Stroke rehabilitation. Three exercise therapy approaches

The purpose of this study was to compare the therapeutic efficacy of three exercise therapy approaches. Three groups of adult stroke patients (N = 131) participated in the study. The first group received conventional treatment that consisted of traditional exercises and functional activities. The treatment of the second group was based on proprioceptive neuromuscular facilitation techniques. The third group was treated using the Bobath approach. The improvement of each patient was evaluated after six weeks of treatment in terms of 1) functional gains in activities of daily living as measured using the Barthel index, 2) changes in the muscle tone of the involved limbs as measured using a five-point ordinal scale, 3) changes in the isolated motor control of the ankle and wrist as measured by tests of muscle strength and range of motion, and 4) changes in the patients' ambulatory status as measured using a nominal scale of four categories. The therapeutic effects of exercise according to each of the three approaches were compared using descriptive and nonparametric statistical methods. No substantial advantage could be attributed to any one of the three therapeutics approaches.