Improved balance during gait in a patient with hemiparesis secondary to cerebral vascular disease through the Bobath Concept

Abstract

A treatment based on the Bobath Concept is proposed for the rehabilitation of Cerebral Vascular Disease, mainly for the improvement of postural control in the selective movement of limbs and the performance of activities of daily living. The case report refers to a 49-year-old female patient who suffered a cerebral vascular disease with intracranial and intraventricular hemorrhage complicated with meningitis at 38 years of age, due to a cerebellar arteriovenous genetic malformation diagnosed from 4 years of age. She presented herself to the Physical Therapy service 10 years after the event and 6 years after her last rehabilitation therapy.  She presented an ataxic gait and loss of balance in both dynamic and static. The treatment consisted of rehabilitation therapy based on the principles of the Bobath Concept for two weeks, with a total of 8 sessions to perform a total of 10 sessions between assessment and revaluation. The neurological rehabilitation demonstrates a short-term improvement in their daily life activities and movement control for their performance.