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Defining a Bobath clinical framework : A modified e-Delphi study

VAUGHAN GRAHAM J; COTT C
PHYSIOTHER THEORY PRACT , 2016, vol. 32, n° 8, p. 612-627
Doc n°: 180601
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1080/09593985.2016.1228722
Descripteurs : KA61 - BOBATH

OBJECTIVE: To gain consensus within the expert International Bobath Instructors
Training Association (IBITA) on a Bobath clinical framework on which future
efficacy studies can be based. METHODS: A three-round modified e-Delphi approach
was used with 204 full members of the IBITA. Twenty-one initial statements were
generated from the literature. Consensus was defined a priori as at least 80% of
the respondents with a level of agreement on a Likert scale of 4 or 5. The Delphi
questionnaire for each round was available online for two weeks. Summary reports
and subsequent questionnaires were posted within four weeks. RESULTS: Ninety-four
IBITA members responded, forming the Delphi panel, of which 68 and 66 responded
to Rounds Two and Three, respectively. The 21 initial statements were revised to
17 statements and five new statements in Round Two in which eight statements were
accepted and two statements were eliminated. Round Three presented 12 revised
statements, all reaching consensus. CONCLUSION: The Delphi was successful in
gaining consensus on a Bobath clinical framework in a geographically diverse
expert association, identifying the unique components of Bobath clinical
practice. Discussion throughout all three Rounds revolved primarily around the
terminology of atypical and compensatory motor behavior and balance.

Langue : ANGLAIS

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