Article

The study's purpose was to describe the range of knowledge pertaining
to the Bobath concept / NDT in adult neurological rehabilitation, synthesize the
findings, identify knowledge gaps and develop empirically based recommendations
for future research. This article explores the conceptual literature. METHODS: A scoping review of research and non-research articles published from 2007 to 2012.
Two independent reviewers selected studies based on a systematic procedure.
Inclusion criteria for studies were: electronically accessible English language
literature with Bobath and/or neurodevelopmental therapy (NDT) as the subject
heading in the title/keyword/abstract/intervention comparison with respect to
adult neurological conditions. Data were abstracted and summarized with respect
to study purpose, defining and operationalizing the Bobath concept, therapist
demographics, recruitment, discussion and conclusions. RESULTS: Of the 33
publications identified, 14 publications sought to define the theoretical
foundations and identify key aspects of clinical practice of the contemporary
Bobath concept. The publications comprised three theoretical papers, four
surveys, a Delphi reported through two papers, one qualitative study, three
letters to the editor and one editorial. CONCLUSIONS: Knowledge derived from
review of the conceptual literature provides clinicians with an updated Bobath
clinical framework as well as identifying aspects of Bobath clinical practice
that require careful consideration in future effectiveness studies. Implications
for Rehabilitation The integration of posture and movement with respect to the
quality of task performance remains a cornerstone of the redefined Bobath
concept. A key fundamental principle of the clinical application of the Bobath
concept since its inception is the selective manipulation of sensory information,
namely, facilitation, to positively affect motor control and perception in
persons post-central nervous system lesion. This is an aspect of Bobath clinical
practice that requires further investigation. Study and treatment fidelity issues
such as therapist expertise,
the use of treatment logs to document individualized
clinical practice, as well as therapist supervision and evaluation require
careful consideration in the implementation of Bobath effectiveness studies such
that causality can be determined.

Langue : ANGLAIS