Physical Medicine Rehabilitation

Bobath Concept: Theory and Clinical Practice in Neurological by Sue Raine, Linzi Meadows, Mary Lynch-Ellerington

By Sue Raine, Linzi Meadows, Mary Lynch-Ellerington

WOW! this can be a nice booklet. It does a superb activity of overviewing the Bobath paintings either prior and current. it may be a bit "wordy" and difficult to understand a few suggestions yet when you do it really is outstanding. i believe it's a needs to learn for any healthcare practitioner drawn to neurological rehab.

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Extra info for Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation

Sample text

Clinical reasoning must therefore involve an understanding of how movement is produced (motor performance) and also how it is learned (motor learning). Principles of motor learning include active participation, meaningful goals and opportunities for practice. These principles must therefore be incorporated into programmes for the best outcome within rehabilitation. Introducing goal-oriented activities that are particularly interesting and motivating to the patient directly affects the limbic connections and has a potent affect on the acquisition of movement.

They occur in muscles, just before or alongside focal movements, in order to stabilise the body or its segments during the execution of the movement (Schepens & Drew 2004). They are experience dependent and are therefore learned responses modified by feedback (Mouchnino et al. 1992; Massion et al. 2004). Pre-programmed muscle activation patterns, in synergies, allow for APAs that enable efficient postural alignment and central stability to be achieved against the potentially destabilising forces of an expected movement.

In the Bobath Concept treatment has ‘change of functional outcome’ at its centre (Raine 2007). Summary The Bobath Concept was developed by the Bobaths as a living concept, understanding that as therapists’ knowledge base grows their view of treatment broadens (Raine 2006). These developments have been in response to, and supported by, advances in the fields of neuroscience, biomechanics and motor learning. As described by Mayston (2007), there have been many changes in the Bobath Concept and many aspects that remain the same.

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