The Comparison of Neurodevelopmental- Bobath Approach with Occupational Therapy Home Program on Gross Motor Function of Children with Cerebral Palsy

Behzadi, Faranak; Noroozi, Hesammedin; Mohamadi, Marzieh

doi:10.30476/jrsr.2014.41048

The Comparison of Neurodevelopmental- Bobath Approach with Occupational Therapy Home Program on Gross Motor Function of Children with Cerebral Palsy

Document Type : Original Articles

Authors

Faranak Behzadi

Hesammedin Noroozi

Marzieh Mohamadi

https://doi.org/10.30476/jrsr.2014.41048

Abstract

Background & objectives: Traditional Bobath approach (TBA) is one of the several methods using in treatment of children with cerebral palsy (CP) who referred to occupational therapy setting. In this study, the effect of TBA compared with home program Bobath approach (HPBA), on the gross motor function (GMF) of children with CP.Methods: in this clinical trial, 30 children with CP studied in two groups of 15, randomly. Control group received Bobath traditional services 12 sessions. In the intervention group, along with these services, parents participated in training program and fallowed the exercises. Peabody scale assessed GMF before and after intervention.Results: GMF increased significantly in both groups. In addition, differences between the two groups were significant (p=.007).Conclusions: the results of this study showed that TBA with HPBA was more effective than the traditional ones.

Keywords

occupational therapy

home programs

cerebral palsy

Papavasiliou AS. Management of motor problems in cerebral palsy: A critical update for the clinician. European Journal of Paediatric Neurology 2009;13(5):387-96.
Tsorlakis N, Evaggelinou C, Grouios G, Tsorbatzoudis C. Effect of intensive neurodevelopmental treatment in gross motor function of children with cerebral palsy. Developmental Medicine & Child Neurology 2004;46(11):740-5.
Choi M, Lee D, Ro H. Effect of Task-oriented Training and
Neurodevelopmental Treatment on the Sitting Posture in Children with Cerebral Palsy. Journal of Physical Therapy Science 2011;23(2):323-5.
Prudente COM, Barbosa MA, Porto CC. Relation between quality of life of mothers of children with cerebral palsy and the childrenâs motor functioning, after ten months of rehabilitation. Revista Latino-Americana de Enfermagem 2010;18(2):149-55.
Dalvand H, Dehghan L, Feizy A, Amirsalai S, Bagheri H. Effect of the Bobath Technique, Conductive Education and Education to Parents in Activities of Daily Living in Children with Cerebral Palsy in Iran. Hong Kong Journal of Occupational Therapy 2009;19(1):14-9.
Rui F, Wu D, Tang J, Yang L, Wei W, Duan J, et al. Curative Effect of Conductive Education on Gross Motor Function and Activities of Daily Living in Children with Cerebral Palsy. Journal of Applied Clinical Pediatrics 2010 [Abstract].
Knox V, Evans AL. Evaluation of the functional effects of a course of Bobath therapy in children with cerebral palsy: a preliminary study. Developmental Medicine & Child Neurology 2002;44(7):447-60.
Barry MJ. Physical therapy interventions for patients with
movement disorders due to cerebral palsy. Journal of child
neurology 1996;11(1 suppl):S51-S60.
Mayston M. The Bobath concept today. Synapse-Association of Chartered Physiotherapists Interested in Neurology 2001:32-5.
Butler C, Adams R, Chambers H, Abel M, Damiano D, Edgar T,et al. Effects of neurodevelopmental treatment (NDT) for cerebral palsy: an AACPDM evidence report. Developmental Medicine & Child Neurology 2001;43(11):778-90.
Levitt S, Sheridan MD. Treatment of cerebral palsy and motor delay: Wiley Online Library; 1977.
Raine S, Meadows L, Lynch-Ellerington M. Bobath concept: theory and clinical practice in neurological rehabilitation: Wiley-Blackwell; 2009. pp.1-6.
Martin L, Baker R, Harvey A. A systematic review of common physiotherapy interventions in school-aged children with cerebral palsy. Physical & Occupational Therapy in Pediatrics 2010;30(4):294-312.
Hanna K, Rodger S. Towards familyâcentred practice in
paediatric occupational therapy: A review of the literature on parentâtherapist collaboration. Australian Occupational Therapy Journal 2002;49(1):14-24.
Rahmanirasa A. Standardization of developmental motor test in 0-24 months infants of Tehran. Tehran: University of Social welfare and Rehabilitataion; 1386.
BobathB. The very early treatment of cerebral palsy. Dev Med child Neural 1967;9(4):373-90.
Novak I, Cusick A. Home programmes in paediatric occupational therapy for children with cerebral palsy: Where to start? Australian Occupational Therapy Journal 2006;53(4):251-64.
Novak I, Cusick A, Lannin N. Occupational therapy home programs for cerebral palsy: double-blind, randomized, controlled trial. Pediatrics 2009;124(4):e606.
Case-Smith J. Pediatric occupational therapy and early
intervention. 2ed edition. Butterworth Heinemann; 1997.
Tetreault S, Parrot A, Trahan J. Home activity programs in families with children presenting with global developmental delays: evaluation and parental perceptions. International Journal of Rehabilitation Research 2003;26(3):165.
McGibbon Lammi B, Law M. Bridges to Practice-Family-
Centred Functional Therapy-The effects of Family-Centred Functional Therapy on the occupational performance of children with cerebral palsy. Canadian Journal of Occupational Therapy 2003;70(5):285-97.
Dodd KJ, Imms C, Dodd BJ, Taylor NF. Physiotherapy and Occupational Therapy for People with Cerebral Palsy: A Problem-Based Approach to Assessment and Management: Wiley-Blackwell; 2010. pp.31-36.
Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebralpalsy: incidence, impairments and risk factors. Disability and rehabilitation 2006;28(4):183.
King S, Teplicky R, King G, Rosenbaum P. Family-centered service for children with cerebral palsy and their families: a review of the literature. Semin Pediatr Neurol. 2004;11(1):78-86.
Hinojosa J. How mothers of preschool children with cerebral palsy perceive occupational and physical therapists and their influence on family life. Occupational Therapy Journal of Research 1990;10(3):144-62.