Why the fuck did the mentors and senior researchers even allow this since Bobath should have been shitcanned since 2003?
My best therapist supposedly used it but I really think her competence came from her knowledge of anatomy.
Physiotherapy Based on the Bobath Concept for Adults with Post-Stroke Hemiplegia: A Review of Effectiveness Studies 2003
The latest stupidity here:
The Bobath Concept (NDT) as rehabilitation in stroke patients
A systematic review
- Open
Abstract
Background and Objectives:
The Bobath approach, also known as neurodevelopmental treatment (NDT), is a widely used concept in the rehabilitation of stroke patients with hemiparesis in many countries. This technique is being used since years all over the world; however, strong evidence of its usefulness is still not present. This review is aimed to find out its effectiveness based on the randomized controlled trials in the rehabilitation of stroke patients with motor disability and to compare it with other therapeutic techniques.
Materials and Methods:
A systematic literature search on PubMed Central, Science-Direct, Cochrane, Scopus, Clinical Trial Database, and Indian Clinical Trial Registry in English till 31st July 2021 was undertaken. The review is published in Prospective Register of Systematic Reviews (PROSPERO) with registration number “CRD42019125400.” Physiotherapy Evidence-based Database (PEDro) score has been used for the quality assessment of the studies. Randomized clinical trials that studied the comparative effect of the NDT/Bobath concept on motor activity outcomes and cognition/behavior in stroke patients in comparison with other rehabilitative techniques were included.
Results:
No strong documentation(You missed the 2003 study) describing the effectiveness of this neuro-developmental treatment or its supporting neuro-developmental treatment in comparison with other advanced neuro-physiotherapeutic techniques has been found so as to consider it as the recommended treatment for post-stroke hemiplegia/hemiparesis. Methodological aspects of selected studies for further research are suggested.
Interpretation and Conclusions:
This study is inconclusive in determining the effectiveness of the Bobath approach for the movement rehabilitation of stroke patients. These results are similar to the results of previous reviews done on the same topic.
Introduction
The Bobath Concept is referred to as the neuro-developmental technique (NDT) worldwide. People working in the field of rehabilitation have developed a special interest in this concept recently, especially for the recovery of stroke patients. Bobath textbooks published in 1970, 1985, and 1990 have mentioned developing, incorporating principles and techniques regarding new concepts and methods for motor improvement.[123] Bobath is used as a treatment technique in the rehabilitation of stroke patients and is practiced in several countries. Previous reviews have studied the theoretical approach of NDT/Bobath on stroke rehabilitation and focused on controlled trials only.[45678910] Karl Bobath developed this technique in 1990 and she described how motor dysfunctions take place in patients with hemiplegia. Stroke patients shall actively participate in exercises assisted by the therapist. Therapists use key points of handling and reflex inhibiting patterns for performing exercises.[3] Bobath approach works on the different types of movement dysfunctions and is based on the active involvement of the patients so that they can develop motor control. Manual handling is holding the patient at specific proprioceptive points, for example, joint compression and distraction, so that patients can respond actively to perform functions. Manual handling can be of different types and is slowly removed to make the patient independent in motor activities. This type of therapy incorporates improved functional control and independence.[10]
NDT/Bobath concept has been recognized as a treatment for stroke patients with movement dysfunctions, and research to find out its efficacy is required to account for its extensive use by physiotherapists.
Augmentation of the scope of practice of nonphysician health care providers like physiotherapists is required to reduce the waiting times and improve primary care efficiency. In the last few decades, physiotherapists have seen their scope of practice extended in various settings, such as neurology, rheumatology, and primary care clinics.[11] The aim and objective of the review are to find out the effectiveness (motor recovery, gait and balance improvement, spasticity reduction, and daily functional activities improvement) of the Bobath approach in comparison with other rehabilitative techniques in acute as well as chronic patients of stroke with hemiparesis/hemiplegia. The results of this study will be helpful for stroke patients in saving their time and efforts when they will arrive at primary care centers, as they will directly be referred by primary care physicians to neuro-physiotherapists who are specialized in advanced neuro-physiological techniques like Bobath.
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