Conceito Bobath e ocupa??o trabalho na reabilita?o do paciente pós-AVE / Bobath concept and occupation work in the rehabilitation of post-stroke patients

摘要

Introduction: Stroke is the third leading cause of natural death among the adult population in the world. In Brazil, it represents the first cause of death and disability in its population, thus generating a great economic and social impact. In survivors the main sequelae are cognitive and sensorimotor changes.Objective: To evaluate the effects of rehabilitation of post-stroke patients using therapy based on Bobath Concept, with a focus on work. Methods: This is a qualitative research, longitudinal design, case study, conducted through individual sessions with two patients with stroke in an Occupational Therapy clinic of the Universidade Federal do Pará. Initial assessment and reassessment instruments include the Wolf Motor Function Test (WMFT), Fugl Meyer Assessment and Canadian Occupational Performance Measurement (COPM). Results: The therapy used in the study favored functional gains such as speed and quality of movement, range of motion, motor coordination and muscle strength, as well as improved occupational performance and client satisfaction. Conclusion: The association of the Neuroevolutionary Concept and the Work Occupation in the rehabilitation of individuals after stroke has positive results in motor improvement and in central aspects of occupational therapeutic practice.