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Developing a revised definition of the Bobath concept: Phase three.

Julie Vaughan-Graham1, Cott Cheryl1, Ann Holland2

  • 1Department of Physical Therapy, University of Toronto, 160-500 University Avenue, Toronto, Ontario, Canada.

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Summary

Experts revised the Bobath concept definition through consensus building. The International Bobath Instructors Training Association (IBITA) refined key statements for clinical practice, enhancing the Bobath concept

Keywords:
Bobath conceptNeuro-rehabilitationreal-time Delphi

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Area of Science:

  • Neurorehabilitation
  • Motor Control
  • Clinical Practice Guidelines

Background:

  • The Bobath concept is a widely used approach in neurorehabilitation.
  • A need existed to update the Bobath concept definition to reflect current expert understanding.
  • Incorporating International Bobath Instructors Training Association (IBITA) member perspectives was crucial.

Purpose of the Study:

  • To develop a revised definition of the Bobath concept.
  • To integrate the collective expertise of IBITA members into the definition.
  • To achieve consensus on core principles and clinical applications of the Bobath concept.

Main Methods:

  • A three-phase consensus-building design was employed.
  • Methods included focus groups, surveys, and real-time Delphi.
  • The study focused on presenting findings from the real-time Delphi, an anonymous expert opinion synthesis method.

Main Results:

  • 121 IBITA members participated in the real-time Delphi process.
  • Consensus was achieved on six overarching conceptual statements and 11 statements on clinical practice.
  • Minor revisions improved clarity, and one statement on 'placing' was removed due to insufficient textual representation.

Conclusions:

  • The real-time Delphi method successfully facilitated expert consensus.
  • A revised definition of the Bobath concept can be based on the agreed-upon statements.
  • This consensus provides a foundation for updated Bobath concept guidelines and practice.