Bobath Concept on Motor Function in Stroke Patients: A Systematic Review and Meta-analysis | ||||
| Benha International Journal of Physical Therapy | ||||
| Articles in Press, Accepted Manuscript, Available Online from 03 July 2025 PDF (590.46 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bijpt.2025.381457.1088 | ||||
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| Authors | ||||
Merna Magdy Moharib  1; Salah Sawan 2; Ashraf Darwesh* 3; Hager Elserougy 4
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| 1Teaching Assistant, Department of Physical Therapy for Diseases and Surgeries of the Neuromuscular System, College of Physical Therapy, Misr University for Science and Technology | ||||
| 2Professor of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University | ||||
| 3Assistant professor, Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University | ||||
| 4Associate Professor of Physical Therapy for Diseases and Surgeries of the Neuromuscular System, College of Physical Therapy, Misr University for Science and Technology, Egypt. | ||||
| Abstract | ||||
| Background: Bobath therapy, a widely used approach to stroke rehabilitation, was developed in the 1950s. It aims to support purposeful, natural movement by utilizing hands-on techniques. Despite its widespread use globally, clear and consistent evidence supporting its effectiveness is limited. Purpose: This extensive systematic review and meta-analysis aimed to assess recent research on how the Bobath approach influences motor function in stroke patients. Methods: A systematic search was carried out across Scopus, Web of Science, PubMed and CENTRAL (Cochrane). randomized controlled trials evaluating the effect of Bobath concept on motor function in stroke patients. Primary outcome measures were trunk control, balance, and gait while secondary outcome measure was arm motor function. A meta-analysis was performed were applicable, and the PEDro scale was used to assess the studies' methodological quality. Results: Out of 465 screened records, 26 RCTs with 1,513 stroke patients were analyzed to assess the effectiveness of Bobath concept on motor function in stroke patients. Meta-analysis was conducted and revealed significant improvement in balance and gait speed following stroke, However, the inability to draw firm and conclusive results is hindered by methodological weaknesses and the heterogeneity across the included studies. Conclusion: This systematic review supports that Bobath concept has a significant enhancement on balance and gait speed in stroke patients. However, there is not enough proof to support its advantage in improving trunk control and abilities of doing activities through daily life. Additional high-quality studies are recommended to strengthen the evidence base. | ||||
| Keywords | ||||
| Bobath Concept; rehabilitation; stroke | ||||
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