Adult Hemiplegia Evaluation and Treatment
Evaluation and TreatmentBy
- Berta Bobath, MBE, FCSP, PhD(Hon Boston), Co-founder, The Bobath Centre, London
This, the third edition of Berta Bobath's classic work, shows the continuation and development of treatment, while the underlying concept on which treatment was based has not changed. However, the emphasis on treatment is now more on the patient's active participation in partnership with the therapist in the holistic approach to the patient's individual problems. Moreover, treatment is no longer confined to academic exercises divorced from daily life, but makes use of familiar daily items, for example beds, tables, chairs, walls and stairs so that the patient can apply the treatment 'sessions' to daily activities.
Berta Bobath has introduced some 25 per cent of new material consisting of the nature of the handicap, neurophysiological considerations, normal automatic postural reactions and abnormal postural reflex activity. In addition to the new artwork included, most of the existing artwork has been replaced. All the remaining sections have been considerably revised, updated and expanded.
This new edition enables both therapy students and their teachers to increase their awareness of the problems and needs of individual patients and so increase their ability to provide the greatest possible assistance.
Paperback, 208 Pages
Published: June 1990
Imprint: Butterworth Heinemann
- Foreword; Preface; Introduction; The nature of the handicap of patients with brain lesions such as adult hemiplegia: Neuro physiological considerations; Normal automatic postural reactions: Righting reactions; Equilibrium reactions; Autopmatic adaption of muscles to changes of posture; Abnormal postural reflex activity: Associated reactions; The effect of released assymmetrical tonic neck reflex activity; The effect of released positive supporting action; Sensory and perceptual disturbances; Implications with regard to treatment; The shunting rule and its application to treatment; Evaluation of motor patterns for initial assessment, planning of treatment and progress: The concept which underlies the assessment of motor patterns; Assessment of postural tone and motor patterns; Sensory deficit and its effect on motor performance; Testing of tonus and postural reactions to being moved; Test charts; The concept and principles of treatment: Techniques of treatment: The initial flaccid stage; Stage of spasticity; Stage of relative recovery; Summary of main points of treatment; Example of treatment - case history of A.B.: Case history; First stage of treatment; Second stage of treatment; Third stage of treatment; Fourth stage of treatment; Conclusion; References and further reading; Index.