BOBATH

53問 • 1年前

問題一覧

BOBATH is also known as

neurodevelopmental therapy

Problem solving approach used in the evaluation and treatment of individuals with movement, tone and functional impairments due to CNS lesions

BOBATH approach

BOBATH approach is named after

Berta Bobath, Karl Bobath

When was BOBATH approach released

1940s

Bobath approach was originally developed for effective management dysfunctions manifested by children with ______

cerebral palsy

Law of memory

rut or trace with practice, chain, bond or engram

At any moment during movement, the CNS mirrors the state of elongation and contracture of the musculature

law of shunting

Proximal parts of the body (spine, shoulder and pelvic girdles)

law of shunting

Sherrington

law of reciprocal innervation

One muscle group must relax to allow another group of muscles to contract

law of reciprocal innervation

Magnus

law of shunting

Finish the sentence: Sensation of movement are _______, __________

learned, not movement per se

Every skilled activity takes place against a background of basic patterns of

postural control, righting, other protective reactions

Goals of treatment of Bobath

Directed toward retraining normal functional patterns of movement

Goals of treatment, except:

postpone unwanted muscle activity or inhibit primitive or abnormal reflex patterns

Problems in the CNS includes

abnormal muscle tone, abnormal movement patterns, atypical posture

MC at the inset of CVA

flaccid stage

No placing response

flaccid stage

MC identified problem and the most difficult to trat following CVA

spastic stage

Associated reactions

spastic stage

Problems associated with deficits in control of posture and movement include

poor trunk response, decreased balance, protective response, poor WB on hemiplegic hip

Loss of specific motor abilities and taskspecific behaviors such as

rolling, sitting up, walking, dressing, bathing

Acute hemiplegia

flaccid stage

No postural control in the trunk with flaccid paralysis in the affected UE and LE

flaccid stage

Poor sitting balance

flaccid stage

Bed mob tasks and transfers needs assistance

flaccid stage

Inferior SH subluxation

flaccid stage

Enough trunk control to sit and stand without loss of balance and can walk with AD

spastic stage

Typical posture of pt with hemiplegia

spastic stage

Can walk well without asymmetry of posture due to good control of WB and minimal flexor posturing

stage of relative recovery

Can move with hemiplegic arm with isolated control of shoulder and elbow to grasp objects

stage of relative recovery

Problems of stage of relative recovery

opening hands to grasp, controlling humeral and forearm rotation for placement, need for excessive concentration, slow and uncoordinated movements

PT uses inhibutuon to decrease spasticity and block or eliminate abnormal patterns of movement

autoinhibition

Refers to the way that the PT uses her hands on the patient’s body to change the quality of movement patterns of the patient

handling

Sensory expereince of normal movement is the basis for learning new movement patterns and assist the patient in suppressing unwanted abnormal patterns

handling

Lengthen spastic muscles and to stop abnormal patterns of coordination

strong and firm hand pressure

Guide the patient in a normal movement pattern, to teach the feeling of normal movement, and to elicit an active response from the patient

light pressure

Located closer yo the source of problem and facilitate more activity distally

PKP

Work only if the individual has some postural control proximally and are located away from the source of problem

DKP

hand, foot

PKP

head, shoulder, pelvis

CKP

xiphoid process, t7, t8

Movement is made easy, possible and necessary

facilitation

Sensory stimulation techniques

facilitation

Use of tactile and proprioceptive input to increase the intensity and duration of muscle contraction

sensory stimulation technique

Applied directly to a muscle or via joint approximation to stimulate muscle contraction around the jt

sensory stimulation technique

Performed with the body in normal alignment and directed toward areas of the body that are critical for a normal movement pattern

sensory stimulation technique

Decreasing the use of pathological movements and the effects of tonal dysfuntions on movement

inhibition

Reflex inhibiting patterns

flexor spasticity of UE, extensor spasticity of LE

Use of symmetrical, bilateral UE patterns to maintain alignment of the upper trunk and shoulder girdle and prevent the arm from being neglected or abnormally positioned

compensatory training

Compensatory training is directed toward

incorporate involved arm to task performance, teach patterns of compensation that discourage development of spasticity and associated reactions

RELAXING INHIBITING PATTERNS: FLEXOR SPASTICITY OF UE

neck and spine extension, arm and shoulder er, elbow and wrist extension, forearm supination, thumb abduction

REFLEX INHIBITING PATTERNS: EXTENSOR SPASTICITY OF LE

hip exaber, knee extension, ankle and toe df, big toe abd

ROM

Kyla Rafols · 71問 · 2年前

ROM