INTRODUCTION: Stroke is defined by the World Health Organization (WHO) as an acute
neurological dysfunction of vascular origin that results in cognitive and sensorimotor changes.
Survivors after stroke usually have difficulties in performing activities of daily living. Thus,
Occupational Therapy (TO) contributes to the rehabilitation of patients after stroke, since its main
objective is to enable the autonomy and independence of the subject in their daily lives. Among
the strategies that can be used by the occupational therapist is the Bobath neuroevolutionary
concept, which encourages the reacquisition of more functional movement patterns.
OBJECTIVE: To evaluate the effects of Bobath neuroevolutionary therapy on the occupational
therapeutic treatment of patients with stroke sequelae. METHODOLOGY: This is a qualitative
and quantitative longitudinal case study, conducted with two male patients. The consultations
took place from September to December 2018, at the Federal University of Pará. The patients
participated in the initial evaluation, then 10 therapy sessions (twice a week, one hour per
session), and were reassessed for the first time. . Next 10 more sessions and then the second
reevaluation. The protocols used in the evaluation were: Mini Mental State Examination
(MMSE); Canadian Occupational Performance Measure (COPM); Wolf Motor Function Test
(WMFT) and the Fugl Meyer Scale (EFM). RESULTS AND DISCUSSION: With regard to
COPM, patients showed improvement in performance and satisfaction in almost all activities. All
calls involved occupations as a resource and / or purpose. In addition, several principles
(motivation, transference, intensity, repetition) and techniques (tapping, placing, holding) related
to the Bobath concept were contemplated in the consultations. In WMFT, there was a decrease in
the average execution time for P1 and an increase for P2. As for functional ability, there was an
increase in the score for P1 and maintenance of the score for P2. In Fugl Meyer, P1 had a 23.86%
increase in the total score, and P2 had a 6.58% increase in the total score. CONCLUSION:
Occupational Therapy and the Bobath Concept are significant in the post-stroke patient
rehabilitation process. A limitation of this study is the number of patients, and further research
with a larger number of patients is required.
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