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Improving outcomes for the upper limb in severe stroke: the efficacy of rehabilitation interventions based on the Bobath concept - a pilot study

A placebo controlled randomised trial in patients with minimal upper limb control post stroke, comparing physiotherapy utilising the Bobath concept with a sham upper limb physiotherapy intervention, in recovery of reaching movements of the arm.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12609000970246
Enrollment
56
Registered
2009-11-09
Start date
2008-10-07
Completion date
2016-09-02
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study investigates the efficacy of physiotherapy treament for recovery of arm movement following severe stroke. The hypothesis is that physiotherapy treatment with the Bobath Concept will be more effective in improving arm movement than a placebo treatment.

Interventions

Participants allocated to the experimental group will receive six sessions of one to one treatment with Bobath therapy from a physiotherapist over a two week period, additional to their usual care. The treatment involves therapeutic exercises, focusing on optimising postural stability in body segments, activation of the prime mover muscles of the arm and integration of sensory and perceptual information into tasks. Experimental interventions will be individually prescribed, dependent upon the pa

Participants allocated to the experimental group will receive six sessions of one to one treatment with Bobath therapy from a physiotherapist over a two week period, additional to their usual care. The treatment involves therapeutic exercises, focusing on optimising postural stability in body segments, activation of the prime mover muscles of the arm and integration of sensory and perceptual information into tasks. Experimental interventions will be individually prescribed, dependent upon the participant’s presentation.

Sponsors

St Vincent's Hospital
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

4 to 18 weeks post stroke Able to produce visibly discernable movement in at least one of three movements: shoulder shrug, elbow flexion, finger flexion ABle to maintain hand placement on table 20cm in front of body

Exclusion criteria

Able to reach for a cup placed on a table 50cm in front of body Ataxia Other medical conditions affecting the upper limb

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026