Sažetak

Uvod: Hemipareza je česta posljedica moždanog udara koja značajno utječe na sposobnost samostalnog kretanja i izvođenja svakodnevnih aktivnosti. Bobath koncept se pokazao kao jedan od najučinkovitijih pristupa u neurorehabilitaciji, jer stavlja naglasak na ponovno usvajanje normalnih obrazaca pokreta i funkcionalnih aktivnosti kroz svakodnevne zadatke. Posebno je važno razmotriti njegovu primjenu u kućnim uvjetima, gdje pacijent boravi u poznatom i sigurnom okruženju.

Cilj: Prikazati mogućnosti i učinkovitost primjene Bobath terapije kod osoba s hemiparezom u kućnoj fizikalnoj terapiji te istaknuti ulogu fizioterapeuta i obitelji u rehabilitacijskom procesu.

Materijali i metode: Korišten je pregled literature objavljene u razdoblju od 2000. do 2024. godine. Pretraživane baze podataka uključuju PubMed, ScienceDirect, Cochrane Library i Google Scholar. Korištene ključne riječi bile su: „Bobath koncept“, „hemipareza“, „kućna rehabilitacija“, „fizioterapija“, „neurorehabilitacija“. Analizirani su znanstveni članci i stručne publikacije koje opisuju kliničku primjenu Bobath koncepta kod pacijenata s hemiparezom u kućnim uvjetima, s fokusom na učinkovitost terapije, pristup fizioterapeuta i podršku okoline.

Rezultati: Pregled literature pokazuje da pacijenti koji provode Bobath terapiju u kući, uz stručnu podršku fizioterapeuta i aktivnu uključenost obitelji, pokazuju znatna poboljšanja u pokretljivosti, ravnoteži i samostalnosti. Kućno okruženje dodatno povećava motivaciju pacijenta, a svakodnevne aktivnosti postaju prirodni dio rehabilitacije.

Zaključak: Bobath koncept u kućnoj fizikalnoj terapiji omogućuje kvalitetnu, individualiziranu i kontinuiranu rehabilitaciju pacijenta s hemiparezom. Ovaj pristup potiče funkcionalni oporavak, neovisnost i bolju kvalitetu života, posebno kada se provodi uz stručnu podršku i suradnju obitelji.

Ključne riječi: Bobath terapija, fizikalna terapija, hemipareza

Abstract

Introduction: Hemiparesis is a common consequence of stroke that significantly affects the ability to move independently and perform daily activities. The Bobath concept has proven to be one of the most effective approaches in neurorehabilitation, as it emphasizes the reacquisition of normal movement patterns and functional activities through everyday tasks. It is especially important to consider its application in home conditions, where the patient is in a familiar and safe environment.

Aim: The aim of the paper is to present the possibilities and effectiveness of applying Bobath therapy in people with hemiparesis in home physical therapy, and to highlight the role of the physiotherapist and family in the rehabilitation process.

Materials and methods: A review of the literature published between 2000 and 2024 was used. The searched databases included PubMed, ScienceDirect, Cochrane Library, and Google Scholar. The keywords used were: "Bobath concept", "hemiparesis", "home rehabilitation", "physiotherapy", and "neurorehabilitation". Scientific articles and professional publications describing the clinical application of the Bobath concept in patients with hemiparesis in home settings were analyzed, with focus on therapy effectiveness, physiotherapist approach, and environmental support.

Results: The literature review shows that patients who carry out Bobath therapy at home, with the professional support of a physiotherapist and the active involvement of the family, show significant improvements in mobility, balance, and independence. The home environment further increases the patient's motivation, and daily activities become a natural part of rehabilitation.

Conclusion: The Bobath concept in home physical therapy enables high-quality, individualized, and continuous rehabilitation of patients with hemiparesis. This approach promotes functional recovery, independence, and a better quality of life, especially when implemented with professional support and family cooperation.

Key words: Bobath therapy, physical therapy, hemiparesis