Gajanan Bhalerao. Sancheti Institute College Of Physiotherapy, 16, Shivaji Nagar, 4th floor, Sancheti Institute of Orthopedics and Rehabilitation, Pune 411005, Maharashtra, India. Email: gajanan_bhalerao@yahoo.com
To evaluate the efficacy of two rehabilitative approaches to restore function in subjects with acute middle cerebral artery stroke.
Nonblinded, randomized clinical intervention trial
22 subjects with first unilateral stroke (middle cerebral artery territory involvement) participated in the study. Group 1 (12 subjects) and group 2 (10 subjects) received Motor Relearning Program (MRP) and Bobath approach respectively for a period of six weeks.
Fugl Meyer (FM), Motor assessment scale (MAS), Barthel index (BI), Functional independence measure (FIM), Functional ambulation category (FAC) and Dynamic gait index (DGI).
The magnitude of change on all our primary outcome measures except FM, was greater in the MRP group as compared to Bobath group (p<0.05) & inclination of higher trend of change starting at 2weeks seen in MRP.
This study indicates that the physiotherapy treatment using MRP shows early & better improvement in functional mobility and activities of daily living than Bobath approach. Subject in MRP were able to walk early.
Stroke rehabilitation, Motor relearning program, Bobath approach, efficacy
