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The Bobath concept in contemporary clinical practice.
Julie Vaughan Graham1, Catherine Eustace, Kim Brock
1Private Practice, Toronto, Canada.
Topics in Stroke Rehabilitation
|May 16, 2009
Summary
The Bobath concept, used in neurorehabilitation, is updated with current neuroscience. This provides a framework for analyzing movement and guiding patients toward efficient strategies for better task performance.
Area of Science:
- Neurorehabilitation
- Clinical Neuroscience
- Motor Control
Background:
- The Bobath concept is a widely used neurorehabilitation approach.
- Its original basis in 1950s neuroscience requires updating.
- Bridging basic science and clinical practice is crucial for neurorehabilitation advancement.
Purpose of the Study:
- To redefine the Bobath concept's theoretical underpinnings using contemporary neuroscience and rehabilitation science.
- To describe the Bobath framework for analyzing movement and dysfunction.
- To establish a theoretical foundation for future Bobath concept research.
Main Methods:
- Review and integration of current neuroscience and rehabilitation principles.
- Description of the Bobath concept's analytical framework for movement.
- Discussion of clinical practice elements differentiating the Bobath approach.
Main Results:
- A redefined theoretical basis for the Bobath concept.
- A framework focusing on postural control, selective movement, movement sequencing, and sensory input.
- Emphasis on a problem-solving approach and remediation for efficient movement strategies.
Conclusions:
- The Bobath concept can be effectively updated with current scientific understanding.
- This updated framework supports individualized, goal-oriented neurorehabilitation.
- Provides a basis for empirical research to validate and refine the Bobath concept.
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