The importance of neurophysiological-Bobath method in multiple sclerosis

Adrian Miler, Marta Podhorecka, Klara Nicpoń–Nożewska, Walery Zukow


Rehabilitation treatment in multiple sclerosis should be carried out continuously, can take place in the hospital, ambulatory as well as environmental conditions. In the traditional approach, it focuses on reducing the symptoms of the disease, such as paresis, spasticity, ataxia, pain, sensory disturbances, speech disorders, blurred vision, fatigue, neurogenic bladder dysfunction, and cognitive impairment. In kinesiotherapy in people with paresis, the most common methods are the (Bobathian) method.Improvement can be achieved by developing the ability to maintain a correct posture in various positions (so-called postural alignment), patterns based on corrective and equivalent responses. During the therapy, various techniques are used to inhibit pathological motor patterns and stimulate the reaction. The creators of the method believe that each movement pattern has its own postural system, from which it can be initiated, carried out and effectively controlled. Correct movement can not take place in the wrong position of the body. The physiotherapist discusses with the patient how to perform individual movement patterns, which protects him against spontaneous pathological compensation.The aim of the work is to determine the meaning and application of the  Bobath method in the therapy of people with MS


Bobath method, physiotherapy, multiple sclerosis, spasticity

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Compston A., Coles A., Multiple Sclerosis, Lancet 2008, 372: 1502–1517

Wiles C.M., Physiotherapy and related activities in multiple sclerosis, Multiple Sclerosis 2008, 14, 7: 863-871

Henze T., Managing Specific Symptoms in People with Multiple Sclerosis, The International MS Journal 2005, 12: 60–68

Henze T. et al., Symptomatic Treatment of Multiple Sclerosis, Eur Neurol 2006, 56: 78–105

Cameron M.H., Lord S., Postural Control in Multiple Sclerosis: Implication s for Fall Prevention, Curr Neurol Neurosci Rep 2010, 10: 407 –412

Padua L. et al., Motor assessment of upper extremity function and its relation with fatigue, cognitive function and quality of life in multiple sclerosis patients, Journal of the Neurological Sciences 2007, 253: 106

Smedal T. et al., Balance and gait improved in patients with MS after physiotherapy based on the Bobath concept, Physiotherapy Research International 2006, 11, 2: 104–116

Oygard K. et al., Physiotherapy, based on the Bobath concept, may influence the gait pattern in persons with limb-girdle muscle dystrophy: a multiple case series study, Physiother Res Int. 2011, 16, 1: 20-31

Rasova K. et al., Emerging evidence-based physical rehabilitation for Multiple Sclerosis - Towards an inventory of current content across Europe, Health and Quality of Life Outcomes 2010, 8:76-81

Wiles C.M. et al., Controlled randomised crossover trial of the effects of physiotherapy on mobility in chronic multiple sclerosis, J Neurol Neurosurg Psychiatr y 2001, 70: 174–179

Thompson A.J., The effectiveness of neurological rehabilitation in multiple sclerosis, Journal of Rehabilitation Research and Development 2000, 37, 4: 455-461

Rousseaux M., Perennou D., Comfort care in severely disabled multiple sclerosis patients, Journal of the Neurological Sciences 2004, 222: 39 – 48

Chetta A. et al., Cardio respiratory response to walk in multiple sclerosis patients, Respiratory Medicine 2004, 98: 522–529

Conklyn D. et al., A Home-Based Walking Program Using Rhythmic Auditory Stimulation Improves Gait Performance in Patients With Multiple Sclerosis: A Pilot Study, Neurorehabil Neural Repair 2010, 24, 9: 835-842

Simmons R.D. et al., What affects your MS? Responses to an anonymous, Internet-based epidemiological survey, Multiple Sclerosis 2004, 10, 2: 202-211

Smedal T. et al., The influence of warm versus cold climate on the effect of physiotherapy in multiple sclerosis, Acta Neurol. Scand. 2011, 124: 45–52

Graham J.V. et al., The Bobath Concept in Contemporary Clinical Practice, Rehabil. 2009, 16, 1: 57–68

Karpatkin H.I., Multiple Sclerosis and Exercise A Review of the Evidence, Int. J. MS Care 2005, 7: 36-41

Lerdal A. et al., A prospective study of patterns of fatigue in multiple sclerosis, European Journal of Neurology 2007, 14: 1338–1343

Rasova K. et al., Is it possible to actively and purposely make use of plasticity and adaptability in the neurorehabilitation treatment of multiple sclerosis patients? A pilot project, Clin Rehabil 2005, 19, 2: 170-181



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