This paper investigated 86 patients with a first stroke against thirty three healthy normal’s. The study showed that postural vertical was more tilted in right than in left hemisphere strokes and specifically biased by damage to neural circuits centred around the primary somatosensory cortex and thalamus. This shows that thalamo-parietal projections have a functional role in the processing of the somaesthetic graviceptive information. Tilts of the postural vertical were more closely related to postural disorders than tilts of the visual vertical. All patients with a transmodal tilt showed a severe lateropulsion and 17/18 a right hemisphere stroke. This indicates that the right hemisphere plays a key role in the elaboration of an internal model of verticality and in the control of body orientation with respect to gravity. The study had three novel findings but in the main found that patients with a "pushing" behaviour showed a transmodal tilt of verticality perception and a severe postural vertical tilt and therefore suggested that pushing is a postural behaviour that leads patients to align their erect posture with an erroneous reference of verticality.
Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation
Authored by members of the British Bobath Tutors Association, Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation is a practical illustrated guide that offers a detailed exploration of the theoretical underpinning and clinical interventions of the Bobath Concept.
This book guides the reader through general principles to more specific application of neurophysiological principles and movement re-education in the recovery of important areas, including moving between sitting and standing, locomotion and recovery of upper limb function.