Occupational Therapy in Stroke: A Case Study Using the Bobath Frame of Reference and Task Oriented Approach

Authors

Reza Nur Arsyi, Universitas Indonesia, IndonesiaFollow
Afifah Fadhilah Nursyam
Muhammad Luthfi
Hermito Gidion
Ayleen Alicia Kosasi
Erna Faryza Mohd Poot
Rosilah Wahab
Nur Atiqah Azman

Abstract

Stroke is a sudden neurological disorder caused by vascular injury to the brain, leading to significant functional limitations. This case study examines the use of occupational therapy interventions, specifically the Bobath and Task Oriented approaches, for a 43-year-old male with left hemiparesis to enhance independence in motorcycling. The patient experienced various limitations, including vestibular function, range of motion, muscle tone and strength, postural control, and fine motor skills. Using the Ashworth scale and the Canadian Occupational Performance Measure (COPM) for assessment, occupational therapy interventions showed progress in several aspects, although the primary goal has not yet been fully achieved. This study highlights the importance of intensive and ongoing occupational therapy to improve patient independence in daily activities.

References

1. Chen G, Patten C, Kothari DH, Zajac FE. Gait deviations associated with post-stroke hemiparesis: improvement during treadmill walking using partial body weight support. J Rehabil Res Dev. 2020;57(7):1083-1092.
2. Jones TA, Shenkman M, Cannon S, Jenkins WM. The impact of neuroplasticity on occupational therapy practice. Am J Occup Ther. 2020;74(3):7403180010p1-7403180010p10.
3. Lang CE, MacDonald JR, Reisman DS. Observation of amounts of movement practice provided during stroke rehabilitation. Arch Phys Med Rehabil. 2020;101(5):950-957.
4. Park JH, Lee JH, Ko DS, Kim SW. Effect of a task-oriented training on hand function recovery in stroke patients: a randomized controlled trial. J Phys Ther Sci. 2019;31(10):799-803.
5. Winstein CJ, Stein J, Arena R, Bates B, Cherney LR, Cramer SC, et al. Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2016;47(6)
6. Feigin VL, et al. Global burden of stroke and risk factors in 195 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology. 2021. Available from: https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(20)30415-4/fulltext
7. Stevano A, et al. Prevalensi dan Penyebab Kematian Akibat Stroke di Indonesia. Jurnal Kesehatan Masyarakat. 2023. Available from: https://jurnal.uns.ac.id/jkm
8. Radomski MV, Latham CAT. Occupational Therapy for Physical Dysfunction. 7th ed. Lippincott Williams & Wilkins; 2014.
9. Atchison B, Dirette DP. Conditions in Occupational Therapy: Effect on Occupational Performance. 5th ed. Wolters Kluwer; 2017.
10. Unsworth CA, et al. The Impact of Stroke on Functional Independence. Stroke Res Treat. 2019. Available from: https://www.hindawi.com/journals/srt/2019/8481730/
11. World Stroke Organization (WSO). Global Stroke Fact Sheet 2022. 2022. Available from: https://www.world-stroke.org
12. Nilsen DM, et al. The Efficacy of Occupational Therapy Interventions in the Rehabilitation of Stroke. Am J Occup Ther. 2015. Available from: https://ajot.aota.org/article.aspx?articleid=2433020
13. Sütçü G, et al. The Effectiveness of Bobath and Task-Oriented Approaches in Stroke Rehabilitation. J Stroke Cerebrovasc Dis. 2023. Available from: https://www.strokejournal.org/article/S1052-3057(23)00128-1/fulltext
14. Almhdawi K, et al. Task-oriented training in stroke rehabilitation: A review. Neurorehabil Neural Repair. 2016. Available from: https://journals.sagepub.com/doi/abs/10.1177/1545968315600276

Bahasa Abstract

Stroke adalah gangguan neurologis yang terjadi tiba-tiba akibat cedera pembuluh darah di otak, menyebabkan keterbatasan fungsional yang signifikan. Studi kasus ini membahas intervensi terapi okupasi menggunakan pendekatan Bobath dan Task Oriented pada seorang pria berusia 43 tahun dengan hemiparese sinistra untuk meningkatkan kemandirian dalam mengendarai motor. Pasien mengalami berbagai keterbatasan, termasuk fungsi vestibular, lingkup gerak sendi, tonus dan kekuatan otot, kontrol postural, serta keterampilan motorik halus. Menggunakan skala Ashworth dan Canadian Occupational Performance Measure (COPM) sebagai alat penilaian, intervensi terapi okupasi menunjukkan kemajuan dalam beberapa aspek, meskipun tujuan utama belum sepenuhnya tercapai. Studi ini menyoroti pentingnya pendekatan terapi okupasi yang intensif dan berkelanjutan untuk meningkatkan kemandirian pasien dalam aktivitas sehari-hari.

Recommended Citation

Nur Arsyi, Reza; Afifah Fadhilah Nursyam; Muhammad Luthfi; Hermito Gidion; Ayleen Alicia Kosasi; Erna Faryza Mohd Poot; Rosilah Wahab; and Nur Atiqah Azman (2024) "Occupational Therapy in Stroke: A Case Study Using the Bobath Frame of Reference and Task Oriented Approach," Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy: Vol. 3: Iss. 1, Article 4.
DOI: 10.7454/jfti.v3i1.1098
Available at: https://scholarhub.ui.ac.id/jfti/vol3/iss1/4