The evolution of the Bobath concept is brilliantly captured in this volume. The recognition that the best inhibition may come from engaging the patient in normal activities is an example of the way one of the notions central to the original Bobath Concept has developed. In short, the Bobath Concept lies at the heart of an approach to neurorehabilitation that is ready to take advantage of the rapidly advancing understanding, coming from neuroscience, of brain function in, in particular, of the effects of and responses to damage, and the factors that may drive recovery. It is no coincidence that neuroplasticity figures so prominently in the pages that follow.
Emeritus Professor Raymond Tallis BM BCh BA FRCP FMedSci LittD DLitt FRSA
This book guides the reader through general principles to more specific application of neurophysiological principles and movement re–education in the recovery of important areas, including moving between sitting and standing, locomotion and recovery of upper limb function.
Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitationwill be invaluable to undergraduate and qualified physiotherapists /occupational therapists and all professionals working in neurological rehabilitation.
- Covers the theoretical underpinning of the Bobath Concept.
- Presents a holistic, 24–hour approach to functional recovery.
- Focuses on efficient movement and motor learning, to maximise function.
- Forges links between theory and clinical practice.
- Illustrated throughout.
1. The Bobath Concept: Developments and Current Theoretical Underpinning (Sue Raine)
The founders and development of the Bobath Concept
Current theory underpinning the Bobath Concept
Systems approach to motor control
Clinical application of the theory underpinning the Bobath Concept
2. An Understanding of Functional Movement as a Basis for Clinical Reasoning (Linzi Meadows and Jenny Williams)
Normal movement versus efficient movement
Motor control and motor learning
Requirements of efficient movement
3. Assessment and Clinical Reasoning in the Bobath Concept (Paul Johnson)
Models of clinical reasoning and the Bobath Concept
Key characteristics of assessment using the Bobath Concept
Basis for clinical reasoning
Illustrating clinical reasoning using the Bobath Concept
4. Practice Evaluation (Helen Lindfi eld and Debbie Strang)
Evaluation in the context of the International Classifi cation of Function,
Disability and Health
Factors influencing measurement selection
5. Moving Between Sitting and Standing (Lynne Fletcher, Catherine Cornall and Sue Armstrong)
Clinical considerations from the literature
Phases of sit to stand
Movements from standing to sitting
Effects of ageing
Sit to walk
Movement in functional contexts
6. The Control of Locomotion (Ann Holland and Mary Lynch–Ellerington)
Key aspects of bipedalism
The gait cycle
Use of body weight support treadmill training in the Bobath Concept
7. Recovery of Upper Limb Function (Janice Champion, Chris Barber and Mary Lynch–Ellerington)
The importance of postural control in upper limb function
The shoulder complex
Early treatment and management of the hand
Assessment of the hand
Contactual hand–orientating response
Selective strength training of the intrinsic muscles of the hand
8. Exploring Partnerships in the Rehabilitation Setting: The 24–Hour Approach of the Bobath Concept (Clare Fraser)
Partnerships in the rehabilitation environment
The early days
Overcoming sensory deprivation and stimulating body schema
Scheduling the day opportunities for practice
Return to work