Bobath Approach

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This article is currently under review and may not be up to date. Please come back soon to see the finished work! (2/07/2020)

Introduction

Bobath concept is a problem-solving approach used in the evaluation and treatment of individuals with movement and postural control disturbances due to a lesion of the central nervous system. It is named after Berta Bobath, a physiotherapist, and her husband Karel, a psychiatrist/neuropsychiatrist, who proposed the approach for treating patients affected with Central Nervous System. An international association was established in 1983 by a group of experienced Bobath instructors to facilitate the development of Bobath Concept. Since 1996, it is known as International Bobath Instructor Training Association (IBITA).

What is NDT?

It is an interactive problem-solving approach that focuses on continuing reassessment with attention to individual goals, developing working hypotheses, treatment plans, and relevant objective measures to evaluate interventions. Regardless of severity, individuals of any age with damage to their CNS can be handled with this approach. This makes the approach different from other forms of treatment, like motor relearning or constraint-induced movement therapy, which can only work on high functioning individuals.

• The Bobath approach addresses the problems that occur as a result of impairment of the developing central nervous system that affect the individual's sensory - motor, cognitive, perceptual, social and emotional development
• It is an approach/concept, not a method
• It recognises that all clients with neurodisability have the potential for enhanced function
• It recognises the need for thorough analysis of each patient's functional skills
• need for the person's own activity
• Based on available knowledge evidence
• It is an important approach to the rehabilitation of patients with neurological injuries.
• In the United States the Bobath concept is usually referred to as 'neuro-developmental treatment' (NDT).

• It is based on the brain's ability to reorganise (neuroplasticity)
• It is a multidisciplinary approach, involving physiotherapists, occupational therapists and speech and language therapists.
• Individuals with CNS pathophysiology have dysfunction in posture and movement and subsequent functional activity limitations.

living concept

• The NDT/Bobath approach continues to be enriched with the emergence of new theories, new models and new information in the movement sciences.there have been changes in the cocept of NDT and  some aspects are remain the same

Aspects that are remain the same:

It is a problem solving and assessements aproach

Tune play an important role in movements pattern and postural control and directly effect the perfomence of functional tasks 

Handling is the main method for better functional and postural performences of tasks .

Individuals are encourage for active participations during treatment sessions 

functional training is importants of developments 

Aspects that have been  changed:

Neural and none neural components can be affected by tone.

Spasticty is rarely a major source of patient's movements disorders

• In addition, as the characteristics of the population with CNS pathophysiology change, the approach continues to evolve.

controversy about the effectivness of NDT

there are some controversies that NDT is one of some thereuuetics that should be no longer use , you can read about it more HERE

Sources

• Bobath concept. (2008, August 23). In Wikipedia, The Free Encyclopedia. Retrieved 14:04, September 14, 2008, from http://en.wikipedia.org/w/index.php?title=Bobath_concept&oldid=233811831

External links

• International Bobath Website