Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation / Edition 1

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Authored by members of the British Bobath Tutors Association, Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation is a practical illustrated guide that offers a detailed exploration of the theoretical underpinning and clinical interventions of the Bobath Concept.

This book guides the reader through general principles to the 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 Rehabilitation will 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.

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Editorial Reviews

From the Publisher
"An invaluable reference." (International Journal of Therapy and Rehabilitation, March 2010)
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Product Details

  • ISBN-13: 9781405170413
  • Publisher: Wiley
  • Publication date: 7/27/2009
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 232
  • Sales rank: 1,128,318
  • Product dimensions: 6.90 (w) x 9.70 (h) x 0.55 (d)

Meet the Author

Sue Raine is Clinical Lead Physiotherapist at Walkergate Park for Neurorehabilitation and Neuropsychiatry, in Newcastle-upon-Tyne, and an experienced Bobath Tutor.

Linzi Meadows is Clinical Director of the Manchester Neurotherapy Centre and Neurological Teaching Centre, as well as an Advanced Bobath Tutor.

Mary Lynch-Ellerington F.C.S.P is Fellow of the Chartered Society of Physiotherapy and a Senior Bobath Instructor.

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Table of Contents

Foreword viii

Preface xii

Contributors xiv

Acknowledgements xv

1 The Bobath Concept: Developments and Current Theoretical Underpinning Sue Raine 1

Introduction 1

The founders and development of the Bobath Concept 1

Current theory underpinning the Bobath Concept 3

Systems approach to motor control 4

Clinical application of the theory underpinning the Bobath Concept 11

Summary 16

References 17

2 An Understanding of Functional Movement as a Basis for Clinical Reasoning Linzi Meadows Jenny Williams 23

Introduction 23

Normal movement versus efficient movement 24

Compensatory strategies 25

Motor control and motor learning 26

Requirements of efficient movement 31

Summary 37

References 39

3 Assessment and Clinical Reasoning in the Bobath Concept Paul Johnson 43

Introduction 43

Models of clinical reasoning and the Bobath Concept 45

Key characteristics of assessment using the Bobath Concept 47

Basis for clinical reasoning 52

Illustrating clinical reasoning using the Bobath Concept 53

Summary 57

References 61

4 Practice Evaluation Helen Lindfield Debbie Strang 64

Introduction 64

Evaluation in the context of the International Classification of Function, Disability and Health 65

Factors influencing measurement selection 66

Measurement properties 68

Measures 70

Summary 78

References 79

5 Moving Between Sitting and Standing Lynne Fletcher Catherine Cornall Sue Armstrong 83

Introduction 83

Clinical considerations from the literature 84

Phases of sit to stand 86

Movements from standing to sitting 89

Effects of ageing 92

Sit to walk 93

Clinical aspects 93

Movement in functional contexts 95

Clinical examples98

References 114

6 The Control of Locomotion Ann Holland Mary Lynch-Ellerington 117

Introduction 117

Key aspects of bipedalism 117

The gait cycle 122

Use of body weight support treadmill training in the Bobath Concept 127

Assistive devices 129

Outcome measures 147

Summary 149

References 149

7 Recovery of Upper Limb Function Janice Champion Christine Barber Mary Lynch-Ellerington 154

Introduction 154

The importance of postural control in upper limb function 155

The shoulder complex 157

Functional reach 162

The hand 170

Early treatment and management of the hand 170

Assessment of the hand 171

Contactual hand-orientating response 173

Selective strength training of the intrinsic muscles of the hand 173

Summary 177

References 178

8 Exploring Partnerships in the Rehabilitation Setting: The 24-Hour Approach of the Bobath Concept Clare Fraser 182

Partnerships in the rehabilitation environment 182

The early days 184

Overcoming sensory deprivation and stimulating body schema 190

Scheduling the day-opportunities for practice 191

Return to work 194

Summary 202

References 204

Index 208

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