About BBTA

BBTA is an organisation of tutors in the UK specialising in the assessment and treatment of adults with neurological impairment using The Bobath Concept.

All BBTA tutors are expert clinicians working in either the National Health Service or private practice. However, within BBTA, their focus is on the teaching of The Bobath Concept to qualified physiotherapists and occupational therapists and on the training of new tutors.

BBTA, as an organisation, consider a Physiotherapist or Occupational Therapist to be 'Bobath Trained' on completion of a three week Basic Bobath Course and a minimum of one Advanced Bobath Course.

BBTA comply with the bye-laws, rule and regulations of the International Bobath Instructor Training Association IBITA.

The purpose of BBTA

  1. Optimise the activity and well being of adults with neurological impairment through improving therapeutic intervention using The Bobath Concept.

    By running courses at differing levels, including theoretical, practical and patient centred components aimed at developing the assessment and treatment skills of the participants.

  2. Maintain and improve the standards of BBTA recognised courses.

    Through continuous evaluation of all aspects of course content, teaching methodology and organisation and by implementing appropriate change where necessary.

  3. Facilitate personal and professional development of all members.

    Through organising regular meetings and educational programmes. Mechanisms in place include peer group review, personal development plans and mentorship.

  4. Promote the development of The Bobath Concept related to adults with neurological impairment.

    Through promoting clinical effectiveness and encouraging research and publications relating to The Bobath Concept.

  5. Formulate and carry out a training programme for physiotherapists and occupational therapists to become future members of BBTA.

    By providing training modules/workshops, assistantships on courses and peer group support to enable trainees to reach the level of qualification.

Qualified BBTA members

Below is a list of fully qualified BBTA members. Click for more information.

Sue Armstrong (suearmstrong@bbtauk.org)
Christine Barber (chrisbarber@bbtauk.org)
Alan Bass (alanbass@bbtauk.org)
Janice Champion (janicechampion@bbtauk.org)
Catherine Cornall (catherinecornall@bbtauk.org)
Lynne Fletcher (lynnefletcher@bbtauk.org)
Clare Fraser (clarefraser@bbtauk.org)
Anna Hamer (annahamer@bbtauk.org)
Ann Holland (annholland@bbtauk.org)
Paul Johnson (pauljohnson@bbtauk.org)
Helen Lindfield (helenlindfield@bbtauk.org)
Mary Lynch-Ellerington (marylynchellerington@bbtauk.org)
Liz Mackay (lizmackay@bbtauk.org)
Linzi Meadows (linzimeadows@bbtauk.org)
Sue Raine (sueraine@bbtauk.org)
Debbie Strang (debbiestrang@bbtauk.org)
Jenny Williams (jennywilliams@bbtauk.org)

Sue Armstrong

Sue trained as a Physiotherapist in the University Hospital of Wales, Cardiff, qualifying in 1987, and after rotational posts has specialised in neurological rehabilitation since 1992, including holding the Senior 1 Post in Acute Neurology and Neurosurgery in the University Hospital of Wales for 5 years.

She spent 8 years working with acute neurological inpatients, predominantly patients who had suffered from stroke. She then spent a further 8 years working in an outpatient service, working with patients with a wide range of neurological conditions.

She is currently a Clinical Specialist in Neurology in Gwent NHS Trust, working mainly with outpatient neurology, and her role encompasses Trust-wide teaching responsibilities and Complex Patient sessions with Senior staff throughout the Trust. She taught on the M level Neurorehab Post Grad Certificate course in Cardiff University, and is a guest lecturer on the Neuromusculo-skeletal Masters Courses in Cardiff.

Her particular interests are postural control and locomotion.

She also works in private practice, and set up her own practice, Indigo Rehab Physiotherapy Practice in Abergavenny in 2006.

Sue qualified as Bobath Tutor in 2007.

Christine Barber

Christine trained at Manchester Royal Infirmary qualifying as a physiotherapist in 1975. She worked at Liverpool Royal Infirmary, University College Hospital London, and The National Hospital for Neurology and Neurosurgery, before joining the staff of The Bobath Centre in 1981.

Christine qualified as a Bobath Tutor in 1987 and completed an MSc in Physiotherapy at The University of East London in 1995.

She is currently the Director of the Bobath Centre for Children with Cerebral Palsy and Adults with Neurological Disability. She received the Chartered Society of Physiotherapist Distinguished Service Award in 2001.

Alan Bass

Alan qualified in 1975. He is currently employed as 1 of 2 Clinical Specialist Physiotherapists (Neuro) in the Leeds Teaching Hospitals Trust. He has held this post since 1993.

The main focus of the post is clinical teaching and personal development of other physiotherapists, mostly those who work at a Senior level. This covers all neuro rehabilitation areas from acute neurosurgery (including ITU) and stroke through to out-patients.

Alan qualified as a Bobath tutor in 1986 and has now tutored on over 25 Basic courses. Until recently he also taught Bobath Courses at an Advanced level.

He is currently trainee leader for the 4th Bobath tutor training programme.

Janice Champion

Janice qualified as a physiotherapist from Kings College Hospital, London in 1979 and started to specialise in neurology in 1981 when she joined the staff at The National Hospital for Neurology and Neurosurgery.

She qualified as a Bobath Tutor in 1987 and now works as a specialist clinician in neurophysiotherapy at the Medway Maritime Hospital, Kent.

Janice is currently the Vice Chair of IBITA.

Catherine Cornall

Catherine qualified as a physiotherapist from Kings College Hospital, London in 1980. She has specialised in neurology since 1983 gaining experience on the staff of the National Hospital for Neurology and Neurosurgery and at the Regional Neurological Rehabilitation Unit at the Homerton Hospital before moving to Ireland. She is currently Clinical Specialist in Acquired Brain Injury at the National Rehabilitation Hospital, Dun Laoghaire, Ireland.

Her areas of clinical interest include Traumatic Brain Injury and Stroke.

Catherine is the current Chair of BBTA.

Lynne Fletcher

Lynne Fletcher qualified as a physiotherapist in 1975 at Withington Physiotherapy School in Manchester.

She worked for 17 years in the NHS both in a large general hospital and as the Superintendent of a small hospital in charge of a specialised Stroke Unit.

Lynne became a private practitioner in 1993 and then set up the Manchester Neurotherapy Centre for both teaching and therapy with her partner in 2003.

Lynne Fletcher qualified as Bobath Tutor in 1985 and as an Advanced Tutor in 1994.

Clare Fraser

Clare Fraser qualified as a Chartered Physiotherapist in 1989 at Liverpool University. She has worked in a variety of posts at different hospitals within the UK and Australia. She has specialised within the field of neurology since 1993 including acute / subacute / rehabilitation / and out patient settings.

Clare completed her MSc in Neurology and Neurological Rehabilitation at Cardiff University in 2001, and qualified as a Bobath Tutor in 2007.

Clare currently works as a Highly Specialist Team Leader on the Stroke Rehabilitation Unit at Clatterbridge Hospital, Wirral, working with both in and out patients, and is involved in delivering education across the Trust.

Anna Hamer

Anna Hamer qualified at St. Thomas' Hospital in 1982 and completed the higher degrees qualifying course in Physiology at St. Thomas' Hospital Medical School in 1986.

She went on to work at The Royal Free Hospital in London and at Harrowlands Neurological Rehabilitation Unit in Dorking and the East Surrey Hospital in Redhill.

Anna qualified as a Bobath Tutor in 1997 and started 'heads up!' stroke and neurological physiotherapy practice the same year.

She is a member of BABTT (paediatric Bobath Trained Therapists), and a founder member of the Expert Witness Institute.

Ann Holland

Ann Holland trained at Manchester Royal Infirmary, qualified as a physiotherapist in 1982 and has worked in the NHS since. In 1993 she completed an MSc in Physiotherapy at The University of East London.

Ann qualified as a Bobath tutor in 2002 and attained a Postgraduate Certificate in Teaching and Learning in Higher Education in 2005.

She works as a Clinical Specialist in Physiotherapy at the National Hospital for Neurology and Neurosurgery, Queen Square, London and has links with the UCL MSc in Neurophysiotherapy and Evidence Based Neurophysiotherapy Courses. Clinical interests encompass the Neurosciences and Neurorehabilitation.

Paul Johnson

Paul Johnson qualified as a physiotherapist in 1990 and has specialised in the field of neurology for 12 years involving work within in-patient and out-patient settings.

He currently works as a clinical specialist physiotherapist in Gateshead where his main case load is out-patient neurology, in particular stroke and multiple sclerosis. He also teaches as an honorary lecturer at Northumbria University in Newcastle.

Paul qualified as a Bobath Tutor in 2005 and his interests include the ongoing development of clinical reasoning skills.

Helen Lindfield

Since qualifying in 1989 the focus of Helens physiotherapy career has been in neurological rehabilitation and education. Her current post as professional lead at The Wolfson Rehabilitation Unit has allowed her to develop clinical and educational skills.

As a part time lecturer at Birmingham University she has developed teaching and learning skills at both an undergraduate and postgraduate level. She has written and taught a number of post graduate courses using the skills she developed through the completion of a postgraduate certificate in higher education in 2003. The experience she has gained at the university has allowed her to develop a large portfolio of courses using a range of educational approaches to create the optimal learning environment.

Helen developed her research skills while completing her MSc in 1999. Her dissertation into the relationship between quality of life and balance has allowed her to develop a strong knowledge base in the areas of outcome measures, postural control and patient orientated practice. She has a special interest in the ability to link current research theory into clinical and educational practice.

She has developed her research skills clinically through single case studies and educationally through the development of web based learning tools. This has lead to a number of publications and conference presentations including:

Papers

Davies A, Ramsay J, Lindfield H & Couperthwaite J (2006) A blended approach to learning: added value and lessons learnt from students' use of computer based materials for neurological analysis. British Journal of Educational Technology.

Davies A, Ramsay J, Lindfield H & Couperthwaite J (2005) Building learning communities: foundations for good practice. British Journal of Educational Technology 36 4 615-627

Lindfield H (2002) Chronic shoulder pain in stroke. Are we missing the acupoint? Physiotherapy Research International 7 (1) 44-50

Conference Presentations

Rudolph N and Lindfield H (2003) A critical review of the theoretical assumptions underpinning the Bobath approach and the motor learning approach. Chartered Society of Physiotherapists Congress Birmingham Poster presentation

Ramsay JRE, Lindfield H, Couperthwaite J, (2003) The use of computer based learning in developing observational skills in undergraduate physiotherapy students. World Congress of Physical Therapy. Barcelona. Conference Paper.

Mary Lynch-Ellerington

Mary is a Fellow of the CSP and a Senior Instructor in IBITA.

Trained at Bradford School of Physiotherapy, she qualified in November 1973 as the winner of the Jean Brock award.

She teaches courses worldwide at all levels and is an associate of Leeds Metropolitan University on The MSc in The Bobath Concept.

She also has a private practice in York.

Liz Mackay

Liz qualified as a Bobath Tutor in 2001. She works at Leeds Metropolitan University as a Principal Lecturer and is Course Leader for the MSc in The Bobath Concept.

Her clinical interests are varied and include neuro-physiology, stability and strength issues and movement analysis. Her interests also relate very much to the teaching of The Bobath Concept and making our courses as educationally and clinically stimulating as possible.

At the present time Liz is studying for her PhD and researching into models of clinical reasoning using verbal protocol analysis.

Linzi Meadows

Linzi trained at the Manchester Royal Infirmary and qualified as a chartered physiotherapist in 1982. She worked as a basic grade physiotherapist at North Manchester General Hospital and then as a Senior II before commencing work in 1985 as a Senior I on the stroke unit at Barnes Hospital in Central Manchester.

After more than 10 years working at Barnes Hospital Linzi became a clinical specialist developing one of the first Neuro-Outreach services in the UK.

She currently works in private practice having set up the Manchester Neurotherapy Centre with another Bobath tutor, Lynne Fletcher.

Linzi's qualifications include a BSc(hons) in Healthcare and Welfare and an MSc in the Bobath Concept. Linzi is an Advanced Bobath tutor.

Sue Raine

Sue achieved a Degree in Physiotherapy from Newcastle Polytechnic in 1991. After initially completing her early rotations in Sunderland she moved to Newcastle and the Regional Neurological Rehabilitation Centre at Hunters Moor where she is currently working as Team Lead Physiotherapist.

Sue has a keen interest in education and research, and received a City & Guilds -Teaching in Adult Education certificate in 1994.

She achieved an MSc in the Bobath Concept in 2004, and qualified as a Basic Course Instructor in February 2005.

Sue recently published, in Physiotherapy Research International, the results of a research study - 'Defining the Bobath Concept - Using the Delphi Technique', and is currently working towards a second publication, in Physiotherapy Theory and Practice, 'The current theoretical assumptions of The Bobath Concept as determined by the members of BBTA'.

Jenny Williams

Jenny trained at Nottingham School of Physiotherapy and qualified in 1984. She worked for 21 years in the NHS specialising in Neurology from 1989.

She spent 8 years working with acute neurological inpatients, predominantly patients who had suffered from stroke. She then spent a further 8 years working in an outpatient service, working with patients with a wide range of neurological conditions.

Jenny qualified as a Bobath Tutor in February 2003 and is presently working at the Stroke and Head Injury Clinic in Warrington, where she mainly works with patients who have suffered stroke or have M.S.

Her particular interests are postural control and locomotion.

Debbie Strang

News

  • Pam Mulholland Inaugural Memorial Course
    23 Aug 2010 - 8:08pm

    In tribute to their colleague and friend Pam Mulholland; five of her colleagues who trained alongside Pam as Bobath Tutors taught a one day course on Locomotion at the Royal Preston Hospital. The course formed one part of the PT Dept s incredible fundraising efforts in memory of Pam who was Superintendent PT at the time of her death in July 2008 The funds raised by the course have enabled Pam’s colleagues to buy an oak bench for the memorial garden and set up a training fund for the physiotherapy staff at Preston.

  • BBTA request expressions of interest
    13 May 2010 - 7:02pm

    The BBTA office would like to receive expressions of interest, via email, from Occupational Therapists(who have already attended the three week Basic Bobath Course)and who would be interested in attending an Advanced Bobath Course specifically tailored for Occupational Therapists.

  • BBTA tutor teaching in Bangladesh
    25 Mar 2010 - 8:18pm

    Sue Armstrong, one of the BBTA Tutors spent a week in the Centre for the Rehabilitation of the Paralysed in Dhaka, Bangladesh, teaching a 5 day Introductory Bobath Course to 24 qualified Physiotherapists and Occupational Therapists. The course was organised by Jill Fisher, a Neurological Physiotherapist from Leeds, who has been to CRP on two previous occasions to provide teaching and clinical mentorship, and the staff at CRP who are very keen to develop their clinical skills.

  • BBTA Response to NHS Evidence - Eyes on Evidence Issue 10 February 2010
    18 Mar 2010 - 11:10pm

    To the Editor
    Re NHS Evidence – Eyes on Evidence Issue 10 February 2010
    ‘Bobath – popular but may not be the best for stroke’

  • Memorial Advanced Course
    5 Mar 2010 - 10:12am

    A special Advanced Course, in memory of Pam Mulholland, and taught by Mary Lynch-Ellerington F.C.S.P. was held at Preston Hospital on 8th- 12th February.
    The course theme was 'Understanding Postural Control for the Recovery of Early Locomotion in the Neurologically Impaired Adult'.
    12 Senior Physiotherapists attended the course.

  • MSc Poster Presentations at IBITA Conference in Haarlem (September 2009)
    18 Feb 2010 - 10:37am

    Julie Vaughan-Graham, an Advanced IBITA instructor, who is completing an MSc in the Bobath Concept at Leeds Metropolitan University (LMU) presented a poster on ‘Core control and neurological rehabilitation’. Liz Mackay, Bobath tutor and Senior Lecturer at LMU was the Course Leader and designer of this Masters Course.

  • BBTA's response to Frontline
    16 Feb 2010 - 10:37pm

    To the Editor,
    “Bobath under fire”
    Structured rehabilitation programmes are known to be effective in reducing morbidity and improving outcome following stroke (Stroke Unit Trialists' Collaboration 2007) and increased intensity of therapy positively influences outcome (Kwakkel et al 1997) however the optimal content of the ‘rehabilitation package’ remains uncertain.

  • Olav Gjelsvik Memorial Award
    9 Feb 2010 - 8:40pm

    Alison Clements, a specialist Neuro-Physiotherapist from Somerset NHS Trust, Taunton, was the successful recipient of the Olav Memorial Award for 2009.

  • Pam Mulholland Memorial Award
    5 Dec 2009 - 5:41pm

    Viola Crossley, a Senior Physiotherapist from Manchester NHS Primary Care Trust Community Stroke Rehabilitation Team, was the successful recipient of the Pam Mulholland Memorial Award 2009.

  • BBTA and ACPIN
    5 Dec 2009 - 5:38pm

    This year BBTA members have been invited to lecture in the following educational conferences, courses and evening sessions for ACPIN.
    • National ACPIN: Upper Limb Conference [Mary Lynch-Ellerington]
    • Scottish ACPIN: Core Stability and Upper Limb Function [Debbie Strang]; Locomotion [Paul Johnson]; Lower Limb Rehabilitation in Neurological Patients [Helen Lindfield]
    • North Trent ACPIN: the Pusher Syndrome [Liz Mackay]
    • Merseyside ACPIN: Sensory Stimulation of the Hand [Clare Fraser]
    • Manchester ACPIN: Patient Workshop Session [Linzi Meadows]

Information for Patients

There are a number of neurological approaches used in the management of a neurological deficit. The Bobath Concept is one of the most commonly used approaches.

There are three levels of training:

Only on completion of all these levels can a physiotherapist use the designated term 'Bobath Trained'.

Finding a neurological physiotherapist

If you would like to see a neurological physiotherapist you may be able to access a therapist through the NHS or privately.

Searchable databases of physiotherapists:

Chartered Society of Physiotherapists - www.csp.org.uk
Click on the link and the town, the county or the postcode where you would like to find a neurological physiotherapist as well as choosing the 'Neurology/Neurosurgery' and in the 'Special Area or Practice' category.

Organisation of Chartered Physiotherapists in Private Practice - http://www.physiofirst.org.uk
Click on the link and then click on the 'Find a Physio' button, then enter the town, county or post code where you would like to find a physiotherapist as well as choosing 'Adult Neurology' in the 'Area X Practice' category.

The names of the Physiotherapists that come up will have different expertise and experience. Below are some questions that you might ask when deciding on the most suitable physiotherapist:

Memorial Funds

Pam Mulholland

Pam Mulholland joined BBTA after her qualification as a Basic Bobath tutor in 2000. Pam was a dedicated and very hard working member of BBTA and she naturally progressed to becoming an Advanced course tutor in 2006, teaching courses both nationally and internationally.

Pam was a gifted clinician, a natural leader and mentor to all her co-tutors in BBTA. She took an increasing responsibility in the demanding role of training instructor candidates within both BBTA and IBITA. Pam was the ultimate professional who loved her work and was passionate about maintaining standards and improving service needs for neurologically impaired adults.

This hugely respected therapist dedicated her life to the teaching of therapists in the Bobath Concept. BBTA have therefore set up a memorial fund in Pam's name. This fund will award a free place on a Basic Bobath Course annually to a successful applicant Physiotherapist or Occupational Therapist.

Apply for the Pam Mulholland Memorial Award

Olav Gjelsvik

Olav Gjelsvik was an IBITA Instructor and close friend and associate of the members of BBTA. In recognition of this relationship and his interest in the education and development of therapists working in the field of neurological rehabilitation the Olav Gjelsvik Memorial Award was established in 2008. This award will provide £500 towards attendance at a BBTA Advanced Course.

Apply for the Olav Gjelsvik Memorial Award

Donations

All donations can be sent to:

Receipts will be given.

Pam Mulholland Memorial Award

Pam Mulholland was a gifted clinician, a natural leader and mentor to all her co-tutors in BBTA. In recognition of this relationship and her interest in teaching therapists the Bobath Concept the Pam Mulholland Memorial Award was established in 2008.

The Pam Mulholland Memorial Award will be financed by the British Bobath Tutors Association to provide £1500 towards attendance at a BBTA Basic Bobath Course.

Retrospective applications for funding cannot be considered.

An individual may receive only one award.

To be eligible for consideration applicants must:

  • Be a Physiotherapist or Occupational Therapist and HPC registered or equivalent
  • Be working in the United Kingdom or Ireland
  • Have clinical responsibility for adults with neurological conditions
  • Have completed a 'What is Normal Movement?' Course (Module 1)

Application Criteria and Selection Process

Applicants must complete the appropriate application form in full and are to provide:

  1. A copy of your curriculum vitae with details of your postgraduate education
  2. A supporting statement (maximum 250 words minimum font size 12) to outline how attendance on a BBTA Basic Bobath Course would influence:
    1. Your personal and professional development
    2. Your clinical application and understanding of the Bobath Concept
    3. Your career progression / professional standing
    4. The further education and development of others
  3. A reference from your manager in support of your application

Applications must be submitted by 30th September 2010 to:

BBTA
PO Box 564
York
Y0301WY

The award will be finalised by 1st December 2010.

A single award of £1500.00 will be made available to the successful applicant.

The successful applicant will be notified in writing.

Olav Gjelsvik Memorial Award

Olav Gjelsvik was an IBITA Instructor and close friend and associate of the members of BBTA. In recognition of this relationship and his interest in the education and development of therapists working in the field of neurological rehabilitation the Olav Gjelsvik Memorial Award was established in 2008.

The Olav Gjelsvik Memorial Award will be financed by the British Bobath Tutors Association to provide £500 towards attendance at a BBTA Advanced Bobath Course.

Retrospective applications for funding cannot be considered.

An individual may receive only one award.

To be eligible for consideration applicants must:

  • Be a Physiotherapist or Occupational Therapist and be HPC registered or equivalent
  • Be working in the United Kingdom or Ireland
  • Have clinical responsibility for adults with neurological conditions
  • Have completed a Basic Bobath Course

Application Criteria and Selection Process

Applicants must complete the appropriate application form in full and are to provide:

  1. A copy of your curriculum vitae with details of your postgraduate education
  2. A supporting statement (maximum 250 words minimum font size 12) to outline how attendance on a BBTA Basic Bobath Course would influence:
    1. Your personal and professional development
    2. Your clinical application and understanding of the Bobath Concept
    3. Your career progression / professional standing
    4. The further education and development of others
  3. A reference from your manager in support of your application

Applications must be submitted by 30th September 2010 to:

BBTA
PO Box 564
York
YO30 1WY

The award will be finalised by 1st December 2010.

A single award of £500.00 will be made available to the successful applicant.

The successful applicant will be notified in writing.

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Masters level opportunities

University of Ulster

PTH824J1 - The Bobath concept in neurological rehabilitation

Campus: Jordanstown
Tutor: Dr S Lennon-Fraser

Semesters: 1

Description:
The preferred treatment approach in the UK is the Bobath concept. The Bobath concept is a problem solving approach to the assessment and treatment of individuals with a lesion of the central nervous system. This module provides therapists with an advanced theoretical basis for the management of people with neurological disorders with an opportunity to refine and enhance their clinical skills under expert supervision.

Coursework: 100%
Exam: 0%

Credits: 30
Level: M

Entrance requirements:
Occupational Therapy or Physiotherapy degree/diploma plus clinical experience in neurological rehab.