Physiotherapy, 88 5 , — However, move- ments must be owned by the patient and be experienced both with and ultimately without the handling of the therapist Raine Experimental Brain Research, 1 , 55— American Journal of Physical Medicine and Rehabilitation, 73, 10— Physiotherapy Theory and Practice, 7, 13— Restraint of the less affected body parts manually during a therapy session may be used to assist activation of the affected parts Raine

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Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation by Sue Raine

Movement from standing to sitting is as important in daily function as STS but has been less frequently studied; controlling the descent into sitting is as challeng- ing as rising to standing. The relevance of organising therapy around the individual was stressed as early as by Berta Bobath.

Want to Read rrehabilitation. Journal of Physiology, Paris, 99 4—6— Emphasis is placed on: In order to strengthen muscles within a rehabilitation programme, they have to be worked to fatigue with a load placed on them.

This chapter will not present a general description of the content of a neurologi- cal assessment as there are many examples of this that can be found in other texts Freeman ; Kersten Van der Putten, J.

Where representation of an area has not totally been lost, the representation of the peri-infarct tissue and areas in axonal communication with the lesioned area, through axonal sprouting, have been found to take on representation and therefore function of the lesioned area Rapisarda et al.

In this phase, it is also important to consider the head, trunk and upper limbs in combination with selective extension and forward transfer through the pelvis. The Bobath Concept would strongly recognise that the recovery of selective movement control is very motivating whereas only adapting to disability is not.


Physical Therapy, 67, — More recent studies on interlimb neural coupling Zehr ; Kline et al. Community Mental Health Journal, 18, — For many years, clinicians have focused on treating and evaluating impairment, assuming that a change at this level will impact on activity and participation; however, this relationship is not borne out in the literature Sullivan et al. Motor learning bobath concept theory and clinical practice in neurological rehabilitation be divided into two areas, namely explicit and implicit learn- ing.

Without context of a task, movement patterns may exist but they will be devoid of strategies Majsak Would you like to change to the site? Bernstein considered the control of integrated movement to be distributed throughout many interacting systems working cooperatively.

This case presentation provides a brief example of the systematic decision- making process and the interaction between assessment and treatment. The impact the lesion has on motor control and function will depend upon the location and the size of the lesion.

The Bobath Concept – Theory & Clinical Practice in Neurological Rehabilitation

Assessment represents a process of gathering information for a number of potential purposes Wade Preparatory postural adjustments pAPAs are anticipatory balance strategies which prepare the body for movement whilst accompanying APAs occur during the movement. Physical Therapy, 5 supplS This can occur only if the therapist is aware of the key measurement properties and has the ability to recognise them effectively.

Neeurological balance measure for individuals with traumatic brain injury. Since the new base bobtah support is relatively small, alignment, activity and stabil- ity in the ankles and feet are crucial.

Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation – Google Books

Theory and Clinical Practice in Neurological Rehabilitation Carr and Gentile concluded that the upper limbs play a role not only in balancing the body during STS but also facilitate lower limb propulsion. Although fundamentally the concept has the same core principles, its application has evolved in line with current evidence. The initiation of the movement with heels either up or down is an teory aspect for considera- tion of propulsion in STS, an area in which there has been very limited research.


Functional activities may involve production of a one-off activity, such as standing up from a chair, or a series of sub-maximum efforts over time, such as walking, going upstairs or running. Increasing the speed of movement will clinicak more torque at adjacent body parts and therefore demand greater stability. At the completion of this session he had achieved the ability to stand symmetrically with light support Fig.

The recognition that the best inhibition may come from engaging the patient in normal activities is an example of the way one of the notions central to the original Bobath Concept has developed. Effects of ageing In the natural ageing process, changes occur in the sensorimotor systems leading to a gradual decline in strength, joint mobility and balance, as well as a reduction in multimodality sensory processing, with consequent challenges clinicxl the perform- ance of these transitions.

Impairments that are observed as being critical to current move- ment bobath concept theory and clinical practice in neurological rehabilitation are prioritised and evaluated with the aim of reducing their impact. There are numerous variables that are considered to be important determinants in motor learning which have been investigated using healthy individuals learn- ing novel motor skills Winstein ; Marley et al.