The Bobath concept: a critical review of the theoretical assumptions that guide physiotherapy practice in stroke rehabilitation

Sheila Lennon

    Research output: Contribution to journalArticle

    59 Citations (Scopus)

    Abstract

    Stroke is the third most common cause of death in the adult population and a major consumer of health care resources. Physiotherapists spend a large proportion of their time rehabilitating patients following stroke using a variety of treatment approaches. The Bobath concept has gained international acceptance as one of the leading approaches in stroke rehabilitation. The aim of physiotherapy using this concept is to re-educate normal movement by the manipulation of a variety of afferent inputs which are mainly proprioceptive. Recent papers have criticized this concept for failing to integrate new knowledge into its theoretical rationale.The aim of this paper is to review the published literature concerning physiotherapy using the Bobath concept in stroke rehabilitation. The key assumptions that guide current practice are identified: a systems theory of motor control; neuroplasticity shaped by manipulation of afferent inputs; and neurophysiological dysfunction as the primary cause of movement dysfunction. These assumptions are then discussed in relation to current understanding of how movement is controlled in both normal and brain damaged adults following stroke.
    LanguageEnglish
    Pages35-45
    JournalPhysical Therapy Reviews
    Volume1
    Issue number1
    Publication statusPublished - Sep 1996

    Fingerprint

    Stroke
    Systems Theory
    Neuronal Plasticity
    Health Resources
    Physical Therapists
    Cause of Death
    Delivery of Health Care
    Brain
    Population
    Stroke Rehabilitation
    Therapeutics

    Keywords

    • BOBATH
    • CVA
    • NDT
    • PHYSIOTHERAPY
    • STROKE REHABILITATION

    Cite this

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    abstract = "Stroke is the third most common cause of death in the adult population and a major consumer of health care resources. Physiotherapists spend a large proportion of their time rehabilitating patients following stroke using a variety of treatment approaches. The Bobath concept has gained international acceptance as one of the leading approaches in stroke rehabilitation. The aim of physiotherapy using this concept is to re-educate normal movement by the manipulation of a variety of afferent inputs which are mainly proprioceptive. Recent papers have criticized this concept for failing to integrate new knowledge into its theoretical rationale.The aim of this paper is to review the published literature concerning physiotherapy using the Bobath concept in stroke rehabilitation. The key assumptions that guide current practice are identified: a systems theory of motor control; neuroplasticity shaped by manipulation of afferent inputs; and neurophysiological dysfunction as the primary cause of movement dysfunction. These assumptions are then discussed in relation to current understanding of how movement is controlled in both normal and brain damaged adults following stroke.",
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    The Bobath concept: a critical review of the theoretical assumptions that guide physiotherapy practice in stroke rehabilitation. / Lennon, Sheila.

    In: Physical Therapy Reviews, Vol. 1, No. 1, 09.1996, p. 35-45.

    Research output: Contribution to journalArticle

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    AU - Lennon, Sheila

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    AB - Stroke is the third most common cause of death in the adult population and a major consumer of health care resources. Physiotherapists spend a large proportion of their time rehabilitating patients following stroke using a variety of treatment approaches. The Bobath concept has gained international acceptance as one of the leading approaches in stroke rehabilitation. The aim of physiotherapy using this concept is to re-educate normal movement by the manipulation of a variety of afferent inputs which are mainly proprioceptive. Recent papers have criticized this concept for failing to integrate new knowledge into its theoretical rationale.The aim of this paper is to review the published literature concerning physiotherapy using the Bobath concept in stroke rehabilitation. The key assumptions that guide current practice are identified: a systems theory of motor control; neuroplasticity shaped by manipulation of afferent inputs; and neurophysiological dysfunction as the primary cause of movement dysfunction. These assumptions are then discussed in relation to current understanding of how movement is controlled in both normal and brain damaged adults following stroke.

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