By Bente Elisabeth Bassoe Gjelsvik, Line Syre

The pioneering textual content by way of across the world popular Bobath teacher and therapist Bente Gjelsvik is now in a revised and extended moment variation. The Bobath proposal in grownup Neurology, moment version, is up-to-date with the newest theoretical insights, examine literature, and scientific guidance to supply an evidence-based, practice-oriented advisor to the overview and therapy of sufferers with lesions of the primary worried procedure. Bridging the space among theoretical assumptions and daily treatment perform, the booklet deals an knowing of the interplay among the crucial worried process, the musculoskeletal process, flow, and serve as, and is helping readers follow their wisdom to shape hypotheses via medical reasoning within the rehabilitation of adults with neurological conditions.

Highlights:


  • Completely revised case histories bankruptcy with totally new sufferer cases

  • Key assurance of modern scientific trials and learn studies

  • Restructured and reorganized chapters for a extra logical presentation of content

  • Concise descriptions of the vital frightened procedure and the neuro-musculo-skeletal platforms, motor keep watch over, and neural and muscular plasticity

  • Useful dialogue of the overseas category of Functioning, incapacity, and wellbeing and fitness as a foundation for assessment

  • More than 2 hundred lucid pictures and illustrations relief in speedy seize of the material
The new version of this seminal quantity includes the theoretical details, medical information, and useful examples of the Bobath idea for the administration of neurological incapacity. it's a must-read for actual therapists and occupational therapists in any respect degrees who search the simplest evaluation and remedy results for neurologically impaired individuals.

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Additional resources for The Bobath Concept in Adult Neurology

Sample text

Cortex Caudate nucleus Thalamus Putamen Substantia nigra Globus pallidus Corticobulbar and corticospinal tract Fig. 15 A simple schematic model of the direct and indirect pathways. as diverse as movement, learning, and motivation. The cortico-BG loops contribute in the control of movements that require volition, cognition, and attention (Takakusaki et al 2010; Wichmann & DeLong 2006). Basically, the BG integrates and processes massive information from all its connections. The adjusted information is conveyed to the thalamus (acting as a relay station, the thalamus also works closely with the cerebellum), and, after further modifications, the output is relayed to different specific areas in the cerebral cortex (Fig.

This suggests that the BG serves as a “green light” that “allows” movement to happen, facilitating the change from one movement to another (Brodal 2010). This connection may be disrupted through a stroke affecting the internal capsule, explaining why some stroke patients can have parkinsonian symptoms. The indirect pathway connects the striatum to the globus pallidus/substantia nigra/subthalamic nucleus (STN). Activation of the indirect pathway to the subthalamus inhibits movement (Kandel et al 2013), and thus prevents unnecessary movements (Takakusaki et al 2010).

The cortex provides a major input to the cells of origin of the brain stem pathways; thus these lesions affect not only the corticospinal and corticobulbar projections but also the corticostriatal, corticopontine, and other systems related to motor function. The literature reports that about two-thirds of patients with stroke will have permanent problems with contralesional hand function. Some studies have suggested that contralesional deficits differ depending on which hemisphere is lesioned; for example, a study by Mani and colleagues (2013) indicated a role for the left hemisphere in intersegmental coordination and movement trajectory for both arms.

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