Introduction to The Bobath Concept Module 1

What is normal movement?

• Course Schedule

Course description

This two day module is designed to introduce participants to the concept of movement analysis in the assessment and treatment of adults with neurological or neuromuscular dysfunction.

The module consists of a theoretical introduction to movement analysis, practical sessions, and a patient demonstration.

Course aims

To discuss movement analysis based on The Bobath Concept.

To explore and enhance skills of observation, analysis and facilitation in a neurologically intact subject.

To link the evidence base and clinical practice.

Learning outcomes

By the end of the course, the participants should be able to:

Describe key components relating to the analysis of positions / postural sets (sitting / standing) and movement sequences (sit to stand to sit.)

Identify key characteristics of efficient movement performance and recognise potential causes for lack of efficiency.

Understand the wide postural and tonal variations in the normal adult population.

Demonstrate efficient handling skills to facilitate movement from one postural set to another (sit to stand to sit.)

Apply knowledge of movement analysis to the assessment and treatment of patients with neurological dysfunction.

Who is this course suitable for?

Qualified Physiotherapists and Occupational Therapists working in neurology.

Requirements

Applicants must be a qualifed PT or OT.

How to apply

If you would like to apply for an Introductory Module please contact the course organiser directly as these modules are not organised by BBTA directly.

Suggested reading

Edwards S (2002) An analysis of normal movement as the basis for the development of treatment techniques. In Neurological Physiotherapy: A Problem Solving Approach. Second Edition. Churchill Livingstone, London pp 35 - 67

Massion J, Alexandrov A Frolov A (2004) Why and how are posture and movement coordinated? Prog Brain Res 143:13-27

Shumway-Cook A, Woollacott M (2007) Motor Control: Issues and Theories. In Motor Control: Translating Research into Clinical Practice. Third Edition Williams and Wilkins, USA pp 3-20

Organising a course

Introductory modules can be arranged with individual tutors. If interested please contact the office for a tutor list.

Introductory modules usually run with 18-20 participants. Use the following resources to help you organise your course:

Introduction to The Bobath Concept Module 2

Assessment & treatment of adults with neurological conditions [A]

• Course Schedule

Course description

This BBTA module will include patient demonstrations, theoretical and practical sessions. It will focus on the assessment and treatment of the acute and sub-acute patient.

Course aims

To identify a framework for assessment and treatment of the acute/subacute patient.

To develop skills of observation, analysis, and facilitation in a neurologically intact subject.

To link the evidence base and clinical practice.

Learning outcomes

By the end of the course, the participants should be able to:

Describe key components relating to the analysis of positions/posture sets (sitting and supine) and movement sequences (supine to sit, sit to supine.)

Analyse movement in terms of efficiency and recognise potential causes for lack of efficiency.

Understand the wide posture and tonal variation within the normal population.

Problem solve appropriate handling in individual models with respect to facilitation of movement.

Who is this course suitable for?

Qualified Physiotherapists and Occupational Therapists working in neurology.

Requirements

Applicants must be a qualifed PT or OT.

How to apply

If you would like to apply for an Introductory Module please contact the course organiser directly as these modules are not organised by BBTA directly.

Suggested reading

Levin MF, Kleim JA, Wolf SL (2009) What do motor "recovery" and "compensation" mean in patients following stroke? Neurorehabilitation Neural Repair 23: 313-19.

Mehan R, Mackenzie M, Brock K (2008) Skilled transfer training in stroke rehabilitation: a review of use and safety. International Journal of Therapy and Rehabilitation. 15(9): 382-89.

Turton A, Pomeroy V (2002) When should upper limb function be trained after stroke? Evidence for and against early intervention Neurorehabilitation 17:215-24.

Organising a course

Introductory modules can be arranged with individual tutors. If interested please contact the office for a tutor list.

Introductory modules usually run with 18-20 participants. Use the following resources to help you organise your course:

Introduction to The Bobath Concept Module 3

Assessment & treatment of adults with neurological conditions [B]

• Course Schedule

Course description

This BBTA module will include patient demonstrations, theoretical and practical sessions. It will focus on the assessment and treatment of the patient with more established movement dysfunction.

Course aims

To discuss the pathophysiology and consequences to the patient with established movement dysfunction.

To build upon participants ability to analyse posture and movement.

To link the evidence base and clinical practice.

Learning outcomes

By the end of the course the participants should be able to:

Explain the pathophysiology and consequences of UMN syndrome.

Demonstrate a deeper understanding of postural and tonal variations within the normal population.

Problem solve appropriate handling in individual models to align/activate distal key points.

Draw upon improved assessment skills to treat a patient with established movement dysfunction.

Who is this course suitable for?

Qualified Physiotherapists and Occupational Therapists working in neurology.

Requirements

Applicants must be a qualifed PT or OT.

How to apply

If you would like to apply for an Introductory Module please contact the course organiser directly as these modules are not organised by BBTA directly.

Suggested reading

Gracies J-M (2005) Pathophysiology of spastic paresis. ll: emergence of muscle overactivity. Muscle & Nerve. 31:552-71.

Pandyan AD, Gregoric M, Barnes MP, Wood D et al (2005) Spasticity: clinical perceptions, neurological realities and meaningful measurement. Disability and Rehabilitation 27(1&2):2-6.

Sheean G (2002) 'The pathophysiology of spasticity' European Journal of Neurology 9(s1):3-9.

Organising a course

Introductory modules can be arranged with individual tutors. If interested please contact the office for a tutor list.

Introductory modules usually run with 18-20 participants. Use the following resources to help you organise your course:

Basic Bobath Course

Adult Neurological Conditions

• Course Schedule

Course description

This BBTA and IBITA recognised course is split into 3 modules over a period of 4-5 months.

Module 1 is 2 weeks in length and consists of theoretical and practical sessions and patient demonstrations. Course members are involved in patient treatment sessions supervised by tutors.

Module 2 is a period of independent learning resulting in the production of a clinically based project.

Module 3 is 1 week in length and consists of theoretical and practical sessions, patient demonstrations, and workshops.

Course aims

To offer the participant the opportunity to gain an understanding of the philosophy of and neurophysiological bases underlying the current Bobath Concept.

To develop the participants ability to use the current Bobath Concept in the assessment and treatment of patients with neurological dysfunction.

To develop participants skills of observation, analysis and facilitation of movement.

To provide opportunities to expand participants clinical reasoning and problem solving skills.

To describe and measure consequences of neurological dysfunction and the impact that rehabilitation intervention based on the Bobath Concept may have.

To link the current evidence base and clinical practice.

Learning Outcomes

At the conclusion of the course the course member will be able to:

1 Understand the history and ongoing development of The Bobath Concept.

2 Integrate the principles of the International Classification of Functioning, Disability and Health (ICF) in their evaluation and treatment of adults with neurological disorders.

3. Analyse and facilitate efficient postural and movement control in preparation for and during functional activity.

4. Understand the functional consequences of lesions of the central nervous system.

5. Observe and analyse dysynergic and/or inefficient movement and function and influence this through intervention.

6. Utilise the principles of motor control, motor learning, neural plasticity and muscle plasticity in their approach to treatment.

7. Understand the relationship between assessment and treatment and implement the ongoing process of clinical reasoning.

8. Adapt and apply appropriate theoretical principles of treatment to the individual patient/client within his environment.

9. Develop effective handling skills and incorporate them with the appropriate environmental and other influences in order to regain function.

10. Appreciate the importance of appropriate outcome measures to support evidence based practice.

11. Continue learning through critical reading, self evaluation, and sharing with others.

For completion of the course the course member will have undertaken a period of self-directed learning in the form of an individual assignment related to the clinical practice of The Bobath Concept.

Who is this course suitable for?

Qualified Physiotherapists and Occupational Therapists working in neurology who are approaching or are already at a Senior level.

Requirements

Completion of the Normal Movement introductory module within four years of applying to go onto the waiting list is a prerequisite when applying for the Basic Bobath course.

How to apply

We hold a waiting list for places on the Basic Bobath Course. To apply to go on the waiting list please send the following:

Curriculum Vitae including CSP or BAOT number

Copy of your Normal Movement Course certificate

Copy of the Health Professions Council Registration

Please send to:

BBTA
PO Box 564
York
YO30 1WY

Please indicate with your application whether or not you can attend at any location and/or whether you can attend at short notice in the event of a cancellation. Please include a daytime telephone number that we may contact you on.

Examples of Project Titles and Abstracts

Suggested reading

Cohen H, 2nd Edition (1999) Neuroscience for Rehabilitation. Lipincott, Williams and Wilkins PhiladelphiaI SBN 0397554656 An introductory text linking neuroscience and rehabilitation (chapters 1-3, 5, 7, 8 & 17)

Greenfield S (1997) The Human Brain: A Guided Tour. Phoenix Press ISBN 0753801558

Kandel E R, Schwartz J H, Jessell T M (1995) Essentials of Neural Science and Behaviour. Appleton and Lange, USA ISBN 0838522475 A good basis for the understanding of neuroscience (chapters 1-12, 20, 26-29, 33 & 36)

Lasserson D, Gabriel C, Sharrack B (1998) Mosby's Crash Course: Nervous System and Special Senses. Mosby, London ISBN 0723429898 A short paperback revision book

Leonard C.T. (1998) The Neuroscience of Human Movement. Mosby, U.S.A. ISBN 0815153716 A straightforward and easy to read text (chapters 1,2 & 3 plus components of others)

Laurie Lundy-Ekman, 2nd Edition (2002) Neuroscience: Fundamentals for Rehabilitation. W B Saunders ISBN 0721693733 A cumulative building block of neuroscience for therapists

Stokes M (1998) Neurological Physiotherapy. Mosby International Limited, London ISBN 0723425930 Some useful, well referenced information that is easy to read (chapters 1,2 & 6)

Suggested reading related to Normal Movement

Bronstein A M, Brandt T, Nutt J & Woollacott M 2nd Edition (2003) Clinical Disorders of Balance Posture and Gait. Arnold, London ISBN 0340806575 This text contains an in depth analysis of problems related to balance and gait with the first 3 chapters introducing fundamental information (chapters 1-3)

Edwards S 2nd Edition (2002) Neurological Physiotherapy: A Problem Solving Approach. Churchill Livingstone, London ISBN 0443064407 This text is easy to read and contains useful information related to the foundations for treatment of the neurological patient (aspects of all but especially chapters 2 & 4)

Pitt-Brook J (1997) Rehabilitation of Movement. W.B Saunders Co, London ISBN 0702021571 A useful revision text relating to the control of human movement

Shumway-Cook A, Woollacott M. 2nd ed (2001) Motor Control: Theory and practical applications. Williams and Wilkins, U.S.A. ISBN 068330643 This text discusses the relationship between research, theory and practice (chapters 1-6)

Trew M and Everett T 4th Edition (2001) Human Movement: An Introductory Text 3rd ed. Churchill Livingstone, UK ISBN 0443076687 A basic and easy to read text concerned with the study of human movement and its abnormalities

Organising a course

The Basic Bobath course is split into three modules over 4-5 months.

Module l is a two week teaching module (Monday to Friday).

Module ll involves a work based project.

Module lll is a 1 week teaching module (Monday to Friday).

The usual number of participants is 20. Use the following resources to help you organise your course:

Advanced Bobath Course

Advancing Clinical Practice

• Course Schedule - Adult Neurological Conditions
• Course Schedule - Themed

Course description

These five day courses are open to therapists who have successfully completed the Basic Bobath course.

Course participants complete a pre-course questionnaire in which they are able to raise areas of interest, so that the courses can be tailored towards their needs and theme.

These courses may follow a particular theme e.g. upper limb recovery, target a specific client group e.g. Patients with Multiple Sclerosis or may have a general theme of advanced clinical reasoning and treatment progress.

It is recommended that at least 12 months elapse between the end of the Basic Bobath course and the start of the Advanced Bobath course.

Course aims

This course facilitates participants to deepen their current experience in neurological rehabilitation developing clinical skills in the context of evidence based practice.

Participants will develop their problem solving skills through guided workshops used to demonstrate a range of clinical reasoning models and practical treatment sessions aimed at enhancing patient care.

The course will provide participants with the opportunity to review current evidence critically and synthesise this with their clinical practice in the context of the Bobath Concept.

Specific handling skills will be developed through structured analysis.

Learning Outcomes

By the end of the course, the participants should be able to:

1 Demonstrate advanced clinical reasoning skills in the assessment, treatment and management of a range of neurological conditions.

2 Critically evaluate and synthesise the theoretical evidence base for neurological rehabilitation and in depth movement analysis to develop individually tailored treatments.

3 Validate advanced communication, clinical reasoning and specific handling skills through self evaluation.

4 Articulate a clear understanding of how a change at the neuro-physiological level can impact on the patients clinical presentation and level of functioning.

5 Critically evaluate and progress individual patient treatment programmes and response to treatment using the appropriate objective and subjective measures.

Who is this course suitable for?

Qualified Physiotherapists and Occupational Therapists working in neurology and established at a Senior level.

Requirements

You must have completed the Basic Bobath course.

How to apply

We hold a waiting list for places on the Advanced Bobath course. To apply to go on the waiting list please send the following:

Curriculum Vitae including CSP or BAOT number

Copy of your Basic Bobath course certificate

HPC Registration

Please send to:

BBTA
P O Box 564
York
YO30 1WY

Suggested reading

Cohen H, 2nd Edition (1999) Neuroscience for Rehabilitation. Lipincott, Williams and Wilkins PhiladelphiaI SBN 0397554656 An introductory text linking neuroscience and rehabilitation (chapters 1-3, 5, 7, 8 & 17)

Greenfield S (1997) The Human Brain: A Guided Tour. Phoenix Press ISBN 0753801558

Kandel E R, Schwartz J H, Jessell T M (1995) Essentials of Neural Science and Behaviour. Appleton and Lange, USA ISBN 0838522475 A good basis for the understanding of neuroscience (chapters 1-12, 20, 26-29, 33 & 36)

Lasserson D, Gabriel C, Sharrack B (1998) Mosby's Crash Course: Nervous System and Special Senses. Mosby, London ISBN 0723429898 A short paperback revision book

Leonard C.T. (1998) The Neuroscience of Human Movement. Mosby, U.S.A. ISBN 0815153716 A straightforward and easy to read text (chapters 1,2 & 3 plus components of others)

Laurie Lundy-Ekman, 2nd Edition (2002) Neuroscience: Fundamentals for Rehabilitation. W B Saunders ISBN 0721693733 A cumulative building block of neuroscience for therapists

Stokes M (1998) Neurological Physiotherapy. Mosby International Limited, London ISBN 0723425930 Some useful, well referenced information that is easy to read (chapters 1,2 & 6)

Suggested reading related to Normal Movement

Bronstein A M, Brandt T, Nutt J & Woollacott M 2nd Edition (2003) Clinical Disorders of Balance Posture and Gait. Arnold, London ISBN 0340806575 This text contains an in depth analysis of problems related to balance and gait with the first 3 chapters introducing fundamental information (chapters 1-3)

Edwards S 2nd Edition (2002) Neurological Physiotherapy: A Problem Solving Approach. Churchill Livingstone, London ISBN 0443064407 This text is easy to read and contains useful information related to the foundations for treatment of the neurological patient (aspects of all but especially chapters 2 & 4)

Pitt-Brook J (1997) Rehabilitation of Movement. W.B Saunders Co, London ISBN 0702021571 A useful revision text relating to the control of human movement

Shumway-Cook A, Woollacott M. 2nd ed (2001) Motor Control: Theory and practical applications. Williams and Wilkins, U.S.A. ISBN 068330643 This text discusses the relationship between research, theory and practice (chapters 1-6)

Trew M and Everett T 4th Edition (2001) Human Movement: An Introductory Text 3rd ed. Churchill Livingstone, UK ISBN 0443076687 A basic and easy to read text concerned with the study of human movement and its abnormalities

Additional guidelines

Hosting a 'SPECIAL' ADVANCED COURSE

Course organisers can apply to host a 'Special' Advance Course (for example ISCI; MS; TBI)

Organising a course

The Advanced Bobath Course is a 1 week course (Monday to Friday).

The usual number of participants is 16-18.

Use the following resources to help you organise your course:

Additional BBTA Courses & Workshops

• Course Schedule

Assessment and Treatment of the Ataxia Patient

This course consists of practical sessions to experience ataxia and develop treatment ideas for the patient group. There will be theory of the cerebellum principles of treatment of ataxia and patient demonstrations. This is a very practically orientated course.

These and other additional courses can be organised and tailored to individual course organisers needs.

For list of tutors please contact the office.

Locomotion & limb workshops

These and other additional courses can be organised and tailored to individual course organisers needs.

For a list of tutors please contact the office.

The Vestibular System

These and other additional courses can be organised and tailored to individual course organisers needs.

For list of tutors please contact the office.

Core stability

These and other additional courses can be organised and tailored to individual course organisers needs.

For list of tutors please contact the office.

Rehabilitation in the critical care environment

These and other additional courses can be organised and tailored to individual course organisers needs.

For list of tutors please contact the office.

Trunk and upper quadrant

These and other additional courses can be organised and tailored to individual course organisers needs.

For list of tutors please contact the office.

Neurophysiological basis of spinal pathophysiology

This course will review the neurophysiological basis of different clinical presentations of patients with conditions such as MS, incomplete spinal cord injury etc. Issues such as spasms, clonus, spasticity, weakness etc will be discussed. Short video clips showing different clinical presentations will be shown.

These and other additional courses can be organised and tailored to individual course organisers needs.

For list of tutors please contact the office.

A problem solving workshop for Occupational Therapists specifically focusing on the treatment of the adult neurological patient

This course is for OT's interested in neurology who want to focus on the development of their clinical skills based on the Bobath Concept. The course consists of lecture material, patient demonstrations and practical sessions. Some neurological experience necessary.

These and other additional courses can be organised and tailored to individual course organisers needs.

For list of tutors please contact the office.

Organising a course

Individual short courses/workshops can be arranged with individual tutors so that individual requirements can be discussed.If interested please contact the office for tutor list.

Course Schedule