“A process whereby patients who suffer from impairment Stroke recovery can last a Neurodevelopmental techniques (NDT) by Bobath stresses exercises. Bobath approach is a problem-solving neurodevelopmental(NDT) approach for important approach to the rehabilitation of patients with neurological injuries. The Bobath concept is an approach to neurological rehabilitation that is applied in patient assessment and treatment The.

Author: Akilabar Nalmaran
Country: Malaysia
Language: English (Spanish)
Genre: Life
Published (Last): 3 June 2016
Pages: 450
PDF File Size: 18.90 Mb
ePub File Size: 19.22 Mb
ISBN: 289-3-27751-831-1
Downloads: 90116
Price: Free* [*Free Regsitration Required]
Uploader: Mem

National evidence based guidelines for stroke rehabilitation have been published for England, Netherlands, Canada, Australia and New Zealand; yet in none of these is the Bobath approach recommended.

Paci conducted an extensive critical appraisal of studies to determine the effectiveness of pqtients Bobath concept for adults with hemiplegia following a stroke. Topics in Stroke Rehabilitation.

Yet, a large review of randomized controlled trials RCTs of Bobath for stroke rehabilitation found only three instances of significant differences in favour of Etroke, yet 11 in favour of alternatives. After analyzing the above activities perform the techniques. Tune paly an important role in movements pattern and postural control and directly effect the perfomence of functional tasks. Shows post-test values of experimental group I and experimental group II. A study by Lennon et al.

This approach requires active participation from both the patient and the therapist. That is usually the journal article where the information was first stated.

Bobath Approach

Stroke is one of the leading causes of serious, long term disability. Flexion and extension of fingers. Bobath approach, Motor Re-learning approach, Brunnstrom, Rood approach, Proprioceptive Neuromuscular Facilitation have been developed based on different ideas about how people recover after a stroke.

Bobath therapy is nonstandardized as it responds, through clinical reasoning and the development of a clinical hypothesis, to the individual patient and their movement control problems. Toggle navigation p Physiopedia. Effective rehabilitation interventions initiated early after stroke can enhance the recovery process shroke minimize functional disability.

Bobath concept

It is the use of sensory information tactile cue through manual contacts, verbal directions to reinforce weak movement patterns and to discourage overactive ones.


Arch Phys Med Rehabil. With shoulder girdle elevation, elbow extension and varying amount of shoulder external rotation done. The use of the individual’s less involved segments, also known as compensatory training strategies, are avoided.

Views Read Edit View history. Physiotherapy based on the Bobath concept for adults with post-stroke hemiplegia: Working to develop improved muscle tone, appropriate to the task, the individual and the environment, will enable better alignment and activation tefhnique movement, and allow for recruitment of, for example, arm activity in functional situations within various positions.

Theoretical assumptions and clinical practice. Patient flexes hip, knee and ankles to lower body mass toward the seat.

This is done through specific patient handling skills to guide patients through initiation and completion techique intended tasks.

Bobath concept – Wikipedia

Turning head and trunk to look over shoulder, returning to midposition and repeating to other side. Flexing head sideways while therapist assists into sitting. The Bobath Concepts theoretical underpinning and practice is clearly documented in a contemporary book published by Wiley Blackman in It makes intuitive sense that the best way to relearn a given task is to train specifically for that task.

Warning signs of stroke can be numbness, sudden severe head ache, weakness or paralysis of face, arm and leg especially on one side of the body [ 2 ]. S College of Physiotherapy, India Tel: If there is recovery from stroke it takes place in the first months after the injury [ 5 ].

In Albrecht, Gary L. Bobath technique with Motor Relearning Programme shows significant improvement in functional activities than Motor Relearning Programme. Importantly they stated that if a treatment was not mentioned then it was not recommended and need not be funded.

Based on the concept that pathologic movement patterns limb synergies and primitive reflexes must not be used for training because continuous use of the pathologic pathways may make it too readily available to use at expense of the normal pathways.


Examples of common abnormal movement patterns include obligatory synergy patterns. Clasping both hands forward placing affected foot parallel with sound one. G College of physiotherapy, Vivekananda hospital — Salem, Community rehabilitation centre- Coimbatore.

See Wikipedia’s shroke to writing better articles for suggestions. The goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments, thereby improving participation and function. Physical and Occupational Approaches”. When refering to evidence in academic writing, you should always try to reference the primary original source.

Forward flexion at shouldersideways abduction at shoulder and backward extension at shoulder. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. While lifting the affected leg and crossing it over the sound side. Task-oriented therapy is important. For upper limb function analyze lack of shoulder forward flexion, excessive elbow flexion, internal rotation of shoulder and pronation of forearm, grasp-wrist extension, Metacarpophalangeal joint extension, thumb abduction and rotation.

For Sitting up over the side of the bed analyze the poor lateral trunk movement, pulls with intact hand, hooks intact leg under affected leg, difficulty in flexion of hip and knee. October Learn how and when to remove this template message.

The Bobath concept in stroke rehabilitation: Activities assigned by a Physical Therapist or Occupational Therapist to an individual who has suffered from a stroke are selected based on functional relevance and are varied in terms of difficulty and the environment in which they are performed. Intervention strategies tehcnique techniques for Bobath consist of therapeutic handling, facilitation, and activation of key points of control.