The Bobath concept is a problem-solving approach used in the evaluation and treatment of individuals with movement and postural control disturbances due to a lesion of the central nervous system.
It is named after Berta Bobath, a physiotherapist, and her husband Karel Bobath, a psychiatrist/neuropsychiatrist, who proposed the approach for treating patients affected with Central Nervous System anomalies.
Procedure: in a “trial & error” fashion in 1948.
Concept of compensatory training.
Neglects the potential of hemiplegic side.
It is an interactive problem-solving approach that focuses on continuing reassessment with attention to individual goals, developing working hypotheses, treatment plans, and relevant objective measures to evaluate interventions.
Therapist should have:
Good posture & movement analysis skills.
PRINCIPLES
NDT THERAPY WORKS
ALWAYS TREAT THE PATIENT AS A WHOLE
WORK SIMULTANEOUSLY ON PATIENTS STRENGTHS & WEAKNESSES
INDIVIDUALIZED FOR EVERY PATIENT BASED ON ICF MODEL
GAIN THE INFORMATION FROM PAST, PRESENT & FUTURE
TEAMWORK IS CRITICAL FOR REHAB PURPOSES
UNDERSTANDING THE CONCEPT OF TYPICAL DEVELOPMENT (MOTOR CONTROL)
TRANSFERENCE OF TRAINING IN DAILY LIFE
HANDS ON INTERVENTION TO ENHANCE MOTOR LEARNING & FUNCTIONS
At the end of the lecture, the students should be able to:
Discuss the theoretical basis of the neurodevelopmental approaches
Discuss the concepts and principles underlying the Bobath approach
Discuss the concepts and principles underlying the Brunnstrom approach
این ارائه توسط دکتر خیاط زاده در کارگاه رویکرد جدید بوبات در توانبخشی کودکان مبتلا به فلج مغزی ارائه گردیده است.
برای مطالعه مطالب بیشتر در این زمینه، به وب سایت فروردین مراجعه نمایید.
https://www.farvardin-group.com
Neurodevelopemental Therapy (Bobath approach)- Principles and EvidenceSusan Jose
Here we present a widely used neurophysiotherapeutic approch - NDT, exploring its current principles and throwing a glance at the historical development and why it is being so widely practice.
does it really have that evidance base?
Find more as you click on. Give a like if I helped you learn or clear concepts. Thankyou. Love you all. Lets learn more.
The Bobath concept is a problem-solving approach used in the evaluation and treatment of individuals with movement and postural control disturbances due to a lesion of the central nervous system.
It is named after Berta Bobath, a physiotherapist, and her husband Karel Bobath, a psychiatrist/neuropsychiatrist, who proposed the approach for treating patients affected with Central Nervous System anomalies.
Procedure: in a “trial & error” fashion in 1948.
Concept of compensatory training.
Neglects the potential of hemiplegic side.
It is an interactive problem-solving approach that focuses on continuing reassessment with attention to individual goals, developing working hypotheses, treatment plans, and relevant objective measures to evaluate interventions.
Therapist should have:
Good posture & movement analysis skills.
PRINCIPLES
NDT THERAPY WORKS
ALWAYS TREAT THE PATIENT AS A WHOLE
WORK SIMULTANEOUSLY ON PATIENTS STRENGTHS & WEAKNESSES
INDIVIDUALIZED FOR EVERY PATIENT BASED ON ICF MODEL
GAIN THE INFORMATION FROM PAST, PRESENT & FUTURE
TEAMWORK IS CRITICAL FOR REHAB PURPOSES
UNDERSTANDING THE CONCEPT OF TYPICAL DEVELOPMENT (MOTOR CONTROL)
TRANSFERENCE OF TRAINING IN DAILY LIFE
HANDS ON INTERVENTION TO ENHANCE MOTOR LEARNING & FUNCTIONS
At the end of the lecture, the students should be able to:
Discuss the theoretical basis of the neurodevelopmental approaches
Discuss the concepts and principles underlying the Bobath approach
Discuss the concepts and principles underlying the Brunnstrom approach
این ارائه توسط دکتر خیاط زاده در کارگاه رویکرد جدید بوبات در توانبخشی کودکان مبتلا به فلج مغزی ارائه گردیده است.
برای مطالعه مطالب بیشتر در این زمینه، به وب سایت فروردین مراجعه نمایید.
https://www.farvardin-group.com
Neurodevelopemental Therapy (Bobath approach)- Principles and EvidenceSusan Jose
Here we present a widely used neurophysiotherapeutic approch - NDT, exploring its current principles and throwing a glance at the historical development and why it is being so widely practice.
does it really have that evidance base?
Find more as you click on. Give a like if I helped you learn or clear concepts. Thankyou. Love you all. Lets learn more.
NDT, BOBATH TECHNIQUE, BASIC IDEA OF BOBATH, CONCEPT OF BOBATH, NEUROPHYSIOLOGY OF NDT, ICF MODEL, PRINCIPLES OF TREATMENT OF NDT IN STROKE AND CP, AUTOMATIC AND EQUILIBRIUM REACTIONS, KEY POINTS OF CONTROL, FACILITATION, INHIBITION AND HANDLING IN NDT
CP-Care curriculum, training course and assessment mechanism (ECVET based)
Website: http://cpcare.eu/en/
This project (CP-CARE - 2016-1-TR01-KA202-035094) has been funded with support from the European Commission. This communication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.
If you are considering neurological rehabilitation, then you can surely consider availing our Neurological Rehabilitation Service Brampton. At Revitalize, our dedicated team of physiotherapists specializes in neurological rehabilitation, utilizing evidence-based techniques to deliver effective treatment!
This is a technical book and directory of clinical massage techniques applicable for debilities and neuro muscular conditions. It covers conventional therapies, and new techniques in sensory therapy, embryology, special sense therapies and therapeutic exercise.
Recent advances in Manipulative MedicineSoniya Lohana
What new techniques are been used in manipulative medicine and physical therapy that help the patients to recover better and address their condition by various approaches where surgery is not required.
این ارائه توسط دکتر محمد خیاط زاده، عضو هیات علمی دانشگاه جندی شاپور در کارگاه بررسی رویکرد جدید بوبت در درمان بیماران مبتلا به فلج مغزی تدریس شده است.
برای مشاهده دیگر مباحث مربوط به فلج مغزی، به وب سایت فروردین مراجعه کنید.
www.farvardin-group.com
NDT, BOBATH TECHNIQUE, BASIC IDEA OF BOBATH, CONCEPT OF BOBATH, NEUROPHYSIOLOGY OF NDT, ICF MODEL, PRINCIPLES OF TREATMENT OF NDT IN STROKE AND CP, AUTOMATIC AND EQUILIBRIUM REACTIONS, KEY POINTS OF CONTROL, FACILITATION, INHIBITION AND HANDLING IN NDT
CP-Care curriculum, training course and assessment mechanism (ECVET based)
Website: http://cpcare.eu/en/
This project (CP-CARE - 2016-1-TR01-KA202-035094) has been funded with support from the European Commission. This communication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.
If you are considering neurological rehabilitation, then you can surely consider availing our Neurological Rehabilitation Service Brampton. At Revitalize, our dedicated team of physiotherapists specializes in neurological rehabilitation, utilizing evidence-based techniques to deliver effective treatment!
This is a technical book and directory of clinical massage techniques applicable for debilities and neuro muscular conditions. It covers conventional therapies, and new techniques in sensory therapy, embryology, special sense therapies and therapeutic exercise.
Recent advances in Manipulative MedicineSoniya Lohana
What new techniques are been used in manipulative medicine and physical therapy that help the patients to recover better and address their condition by various approaches where surgery is not required.
این ارائه توسط دکتر محمد خیاط زاده، عضو هیات علمی دانشگاه جندی شاپور در کارگاه بررسی رویکرد جدید بوبت در درمان بیماران مبتلا به فلج مغزی تدریس شده است.
برای مشاهده دیگر مباحث مربوط به فلج مغزی، به وب سایت فروردین مراجعه کنید.
www.farvardin-group.com
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
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One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
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Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
2. 1. Introduction
2. History
3. Principles
4. Benefits
5. Compensatory Strategies
6. Focus of Therapy
7. Sensory control
8. Motor control
9. Assessment
10. Drawback
Content
3. • Bobath is a type of physiotherapy treatment which aims to improve
movement and mobility in patients with damage to their central nervous
system (brain and spinal cord). Many physiotherapists use Bobath in the
rehabilitation of patients with neurological conditions to promote the
sensory and motor pathways and facilitate normal movement and motor
control.(1)
Introduction
4. ● The contemporary Bobath Concept is based on a systems model of motor
control, the concept of plasticity, principles of motor learning, and an
understanding and application of functional human movement. An in-depth
understanding of human movement is crucial to the clinical reasoning
process. Mrs Bobath made a distinction between ‘rehabilitation concepts’,
which were concerned with quantitatively assessing whether or not a patient
can perform a function, and the Bobath Concept, which is concerned with
quality of function (Bobath 1990).(3)
Introduction Cont…
5. History
● Berta Bobath, MBE (December 5, 1907 – January
20, 1991) was a German physiotherapist who created
a method of rehabilitation and therapy known as the
Bobath concept in 1948.
6. ❏ Principles of Bobath
➔ Bobath is based around the brain's ability to adapt to change and reorganise
and recover after neurological damage.
The Bobath approach rests on a number of principles that include:
● Encouragement of normal movement patterns.
● Focusing on quality of movement.
● Normalisation of tone to facilitate active movement.
● Positioning and posture in lying, sitting and standing.
Principles
7. ● Discouragement of compensatory movements.
● Discouragement of muscle strength training.
● Promotion of maximum functional recovery to
improve quality of independence.
Handling techniques are used so that a person does not
move with over-exertion and to provide sensory
feedback.
Principles Cont…
8. Benefits
➢ Benefits of Bobath
● Normalise tone.
● Regain motor control.
● Make movements easier to achieve that are
precise and goal directed.
● Improve posture.
● Lengthen tight muscles to help decrease
spasticity and reduce contractures.
9. ● Improve ability with everyday activities.
● Increase independence.
● Achieve maximum potential.
The Bobath approach also emphasises the importance
of early rehabilitation, consistency of practise and a
stimulating environment in order to promote recovery
Benefits Cont…
10. Compensatory strategies
• Movement speed.
• Movement variability.
• Movement segmentation.
• Spatial and temporal coordination.
Compensatory Strategies
11. Therapy focuses on the following:
● Neuro-muscular system, spinal cord and higher centres to change motor
performance.
● Neuroplasticity, an interactive nervous system, and individual expression of
movement.
● Overcoming weakness of neural drive after a UMN lesion through selective
activation of cutaneous and muscle receptors.
Focus of Therapy
12. Sensory Control
● Sensory Systems:-)
The
contribution of sensory inputs to motor learning and shaping motor output is a
key concept in the Bobath approach. Patients with partial or complete sensory
loss make movements that lack precision and coordination.
Bobath therapists shape movement with sensory inputs in the form of:
● Tactile information from the hands.
● Removing manual guidance once patients are capable of self-generated
movement.
13. • Motor Control :-)
• Bobath Concept concerns sensory, perception and adaptive behaviour along
with the motor problem that involves the whole patient. It is a goal-oriented
and task-specific approach, aiming to organise the internal (proprioceptive)
and external (exteroceptive) environment of the nervous system for
efficient functioning of the individual. It is an interactive process between
patients and therapists.
Motor Control
14. • Therapists work on tone to improve movement, not to normalise tone. Tone
can be reduced by:
1. Mobilisation of muscles and stiff joints.
2. Muscle stretch.
3. Practice of more normal movement patterns.
4. Through a more efficient, less effortful performance of functional tasks.
5. Weight-bearing.
Motor Control Cont…
15. • The Neuro-Developmental Treatment (NDT/Bobath) approach was
developed for the treatment of individuals with Pathophysiology of the
central nervous system (CNS), primarily children with cerebral palsy
(CP) and adults with cerebral vascular accidents (CVA). Individuals with
CNS Pathophysiology have dysfunction in posture and movement and
subsequent functional activity limitations.
Conditions
16. • The Bobath Concept seeks to explore the full potential for improvement
within the patient’s movement control as a basis for enhanced function.
• It is recognised that the nature of the patient’s current movement
strategies may have a positive or a negative impact upon the fulfilment of
optimal functional potential. This involves the quality of movement as
well as the quantity.
Assessment
17. • Assessment and treatment are integrated with a continuous interaction
between the two. This demands responsiveness on the part of the therapist
and clinical reasoning ‘in action’ in order to determine critical movement
interferences and evaluate them further.
• The assessment process is systematic but flexible as it does not follow the
same sequence for each patient. The starting point for assessment will vary
as will the progression, with both being determined in response to the
individual’s clinical presentation.
Assessment Cont…
18. 1. Limited Evidence Base.
2. Complexity: The Bobath technique requires highly
specialized training for therapists.
3. Lack of Standardization.
4. Overemphasis on Inhibition.
5. Cost and Time Intensive.
Drawback of Bobath