PRINCIPLES OF BOBATH APPROACH. BY – GAJANAN BHALERAO. What is Bobath therapy?.
powerful than a
A phenomenon of efferent inflow being short circuited either temporarily ( the athetoid patient) or more permanently ( the spastic patient) into patterns of abnormal co ordination released from higher inhibitory control.
A patient with abnormal motor out put who moves abnormally in response to motivation & normal sensory inputs will still only experiences & memories the sensation of of his abnormal movement of excessive efforts & lack of co ordination.
He will therefore be unable to develop & lay down the memory of normal sensory motor patterns.The law of shunting
“Today’s success & today's defeat are just another step in the long journey of your life”
The fundamental problem
When observing a spastic patient one is struck by the fact that spasticity shows itself in definite pattern of abnormal coordination & that is not confined to a few isolated muscles.
c. Graded control of agonist & antagonist integrate with that of synergists for the timing & direction of movement.
3. The automatic movement patterns of the righting & equilibrium reactions which are the background against which voluntary functional activity takes place.
Adequate stimulus for positive supporting reaction is twofold:
‘voluntary movement is partly dependent upon
In normally functioning organism cerebral cortex acts as a whole & we should, therefore, think of the sensory-motor areas as one functional unit.
We can at the same time direct patient’s active responses into the channels of higher integrated & complex pattern of more normal coordination.
In this way, spasticity becomes reduced by inhibition of its patterns, while more normal postural reactions & movement are facilitated.