Shortly after the death of her husband, Sarah moved her 5 living children to Washington, DC. The oldest was 8, and the youngest (twin boys) were around a year old. John died in 1854, leaving Sarah to raise their children alone. Sarah and John had 7 children together, two daughters and three sons and two that died as infants. Sarah's father, John Scrivener, died in 1849, at the time of his death Sarah's husband owed her father's estate $838.37 (over $26,000 in today's money) and had to mortgage 9 of his slaves, over 80 head of livestock, and much of his personal property in order to settle the debt. Sarah married John Howe Somervell, who also came from a well respected slave-owning family from nearby Calvert County on November 6th, 1841. He also posted rewards for several other run away slaves in the local newspapers. He was compensated $560 for the loss of his slaves. Her father was a War of 1812 soldier, and two of his slaves were captured by the British during that war. Sarah was the 2nd of 12 children, and the oldest daughter. Her parents, John and Eliza Scrivener, both came from wealthy slave-owning families. All rights reserved.Sarah Jane Scrivener was born in a well-off plantation owning family in southern Anne Arundel County Maryland in September of 1823. Prioritising Bobath therapy over other interventions is not supported by current evidence.īobath Lower limb Physical therapy Stroke Walking.Ĭopyright © 2020 Australian Physiotherapy Association. Bobath therapy did not improve strength or co-ordination more than other interventions.īobath therapy was inferior to task-specific training and not superior to other interventions, with the exception of proprioceptive neuromuscular facilitation. In one study, Bobath therapy was more effective than proprioceptive neuromuscular facilitation for improving standing balance (SMD -1.40, 95% CI -1.92 to -0.88), but these interventions did not differ on any other outcomes. Bobath therapy did not clearly improve lower limb activities more than a combined intervention (SMD -0.06, 95% CI -0.73 to 0.61) or strength training (SMD 0.35, 95% CI -0.37 to 1.08). The pooled data indicated that task-specific training has a moderately greater benefit on lower limb activities than Bobath therapy (SMD 0.48), although the true magnitude of the benefit may be substantially larger or smaller than this estimate (95% CI 0.01 to 0.95). Meta-analyses estimated the effect of Bobath therapy on lower limb activities compared with other interventions, including: task-specific training (nine trials), combined interventions (four trials), proprioceptive neuromuscular facilitation (one trial) and strength training (two trials). No trials compared Bobath therapy to no intervention. The methodological quality of the trials varied, with PEDro scale scores ranging from 2 to 8 out of 10. Twenty-two trials were included in the review and 17 in the meta-analyses. Trial quality was assessed using the PEDro scale. Lower limb activity performance (eg, sit to stand, walking, balance), lower limb strength and lower limb co-ordination. Systematic review of randomised trials with meta-analyses.īobath therapy compared with another intervention or no intervention. In adults with stroke, does Bobath therapy improve lower limb activity performance, strength or co-ordination when compared with no intervention or another intervention?