The Bobath concept – a model to illustrate clinical practice

1. Bobath Concept

1.1. Contemporary neurological rehabilitation

1.2. Positively affect motor control and perception

1.3. Neurological pathology

1.4. Integration of posture and movement with respect to the quality of task performance

1.5. Optimising activity and participation require an understanding of the relationship between the client’s health condition, personal factors, environmental, and individual contexts

2. Development of the model of Bobath clinical practice

2.1. International Bobath Instructors Training Association (IBITA)

2.1.1. identify the unique aspects of the clinical application of the Bobath concept

2.2. COMPONENTS OF MBCP

2.2.1. Functional movement analysis

2.2.1.1. understanding of the integral relationship between postural control and sensorimotor performance,

2.2.2. Skilled facilitation

2.2.2.1. Make a task or movement possible. It´s skilled interaction between the therapist and the client

2.2.3. Clinical reasoning

2.2.3.1. Understanding of motor control and motor learning, neuromuscular plasticity, and functional human movement to optimise task performance

2.2.3.2. Identify the potential and recognize limitations and neurological deficits

3. Clinical Application

3.1. The worksheet provides a practical tool for instructors of the IBITA and clinicians

3.2. Clinical Case 1

3.2.1. 58-year-old gentleman. C6/7 incomplete spinal cord injury (1981)

3.3. Clinical Case 2

3.3.1. 40-year-old lady with a malignant left middle cerebral artery stroke, with brainstem compression (2011).

4. Conclusions

4.1. Identify key aspects of Bobath Clinical practice

4.2. Demonstrate how the MBCP can be utilised to articulate the assessment process whilst documenting the interventions and simultaneously integrating the evidence

5. REALIZADO POR: Sofía Pambabay L

6. Problem Solving approach to:

6.1. Assessment and treatment

6.2. individuals with disturbances of function, movement, and tone

6.2.1. Lesion of the central nervous system

6.3. Is inclusive and individualised

6.3.1. all ages and all degrees of physical and functional disability

6.4. Bobath interventions are complex, multi-dimensional, responsebased to the individual

7. The Bobath concept has focused on the recovery potential and motor performance of the individual

7.1. Treatment approaches, such as the “Motor Relearning Program” and “Task Orientated Training”, like Bobath, are based on neuromuscular plasticity, a physiological process.

7.2. Therapeutic handling, modification of the environment, and appropriate use of verbal cues

8. The Bobath concept is underpinned on:

8.1. theories of motor control, neuromuscular plasticity, biomechanics, and motor learning