The British Bobath Tutors Association (BBTA) is an organisation of expert clinicians within the UK who specialise in the assessment and treatment of adults with neurological impairments utilising the Bobath Concept. All BBTA members maintain their clinical skills by working directly with patients in either the public or private sector.
The primary responsibility of BBTA is to disseminate the current understanding and practice of the Bobath Concept to qualifi ed physiotherapists and occupational therapists on postgraduate courses and to support the training process of new tutors. BBTA is a member organisation of the International Bobath Instructors Training Association (IBITA) and has strong links worldwide. Members of BBTA provide education and training to therapists both within the UK and abroad.
The theoretical basis and application of the Bobath Concept has continued to develop with considerable growth in knowledge areas such as neuroscience, neuromuscular plasticity, motor control and motor learning. Although fundamentally the concept has the same core principles, its application has evolved in line with current evidence. For many years, the developments within the Bobath Concept have been disseminated through introductory, basic and advanced Bobath courses. These courses facilitate clinical reasoning and its application, based upon an understanding of effi cient functional movement, the systems control of movement and the principles of motor learning. Individuals with neurological pathology take part in the courses and contribute to the educational experience. The popularity of the courses has continued to grow and therapists often ask whether there is a textbook they can refer to in order to support their learning. It is with this in mind that this book has been written, so that it can be a reference for therapists to develop a deeper insight into the clinical application of the Bobath Concept.
This book is intended to provide both undergraduate and postgraduate health professionals with many of the elements felt to be important in understanding the clinical reasoning process used in the application of the Bobath Concept. The book is structured in such a way that the fi rst four chapters guide the reader in gaining an understanding of the current theory before moving to the application of the Bobath Concept into clinical practice. From this foundation, Chapters 5–7 consider the application in depth, with clinical examples in the areas of moving between sitting and standing, control of locomotion and the recovery of function of the upper limb. Chapter 8 considers the 24-hour approach of the Bobath Concept to neurorehabilitation and the need for exploring partnerships in the rehabilitation setting.
The aim of this book is to provide the therapist with an understanding and ability to apply the principles of the contemporary Bobath Concept and to promote and enable greater clinical effectiveness and to optimise the functional outcome for all patients in the area of neurorehabilitation. The primary objective is to improve the quality of life of all the patients we treat.
Contents
1. The Bobath Concept: Developments and Current Theoretical Underpinning
- Introduction
- 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
- Summary
- References
2. An Understanding of Functional Movement as a Basis for Clinical Reasoning
- Introduction
- Normal movement versus efficient movement
- Compensatory strategies
- Motor control and motor learning
- Requirements of effi cient movement
3. Assessment and Clinical Reasoning in the Bobath Concept
- Introduction
- 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
- Introduction
- Evaluation in the context of the International Classifi cation of Function, Disability and Health
- Factors infl uencing measurement selection
- Measurement properties
- Measures
5. Moving Between Sitting and Standing
- Introduction
- Clinical considerations from the literature
- Phases of sit to stand
- Movements from standing to sitting
- Effects of ageing
- Sit to walk
- Clinical aspects
- Movement in functional contexts
- Clinical example
- Reference
6. The Control of Locomotion
- Introduction
- Key aspects of bipedalism
- The gait cycle
- Use of body weight support treadmill training in the Bobath Concept
- Assistive devices
- Outcome measures
7. Recovery of Upper Limb Function
- Introduction
- The importance of postural control in upper limb function
- The shoulder complex
- Functional reach
- The hand
- 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
- Partnerships in the rehabilitation environment
- The early days
- Overcoming sensory deprivation and stimulating body schema
- Scheduling the day – opportunities for practice
- Return to work
Index
Product Details
- Paperback: 232 pages
- Publisher: Wiley-Blackwell; 1 edition (July 28, 2009)
- Language: English
- ISBN-10: 1405170417
- ISBN-13: 978-1405170413
- Product Dimensions: 9.4 x 6.7 x 0.6 inches
List Price: $66.99