Effectiveness of Bobath Approach and Therapeutic Ultrasound on Spasticity among Patients with Stroke

Background

Spasticity is a well-known complication after stroke. Spasticity can be defining as the velocity dependent hyper moodiness of the muscular system to stretch, characterized by the increase in the tendon reflexes, exaggerated resistance to passive movement. And increase in tone (Hypertonia) due to loss of upper motor neuron inhibitory control. According to the health care provider it is very important to find out the spasticity and assume it is common and can be manageable. On the other hand, prevalence of post stroke spasticity can neither be measure directly.

Methodology

The study design was experimental, 30 participants were selected, equally and divided by purposive sampling technique into therapeutic ultrasound and Bobath group 3 sessions per weeks were given into 5consecutive weeks. Outcome measures were goniometry for measuring range of motion and Ashworth scoring scale for measuring spasticity.

Results

The mean pre and post of scores Ashworth score was in therapeutic ultrasound and Bobath were (3.6 to 2.5) and (3.5 to 2.2) and p-value for therapeutic ultrasound was <0.01 and for Bobath was <0.01. For range of motion (2.0 to 28.4) and (2.3 to 34.5) and p-value for therapeutic ultrasound was <0.01 and for Bobath was q<0.01 respectively.

Conclusion

Based on the results it is concluded that both techniques showed significant improvement in Ashworth scoring and goniometry for range of motion but Bobath was found to be most effective in managing spasticity.

Author(s): Muhammad Ahmed Qureshi

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