Bobath Technique (Dr. Samrth Pareta) .ppt.pptx

This will provide you the basic knowledge about the Bobath teachnique also known as neuro developmental teachnique .

1. BOBATH TECHNIQUE -Samrth Pareta

2. Introduction History Principles Benefits Compensatory Strategies Focus of Therapy Sensory control Motor control Assessment 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: Mobilisation of muscles and stiff joints. Muscle stretch. Practice of more normal movement patterns. Through a more efficient, less effortful performance of functional tasks. 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. Limited Evidence Base. Complexity: The Bobath technique requires highly specialized training for therapists. Lack of Standardization. Overemphasis on Inhibition. Cost and Time Intensive. Drawback of Bobath

19. https://www.ahajournals.org/doi/full/10.1161/STROKEAHA.108.533828 https://pdf.sciencedirectassets.com/280586/1-s2.0-S0004951414X61957/1-s2.0-S0004951414611223/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEBwaCXVzL https://www.cerebralnaparaliza.com/images/dokumenta/Bobath_Concept_-_Theory_Clinical_Practice_in_Neurological_Rehabilitation-1.pdf org/w/index.php?title=Bobath_concept&oldid=233811831 References

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