Original scientific paper

COMPARISON OF THE EFFECTIVENESS OF BOBATH THERAPY AND CLASSIC KINESITHERAPY ON GAIT FUNCTION IN PATIENTS WITH ISCHEMICAL STROKE

Lana Lovrić ; Faculty of Health Studies, University of Mostar, Zrinskog Frankopana 34, 88 000 Mostar, Bosnia and Herzegovina & Clinic for Physical Medicine and Rehabilitation, University Clinical Hospital Mostar, Kralja Tvrtka bb, 88 000 Mostar, Bosnia and Herzegovina *
Lejla Obradović-Salčin ; Faculty of Health Studies, University of Mostar, Zrinskog Frankopana 34, 88 000 Mostar, Bosnia and Herzegovina & Clinic for Physical Medicine and Rehabilitation, University Clinical Hospital Mostar, Kralja Tvrtka bb, 88 000 Mostar, Bosnia and Herzegovina
Ivana Grle ; Faculty of Health Studies, University of Mostar, Zrinskog Frankopana 34, 88 000 Mostar, Bosnia and Herzegovina & Clinic for Physical Medicine and Rehabilitation, University Clinical Hospital Mostar, Kralja Tvrtka bb, 88 000 Mostar, Bosnia and Herzegovina

* Corresponding author.

Abstract

Introduction: Stroke is a global health problem today, the need for rehabilitation is extremely significant, focused primarily on restoring and maintaining activities of daily living.
Research Objective: To investigate the comparison of the effectiveness of classical kinesitherapy treatment and the Bobath concept on walking function in patients with hemiparesis after ischemic stroke.
Subjects and Methods: The study group consisted of patients who received classical kinesitherapy treatment, the control group received Bobath therapy. All patients underwent rehabilitation at the Clinic for Physical Medicine and Rehabilitation of the University Hospital Mostar, and were tested twice, before and after the treatments, using the Berg balance scale (BBS), gait function according to the Timed Up and Go Test (TUG), and the Barthel Index for assessing ten functional tasks of daily life (activities of daily living - ADL).
Results: Bobath therapy showed greater effectiveness compared to subjects treated with a classical kinesitherapy program by comparing the results of the BBS. The Berthel index showed a statistically significant difference in the results at the beginning and end of treatment in the group of subjects treated with Bobath therapy. No statistically significant difference was shown between the subjects by measuring the TUG test. A statistically significant positive correlation was shown between activities of daily life and dynamic balance with the functional recovery of the subjects. Gender, age, foreign bodies affected by hemiparesis did not show a significant relationship with the functional status of the subjects.
Conclusion: Bobath therapy has a significantly better effect on walking function and improvement of daily life activities of patients after ischemic stroke. Both treatments significantly lead to better functional recovery and dynamic balance of patients after ischemic stroke.

Keywords

stroke; Bobath concept; kinesitherapy; rehabilitation

Hrčak ID:

347497

URI

https://hrcak.srce.hr/347497

Publication date:

29.5.2026.

Article data in other languages: croatian

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