Introduction
Bobath concept is of diagnostic and therapeutic approach to solving the problems of patients with disorders of function, movement and postural control caused by lesions of the CNS. (IBITA 1996)
Bears the name and historically built on the work of Karel and Berta Bobathových. Thanks to the extraordinary cooperation of masseurs and doctors was created between 1940 and 1950 a completely new approach of evaluation and therapy of patients with disorders of the central nervous system, especially in children with cerebral palsy and adult patients after stroke, the incidents.
The couple Bobathovi founded in 1951 in the United Kingdom in London The Bobath Centre, which organizes up to now training new instructors Bobath children’s concept and at the same time ensures that the care of patients with cerebral palsy. More information on the issue of child Bobath concept can be found on the website Fyziobeskyd.
In 1984, with the consent of the spouses was Bobathových founded the International Association for the treatment of adult patients with a view to further develop the Bobath concept and create standardized courses that will correspond to the findings of contemporary neuroscience. Since 1996, this company is known as International Bobath Instructors Training Association (IBITA, International Association of Bobath concept instructors, URwww.ibita.org). This concept continues to be developed up to the present, and is accepted in many countries as one of the major neurorehabilitačních concepts.
Therapy
Therapeutic intervention uses a direct hit to optimize the features of an individual in the context of its environment, within the limit of the individual disability, in order to improve the quality of life.
The basis for the current practice is based on the current knowledge of motor control, motor learning, neural plasticity and biomechanics. The other part consists of clinical experience with therapists and takes into account the needs and expectations of clients.
Bobath concept in accordance with the international classification of function, disability and health (ICF, WHO 2001) stresses the integrity of the functioning of the human being in all spheres of life. Disability is considered as the result of a complex relationship between the medical condition of the individual, personal factors, and environmental factors, in which the individual lives. The basis is, therefore, the implementation of high-quality analysis of the activities of the patient in order to determine their main limitations as well as the basic problems of movement dysfunction.
Part of this analysis is an objective measure that will allow to evaluate the effectiveness of therapeutic strategies.
Therapy is designed for all adults with the disorder of the CNS, regardless of age or severity of the disability.
The concept stresses the need for 24-hour team patient care. This approach is in accordance with the current knowledge with an emphasis on the importance of intensity of therapy for its effectiveness.
In therapy is used in the neurophysiological principles of facilitation and inhibition. High demands are placed on the patient’s ability to participate actively in the therapist’s own therapy (participate in therapy).
The process of examination and therapy focuses on disorders that interfere with the function as well as on the integration of improved control function to a normal life. Tests and therapies are constantly intertwined in order to achieve optimal results for a given patient. Looking for optimal therapy, postural and movement strategy for those aspects of motor skills, which limit the activity of the patient.
Contact
Instructors of Bobath concept for adult patients courses in the Czech Republic:
Mgr. Katerina Machackova, Ph.d.
Ostrava, Czech Republic
Email: bobathconcept@gmail.com
Cell phone: +420 603 140 911
BC. Hana Kafková
RHC odd. K.N. Liberec, a.s.
Husova 10, Liberec, 460 23 1 Liberec
Czech Republic
E-mail: hana.kafkova@nemlib.cz
Both instructors are members of the International Association of Bobath concept IBITA instructors.