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Developing a revised definition of the Bobath concept.

Julie Vaughan-Graham¹, Cheryl Cott¹, Ann Holland²

¹Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy

|December 18, 2018

Summary

Researchers engaged International Bobath Instructors Training Association (IBITA) members to refine the Bobath concept definition. Focus groups and surveys gathered opinions, with high agreement on core principles, paving the way for a revised definition.

Keywords:

Bobath concept focus groups: survey methods neurorehabilitation

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Area of Science:

Neurorehabilitation
Physical Therapy
Occupational Therapy

Background:

The Bobath concept is a key approach in neurorehabilitation.
A revised definition is needed to reflect current understanding and practice.
The International Bobath Instructors Training Association (IBITA) initiated a consensus-building process.

Purpose of the Study:

To develop a revised definition of the Bobath concept through a consensus-building exercise.
To gather input from IBITA members on essential themes and statements for the definition.

Main Methods:

A three-phase study design was employed, including focus groups and survey methods (Phases 1 and 2).
Forty IBITA members participated in five focus groups.
A web-based survey was developed based on themes identified in the focus groups.

Main Results:

Eight broad themes emerged from focus groups, forming the basis for survey statements.
High agreement was found on statements defining overarching constructs and unique aspects of Bobath clinical practice.
Lower agreement was noted regarding the term "humanistic," the multi-domain scope of Bobath practice, and the term "placing."

Conclusions:

Focus groups and surveys effectively gathered IBITA member opinions for a revised Bobath definition.
The findings from Phases 1 and 2 will guide Phase 3, a real-time Delphi, to achieve consensus.
This process aims to establish statements for a consensus-based revised Bobath definition.