Documenti di Didattica
Documenti di Professioni
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Bobath Concept
q Assessment and rehabilitation of persons with disorders of function,
movement and postural control.
q Current Neurophysiology.
q Science movement (motor control, motor learning).
q Biomechanics and sensory components, perceptual,
cognitive, adaptive and motor.
q Normal movement.
Hand evaluation
q Psychological / Cognitive / Emotional (Physiotherapist, Occupational
Therapists, Neuropsychologist)
q Sensitive / proprioceptive and perceptive.
q Motor.
Standardized Tests:
- Rivermead
- Fugl-Meyer Scale
- Motor Activity Log (MAL)
- etc
Task
Environment
Motivation
Cognitive processes/Planning
Cortical organization/Learning
Movement
facilitation
by physiotherapist
Visual input
Somesthetic input
Parietal cortex
Premotor cortex
Primary motor
cortex
Movement
Motor
Biomechanical
Components to
make an
Sensitive
EFFICIENT
MOVEMENT
Perceptual
Applicability to patient's
daily life
Cognitive
ITY
L
A
N
O
I
FUNCT
Patient
Physiotherapist
CONCLUSIONS
q Its a concept, not a technique or a method.
q It kept in mind postural control and motor learning.
q Component cognitive, sensory, proprioceptive, motor and integration
into daily life.
q Three factors to consider: individual, task and environment.
q Collaboration with other professionals, therapies and approaches.
q Mirror Therapy, forced use therapy, new technologies, splints and
other assistance.
BIBLIOGRAPHY
Bobath, B.; Hemiplejia del adulto: Evaluacin y Tratamiento; 1999; Editorial Mdica Panamericana
De Diego C, Puig S, Navarro X. A sensorimotor stimulation program for rehabilitation of chronic stroke patients. Restor
Neurol Neurosci. 2013; 31(4):361-71
Majnemer, A., Bourbonnais, D., Frak, V., (2008). The role of sensation for hand function in children with cerebral palsy.
Clinics in Developmental Medicine: Improving hand function in cerebral palsy: theory, evidence and intervention . A-C
Eliasson, and P. Burtner. Eds, MacKeith Press.
Mayston M (1999) An overview of the central nervous system. Workshop, SA Neurodevelopmental therapy
Association, Johannesburg , 1999.
Ertelt D, Hemmelmann C, Dettmers C, Ziegler A, Binkofski F.; Observation and execution of upper-limb movements as
a tool for rehabilitation of motor deficits in paretic stroke patients: protocol pf a randomized clinical trial. BMC Neurology
2012, 12:42
Oujamaa L, Relave I, Froger J, Mottet D, Pelissier JY. Rehabilitation of arm function after stroke. Literature review.
Ann Phys Rehabil Med. 2009; 52(3):269-93.
Paeth, B.; Experiencias con el concepto Bobath: fundamentos, tratamiento, casos; 2006; Editorial Mdica
Panamericana
Partridge CJ.; Physiotherapy approaches to the treatment of neurological conditions - an historical perspective. In:
Edwards S, editor(s). Neurological physiotherapy. A problem-solving approach. Edinburgh: Churchill
Livingstone, 1996:3-14.
BIBLIOGRAPHY
Paci M. Physiotherapy based on the Bobath concept for adults with post-stroke hemiplegia: a review of effectiveness
studies. J Rehabil Med 2003; 35:2-7.
Scalha TB, Miyasaki E et al; Correlations between motor and sensory functions in upper limb chronic hemiparetics after
stroke. Arquivos de Neuro-Psiquiatria 2011; 69 (4), 624-9
Schabrun S, Hillier SL; Evidence for the retraining of sensation after stroke: a systematic review. Clinical Rehabilitation
2009; 23; 27-39
Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. 3rd ed. Philadelphia:
Lippincott Williams & Wilkins; 2007Tallis, R.; The Hand; 2008
Smania N, Montagnana B, Faccioli S, Fiaschi A, et al. Rehabilitation of somatic sensation and related deficit of motor
control in patients with pure sensory stroke. Archives of Physical Medicine and Rehabilitation 2003; 84(11):1692-702.
Waller, SM.; Prettyman, MG; Arm training in standing also improves postural control in participants with chronic stroke.
Gait & Posture, Volume 36, Issue 3, 2012: 419-42
Winges, SA., Weber, D J., Santello, M. The role of vision on hand preshaping during reach to grasp. Experimental
Brain Research, 2003; 152(4):489-98.
Wolf, S.L., Winstein, C.J., Taub, E., Uswatte, G., Morris, D., Giuliani, C., Light, K.E., and Nicholas-Larsen, D. Effect of
constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: The EXCITE randomized
clinical trial. JAMA : The Journal of the American Medical Association. 2006, 296(17), 2095-2104.
Wolf, S. L., Winstein, C. J., Miller, P., Thompson, P. A., Taub, E., Uswatte, G., Morris, D., Blanton, S., Nicols-Larsen,
D., and Clark, P. Retention of upper limb function in stroke survivors who have received constraint-induced movement
therapy: the EXCITE randomized trial. Lancet Neurological 2008; 7:33-40.
THANKS !