China
Africa
Explore chapters and articles related to this topic
Management of residual physical deficits
Published in Mark J. Ashley, David A. Hovda, Traumatic Brain Injury, 2017
Velda L. Bryan, David W. Harrington, Michael G. Elliott
The Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation, 1st edition. (2009) Authored by members of the British Bobath Tutors Association located in England. Blackwell Publishing, Ltd.
BOBATH vs. TASK-ORIENTED TRAINING AFTER STROKE: An assessor-blind randomized controlled trial
Published in Brain Injury, 2023
Gülşah Sütçü, Levent Özçakar, Ali İmran Yalçın, Muhammed Kılınç
The Bobath concept aims to recover post-stroke functions by improving postural control and increasing selective movements as well as adapting those functions to ADL with a comprehensive point of view. After it was first introduced in the late 1940s, the Bobath concept has developed in line with new neuroscientific knowledge, mainly related to the learning and sensorimotor control, and plasticity of the central nervous system and muscle structure (4). Currently, the Bobath concept is a functional rehabilitation approach based on motor learning principles, requiring the active participation of the patient (5). Task-oriented training is the repetitive training of a complex task or pre-task movements (similar to activities of daily living) in which all limbs or limb segments are actively involved during the session (6). Of note, this training is task- and patient- but not therapist-focused (7). In the pertinent literature, few studies compared the two aforementioned approaches, but either only balance and fear of falling were evaluated (8) or Bobath was applied with some structured task practice and the therapist did not provide hands-on assistance or guidance during tasks (9) or only single task-specific training was applied (10). As such, there is not enough/comparative data considering the physical problems seen in patients with stroke as a whole. Accordingly, this randomized controlled study aimed to objectively evaluate and compare the effects of the Bobath concept and task-oriented training on motor function, trunk muscles’ thicknesses, balance, gait, and perception of goal attainment in patients with stroke.
Boxing training in patients with stroke causes improvement of upper extremity, balance, and cognitive functions but should it be applied as virtual or real?
Published in Topics in Stroke Rehabilitation, 2021
The Bobath (NDT) concept is one of the most widely used approaches by clinicians in neurorehabilitation. However, the recent systematic review by Diaz-Arribas et al.8 highlighted that there is no evidence for the superiority of Bobath concept than other approaches used in post-stroke rehabilitation, especially on improving mobility, lower extremity motor control, gait and activities of daily living. The greater effectiveness of different methods, incorporating overuse of the affected upper extremity via intensive treatments with high-repetitions with or without robotic aids in the motor control of the upper extremity and dexterity, was emphasized in the study.8 Accordingly, the multiple systematic review study by Hatem et al. suggested that functional bimanual intensive training without constraint (as in CIMT) could be a future pathway for adult stroke neurorehabilitation research and instead of task-specific exercises the use of rehabilitation technology may offer more chances to the nervous system to experience “real” and repetitive activity training of upper extremity.6
Immediate effects of postural repositioning on maximum phonation duration tasks in seated individuals with acquired dysarthria: a pilot study
Published in Disability and Rehabilitation, 2022
Marie Julien, Maureen MacMahon, Dre Céline Lamarre, Dre Nicole Beaudoin, Jean-Michel Fortin, Dorothy Barthelemy
A single session of postural repositioning, based on the current version of the Bobath [15,17,31–33] concept used in the clinic, was applied to PWDs. The Bobath concept is currently defined as a problem-solving approach employed in the assessment and treatment of individuals with function, movement, or postural control disturbances caused by a central nervous system lesion. This concept incorporates principles of neuroplasticity and motor learning and provides a way of observing, analyzing, and interpreting task performance, as well as facilitation techniques and techniques to manage compensatory motor behaviors, addressing movement dysfunctions [15,16,31,32]. This intervention has been shown to be effective in improving postural stability behaviors [32,34–36].