Bobath Concept

Authored by members of the British Bobath Tutors Association, Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitationis a practical illustrated guide that offers a detailed exploration of the theoretical underpinning and clinical interventions of the Bobath Concept. 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. Sue Raine is Clinical Lead Physiotherapist at Walkergate Park for Neurorehabilitation and Neuropsychiatry, in Newcastle-upon-Tyne, and an experienced Bobath Tutor. 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. CONTENTS 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