EFFECT OF COMBINED BOBATH AND BALANCE EXERCISE THERAPY ON PHYSICAL MOBILITY IMPROVEMENT IN STROKE PATIENTS: A CASE STUDY
DOI:
https://doi.org/10.60050/lkh.v9i2.72Keywords:
Stroke, Bobath Therapy, Balance Exercise, Physical Mobility, Muscle StrengthAbstract
Background: Stroke emerged as a serious global health problem, ranking as the leading cause of disability and the second leading cause of death worldwide. The most common impact of stroke was impaired physical mobility, especially with damage to the brain's motor centers or nerve pathways controlling body movements. In stroke patients, this disorder could appear directly after an acute attack and persist into the rehabilitation phase if not treated properly. One intervention to address physical mobility disorders in stroke patients was the application of a combination of Bobath therapy and balance exercises to accelerate motor function recovery, prevent immobilization complications, and increase patient independence.
Objectives: This case study aims to analyze the effectiveness of the application of the combination of Bobath therapy and Balance exercise on physical mobility disorders in stroke patients.
Methods: This study is a case study of a description of one stroke patient in Mrs. S in the Arjuna Room of Bhakti Dharma Husada Hospital Surabaya by using a descriptive nursing process with an approach to describe in depth the application of the intervention to the patient.
Results: The implementation of a nursing intervention in the form of a combination of Bobath therapy and balance exercise who experienced physical mobility impairment due to non-hemorrhagic stroke for six days showed positive results.
Conclusion: The increase in muscle strength can be seen from the patient's ability to maintain posture, transition from lying down to sitting to standing, and show better stability during balance exercises.
References
Alloubani, A., Nimer, R., & Samara, R. (2020). Relationship between Hyperlipidemia, Cardiovascular Disease and Stroke: A Systematic Review. Current Cardiology Reviews, 17(6). https://doi.org/10.2174/1573403x16999201210200342
Arsyi, R. N. (2024). Occupational Therapy in Stroke: A Case Study Using the Bobath Frame of Reference and Task Oriented Approach. Jurnal Fisioterapi Terapan Indonesia, 3(1). https://doi.org/10.7454/jfti.v3i1.1098
Desmonika, C., Yulendasari, R., & Yudha Chrisanto, E. (2023). Efektivitas Teknik Bobath terhadap Masalah Keseimbangan pada Pasien Lansia Pasca Stroke Non Hemoragik di Lempasing Pesawaran. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(2), 640–645. https://doi.org/10.33024/jkpm.v6i2.8125
Guirguis-Blake, J. M., Evans, C. V., Webber, E. M., Coppola, E. L., Perdue, L. A., & Weyrich, M. S. (2021). Screening for Hypertension in Adults: An Updated Systematic Evidence Review for the U.S. Preventive Services Task Force. U.S. Preventive Services Task Force Evidence Syntheses,. https://www.ncbi.nlm.nih.gov/books/NBK570230/
Hayuningrum, C. F., & Fadhil, M. (2023). Efektivitas Bobath Pada Pasien Stroke. Indonesian Journal of Health Science, 3(1), 7–18. https://doi.org/10.54957/ijhs.v3i1.311
Kim, M. S., Heo, M. Y., Joo, H. J., Shim, G. Y., Chon, J., Chung, S. J., Soh, Y., & Yoo, M. C. (2023). Neutrophil-to-Lymphocyte Ratio as a Predictor of Short-Term Functional Outcomes in Acute Ischemic Stroke Patients. International Journal of Environmental Research and Public Health, 20(2). https://doi.org/10.3390/ijerph20020898
Mauliddiyah, D., Ulfah, M., & Siwi, A. S. (2022). Asuhan Keperawatan dengan Masalah Gangguan Mobilitas Fisik pada Pasien Stroke Non Hemoragik (SNH). Journal of Management Nursing, 2(1), 168–172. https://doi.org/10.53801/jmn.v2i1.74
Mersi, E., Giri, S., Paryono, Hanis, K. D. P., Aisyah, Farhan, A. F. M., Naryati, Sulistia, N., & Yuliana, K. M. (2024). Proses Keperawatan. In Universitas Nusantara PGRI Kediri (Vol. 01).
Nugraheni, F., & Anita, D. C. (2025). Studi Kasus Keperawatan : Gangguan Mobilitas Fisik Pada Pasien Stroke Nursing Case Study : Physical Mobility Disorders in Non-Hemorrhagic Stroke Patients. Prosiding Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat LPPM Universitas ‘Aisyiyah Yogyakarta, 3, 532–539.
Persatuan Perawat Nasional Indonesia (PPNI). (2023). Standar Diagnosis Keperawatan Indonesia (SDKI). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia. https://snars.web.id/sdki/
PPNI, T. P. (2018). Standart Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan (1st ed.). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Prastiwi, D., Sholihat, S., Wulan, I. P., & Astuti, N. M. (2023). Metodologi Keperawatan: Teori dan Panduan Komprehensif. PT. Sonpedia Publishing Indonesia.
Pratama, A. D., & Furqonah, A. A. (2021). Efektivitas Balance Exercise Dan Gait Training Dalam Meningkatkan Keseimbangan Dan Kecepatan Berjalan Pada Kasus Stroke Iskemik. Indonesian Journal of Physiotherapy, 1(2), 35–40. https://doi.org/10.52019/ijpt.v1i2.3015
Pratama, A. D., Pratama, A. D., Noviana, M., & Pahlawi, R. (2022). Efektivitas Balance dan Core Exercise untuk meningkatkanKeseimbangan Statis pada Kasus Stroke Hemiparese Sinistra. Jurnal Fisioterapi Terapan Indonesia, 1(1). https://doi.org/10.7454/jfti.v1i1.1031
Rachmawati, D., Marshela, C., & Sunarno, I. (2022). Perbedaan Faktor Resiko Penyebab Stroke Pada Lansia Dan Remaja. Bali Medika Jurnal, 9(3), 207–221. https://doi.org/10.36376/bmj.v9i3.281
Rahmadisha, B., Gusni, J., Dewi, D. S., & Marni, L. (2024). Jurnal Keperawatan Medika Pemberian Terapi Range Of Motion Pada Pasien Dengan Stroke Non Hemoragik. 3(1), 1–6.
Riskesdas. (2018). Laporan Nasional RISKESDAS 2018. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf
Sabila, A., Ahyana, & Safuni, N. (2022). Gambaran Self-Management pada Pasien Post Stroke di Rumah Sakit Provinsi Aceh. Idea Nursing Journal, XIII(3), 38–43.
Saifullah, Y. Y., Rachman, M. E., Ramlian, Limoa, L. T., & Hamado, N. (2022). Literature Review: Hubungan Hipertensi dengan Kejadian Stroke Iskemik dan Stroke Hemoragik. Jurnal Mahasiswa Kedokteran, 2(5), 359–367.
WHO. (2022). World Stroke Day 2022. World Health Organization.
Wulandari, C. I., & Herlina, N. (2021). Hubungan Antara Gaya Hidup Dengan Kejadian Stroke Berulang: Literature Review. Borneo Student Research, 2(3), 1781–1788.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Sri Sulistiyawati, Yurike Septianingrum , Umdatus Soleha, Lono Wijayanti
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
