The Bobath Concept for Cerebral Palsy and Stroke Rehabilitation

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 here:

 

The Bobath Concept for Cerebral Palsy and Stroke Rehabilitation

In the United States, the Bobath concept is known as Neurodevelopmental Therapy (NDT). Patients with cerebral palsy, stroke and other central nervous system diseases have postural and movement abnormalities that lead to limitations in functional activity. Bobath’s approach is individual and continues to evolve. It is based on brain neuroplasticity and is multidisciplinary, and includes physical therapy, occupational therapy, and speech and language therapy.

Rehabilitation after stroke

Systematic review from 2009 published in the journal brain attack Comparison of the efficacy of Bobath therapy with conventional therapies for stroke and no evidence was found of superiority of Bobath therapy over other stroke therapies for upper and lower extremity sensorimotor control, dexterity, mobility, ADL, HRQOL, and cost-effectiveness. It found methodological shortcomings in the studies reviewed and called for further research.

current status

The Bobath approach is widely used in stroke and cerebral palsy, although there is no good evidence for its effectiveness. The Neurodevelopmental Therapy Association (NDTA) continues to offer certification in NDT. Some European countries consider Bobath’s approach to be outdated and no longer teach it.

conclusion

Bobath’s approach looked promising, providing practical, individualized and multidisciplinary interventions to improve function in cerebral palsy and rehabilitation after stroke. But evidence from scientific studies has not proven its superiority over other treatments. More high-quality research is needed.

Harriet Hall, MD Also known as The SkepDoc, he is a retired family physician who writes about pseudoscience and questionable medical practices. She received her MBBS and MS degrees from the University of Washington, completed her Air Force training (the second woman ever to do so), and was the first graduate of an Air Force residency practice family at Eglin Air Force Base. During her long career as a medic in the Air Force, she held various positions from flight surgeon to DBMS (Director of Basic Medical Services) and did everything from delivering babies to taking control of the B-52. I retired with the rank of colonel. In 2008 she published her memoir, Women are not supposed to fly.