this article and any supplementary material should be cited as follows: keser i, kirdi n, meric a,...

This article and any supplementary material should be cited as follows: Keser I, Kirdi N, Meric A, Kurne AT, Karabudak R. Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study. J Rehabil Res Dev. 2013;50(1):133–40. http://dx.doi.org/10.1682/JRRD.2011.12.0231

Slideshow ProjectDOI:10.1682/JRRD.2011.12.0231JSP

Comparing routine neurorehabilitation program with trunk exercisesbased on Bobath concept in multiple sclerosis: Pilot study

Ilke Keser, PhD, PT; Nuray Kirdi, Prof PhD, PT; Aydin Meric, PhD, PT; Asli Tuncer Kurne, MD;

Rana Karabudak, Prof MD

This article and any supplementary material should be cited as follows: Keser I, Kirdi N, Meric A, Kurne AT, Karabudak R. Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study. J Rehabil Res Dev. 2013;50(1):133–40. http://dx.doi.org/10.1682/JRRD.2011.12.0231

Slideshow ProjectDOI:10.1682/JRRD.2011.12.0231JSP

• Aim– Compared trunk exercises based on Bobath concept

with routine neurorehabilitation approaches in multiple sclerosis (MS).

• Relevance– Most routine neurorehabilitation programs concentrate

on limb exercises.– Although loss of selective trunk control is associated

with balance, gait, and arm/hand limitations, few studies have looked at effectiveness of trunk exercises in MS population.

This article and any supplementary material should be cited as follows: Keser I, Kirdi N, Meric A, Kurne AT, Karabudak R. Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study. J Rehabil Res Dev. 2013;50(1):133–40. http://dx.doi.org/10.1682/JRRD.2011.12.0231

Slideshow ProjectDOI:10.1682/JRRD.2011.12.0231JSP

Method• Participants with MS joined 3 d/wk rehabilitation

program for 8 wk. – Experimental group: Trunk exercises based on Bobath

concept.– Control group: Routine neurorehabilitation exercises. – Both groups: Balance and coordination exercises.

• Before and after program, evaluated with:– Trunk Impairment Scale (TIS), Berg Balance Scale (BBS),

International Cooperative Ataxia Rating Scale (ICARS), and Multiple Sclerosis Functional Composite (MSFC).

This article and any supplementary material should be cited as follows: Keser I, Kirdi N, Meric A, Kurne AT, Karabudak R. Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study. J Rehabil Res Dev. 2013;50(1):133–40. http://dx.doi.org/10.1682/JRRD.2011.12.0231

Slideshow ProjectDOI:10.1682/JRRD.2011.12.0231JSP

Results

• Within Groups:– TIS, BBS, ICARS, and MSFC scores and strength of

abdominal muscles were significantly different after treatment in both groups.

• Between Groups:– No significant differences in any parameters.

This article and any supplementary material should be cited as follows: Keser I, Kirdi N, Meric A, Kurne AT, Karabudak R. Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study. J Rehabil Res Dev. 2013;50(1):133–40. http://dx.doi.org/10.1682/JRRD.2011.12.0231

Slideshow ProjectDOI:10.1682/JRRD.2011.12.0231JSP

Conclusion• Trunk control exercises based on Bobath

concept:– Were as effective as more commonly used limb

exercises.– May be beneficial option when physiotherapist

needs to vary exercise program to help patients develop regular exercise habits and stay motivated.