Bobath Concept

In the Bobath method, the following three elements are combined in a way best suited to achieving the patient's therapeutic objectives.

Inhibition:
the inhibition of abnormal tone and movement patterns in order to create a better basis for more normal active movements.

Facilitation:
the facilitation of normal physiological kinetic patterns.

Stimulation:
a variety of techniques and measures are used to prepare and initiate movements that have a direct effect on the somatic body senses. The distinction is made between inhibitory and facilitatory stimulation in the various clinical disorders, such as hemiplegia, apoplectic insult (stroke), multiple sclerosis, Parkinson's disease and other (disorders of the reciprocal innervation mechanism). Patients suffering from these disorders may present with no voluntary movement or maladjusted movement patterns due to simultaneous agonist-antagonist inhibition or simultaneous agonist-antagonist facilitation. These abnormal kinetic patterns offer no basis for coordinated movement. Examples of such pathological movement patterns include: the tonic labyrinthine reflex, asymmetrical tonic labyrinthine reflex, symmetrical tonic labyrinthine reflex, associated reactions and overflow support reaction – all of which effectively constraint the patient's voluntary motor functions.


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