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Trunk Exercises in MS: Bobath Concept vs Routine Neurorehabilitation

This pilot study compares the effectiveness of trunk exercises based on the Bobath concept with routine neurorehabilitation approaches in multiple sclerosis (MS) patients. Results show significant improvements in trunk control, balance, coordination, and muscle strength in both groups. Trunk exercises based on the Bobath concept are found to be as effective as traditional limb exercises, offering a beneficial alternative for MS patients. The study highlights the importance of incorporating trunk exercises into MS rehabilitation programs.

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Trunk Exercises in MS: Bobath Concept vs Routine Neurorehabilitation

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  1. 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

  2. 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.

  3. 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).

  4. 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.

  5. 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.

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