Bobath Concept - Theory And Clinical Practice In Neurological Rehabilitation

The evolution of the Bobath concept is brilliantly captured in this volume. 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. In short, the Bobath Concept lies at the heart of an approach to neurorehabilitation that is ready to take advantage of the rapidly advancing understanding, coming from neuroscience, of brain function in, in particular, of the effects of and responses to damage, and the factors that may drive recovery. It is no coincidence that neuroplasticity figures so prominently in the pages that follow.’

Emeritus Professor Raymond Tallis BM BCh BA FRCP FMedSci LittD DLitt FRSA

This book guides the reader through general principles to more specific application of neurophysiological principles and movement re-education in the recovery of important areas, including moving between sitting and standing, locomotion and recovery of upper limb function.

Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitationwill be invaluable to undergraduate and qualified physiotherapists /occupational therapists and all professionals working in neurological rehabilitation.

• Covers the theoretical underpinning of the Bobath Concept.
• Presents a holistic, 24-hour approach to functional recovery.
• Focuses on efficient movement and motor learning, to maximise function.
• Forges links between theory and clinical practice.
• Illustrated throughout.

Linzi Meadows is Clinical Director of the Manchester Neurotherapy Centre and Neurological Teaching Centre, as well as an Advanced Bobath Tutor.

Mary Lynch-Ellerington F.C.S.P is Fellow of the Chartered Society of Physiotherapy and a Senior Bobath Instructor.

Prefacei

Contributors

Acknowledgements

1. The Bobath Concept: Developments and Current Theoretical Underpinning (Sue Raine)

Introduction

The founders and development of the Bobath Concept

Current theory underpinning the Bobath Concept

Systems approach to motor control

Clinical application of the theory underpinning the Bobath Concept

Summary

References

2. An Understanding of Functional Movement as a Basis for Clinical Reasoning (Linzi Meadows and Jenny Williams)

Introduction

Normal movement versus efficient movement

Compensatory strategies

Motor control and motor learning

Requirements of efficient movement

Summary

References

3. Assessment and Clinical Reasoning in the Bobath Concept (Paul Johnson)

Introduction

Models of clinical reasoning and the Bobath Concept

Key characteristics of assessment using the Bobath Concept

Basis for clinical reasoning

Illustrating clinical reasoning using the Bobath Concept

Summary

References

4. Practice Evaluation (Helen Lindfi eld and Debbie Strang)

Introduction

Evaluation in the context of the International Classifi cation of Function,

Disability and Health

Factors influencing measurement selection

Measurement properties

Measures

Summary

References

5. Moving Between Sitting and Standing (Lynne Fletcher, Catherine Cornall and Sue Armstrong)

Introduction

Clinical considerations from the literature

Phases of sit to stand

Movements from standing to sitting

Effects of ageing

Sit to walk

Clinical aspects

Movement in functional contexts

Clinical example

References

6. The Control of Locomotion (Ann Holland and Mary Lynch-Ellerington)

Introduction

Key aspects of bipedalism

The gait cycle

Use of body weight support treadmill training in the Bobath Concept

Assistive devices

Outcome measures

Summary

References

7. Recovery of Upper Limb Function (Janice Champion, Chris Barber and Mary Lynch-Ellerington)

Introduction

The importance of postural control in upper limb function

The shoulder complex

Functional reach

The hand

Early treatment and management of the hand

Assessment of the hand

Contactual hand-orientating response

Selective strength training of the intrinsic muscles of the hand

Summary

References

8. Exploring Partnerships in the Rehabilitation Setting: The 24-Hour Approach of the Bobath Concept (Clare Fraser)

Partnerships in the rehabilitation environment

The early days

Overcoming sensory deprivation and stimulating body schema

Scheduling the day – opportunities for practice

Return to work

Summary

References

Index