忠诚
干预(咨询)
观察研究
康复
随机对照试验
心理干预
包裹体(矿物)
心理学
系统回顾
临床研究设计
人口
应用心理学
研究设计
医学
物理疗法
物理医学与康复
梅德林
临床试验
计算机科学
护理部
社会心理学
病理
社会学
电信
外科
法学
社会科学
政治学
环境卫生
作者
Julie Vaughan-Graham,Cheryl Cott,Virginia Wright
标识
DOI:10.3109/09638288.2014.987880
摘要
Objective: The study’s purpose was to describe the range of knowledge pertaining to the Bobath (NDT) concept in adult neurological rehabilitation, synthesizes the findings, identify knowledge gaps and develop empirically based recommendations for future research. Methods: A scoping review of research and non-research articles published from 2007 to 2012. Two independent reviewers selected studies based on a systematic procedure. Inclusion criteria for studies were electronically accessible English language literature with Bobath and/or Neurodevelopmental Therapy as the subject heading in the title/keyword/abstract/intervention comparison with respect to adult neurological conditions. Data were abstracted and summarized with respect to study design, theoretical framework, clinical application including population representation, study fidelity, intervention comparison, duration of care, measurement and findings. Results: Of the 33 publications identified 17 were intervention studies (11 RCT’s/1 prospective parallel group design/5 N-of-1). One other paper was a systematic review. Conclusions: The intervention studies, primarily RCT designs, have serious methodological concerns particularly related to study/treatment fidelity and measurement resulting in no clear clinical direction. Aspects such as theoretical framework, therapist skill, quality of movement measurement and individualized interventions require careful consideration in the design of Bobath studies.Implications for RehabilitationFuture intervention studies should be based on the current Bobath theoretical framework and key aspects of clinical practice.Study and treatment fidelity issues need to be carefully considered when interpreting the results of existing RCT’s evaluating the Bobath concept.N-of-1 randomized, observational, factorial and mixed method study designs should be considered as alternative study options.
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