Key result
NDT Bobath therapy improves post-stroke gait cadence to ~80 steps/min vs classical physiotherapy.
Why the study?
The roles and impact of clinical pharmacists as part of multidisciplinary teams in cardiac rehabilitation after acute coronary syndrome have not been scientifically substantiated in Ukraine.
Does NDT Bobath neurorehabilitation therapy improve autonomic nervous system regulation and gait parameters compared to classic rehabilitation in patients after an ischemic stroke?
RCT (n=41)
Single-blind (assessor-blinded)
Simple random sampling using a computer-generated random number sequence
No
Does NDT Bobath neurorehabilitation therapy improve autonomic nervous system regulation and gait parameters compared to classic rehabilitation in patients after an ischemic stroke?
Absolute Event Rate: 79.71% vs 94.1%
p-value: p=0.0105
NDT Bobath neurorehabilitation significantly improves parasympathetic modulation of the autonomic nervous system compared to classic physiotherapy in patients recovering from ischemic stroke.
May support Bobath over classical physiotherapy for post-stroke gait; leaves open confirmation in prospective randomized trials.
Aim: This study is to investigate the impact of pharmacists’ interventions in the clinical practice of rehabilitation of patients after acute coronary syndrome with subsequent scientific and applied substantiation of the functional fulfillment of pharmacists’ roles as part of multidisciplinary teams. Materials and Methods: Foreign and Ukrainian publications of scientometric databases Scopus, Web of Science, Cochrane, PubMed, ESC, AHA, ADA sites. European, American and Ukrainian regulatory and legal support for the rehabilitation of patients after acute coronary syndrome with the participation of pharmacists as part of multidisciplinary teams. The methods used were narrative search using keywords, dialectical, synthesis, content analysis, visualization. Conclusions: The functional content of pharmacists’ roles as part of multidisciplinary teams in the process of cardiac rehabilitation of patients after acute coronary syndrome has been scientifically substantiated. The need to develop and implement clinical pharmacology guidelines in cardiology for specific nosologies, tailored for community and clinical pharmacists, has been identified. It is recommended to update the curricula in postgraduate training of pharmacists and clinical pharmacists in accordance with ESC/AHA standards.
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Білоусова et al. (2025) conducted an RCT in Ischemic stroke (n=41). NDT Bobath neurorehabilitation method vs. Classical model of physiotherapy was evaluated on Gait cadence (steps/min) at a constant treadmill speed of 0.50 m/s after 6 weeks (p=0.0105). A 6-week NDT Bobath neurorehabilitation program significantly improved gait cadence compared to classical physiotherapy (79.71 vs 94.10 steps/min) in patients recovering from a first ischemic stroke.
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