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DR. GAJANAN BHALERAO (PT) MPTh Neuro, MIACP, MIFNR, MIAP SENIOR LECTURE Masters in physiotherapy, Neurosciences Sancheti Institute College of physiotherapy, Shivajinagar, Pune. Mobile : 9822623701 Email:Gajanan_bhalerao@yahoo.com, gajanan.neurophysio@gmail.com PUBLICATIONS:- Comparison of Motor Relearning program versus Bobath Approach in acute stroke rehabilitation: Journal of Orthopedics And Rehabilitation, India, 2011 RESEARCH PAPER PRESENTATIONS & AWARDS:- INTERNATIONAL 1.Winner Of Young Presenters Scholarship From Epilepsy Foundation India, in the conference of“International congress on neurology and rehabilitation Goa April 2010”, STATE LEVEL: 1. Winner of best paper award in engeering and technology category In Avishkar 201o of Maharashtra university of health sciences (MUHS), Nashik India. 2.WINNER OF BEST PAPER FOR scientific paper presentation in AVISHKAR 2010 of Maharashtra University of Health Sciences (MUHS), AURANGABAD, India. REESOURCE PERSON/COURSE INSTRUCTOR:- I have conducted Conducted workshop on 1. 2D & 3D Gait Analysis and its Management 2. MOTOR RELEARNING PROGRAM- for stroke rehab 3.Spinal Cord Injury Rehabilitation

Sunday, 12 February 2012

What to do while application of Bobath Approach?

What to do while application of  Bobath Approach?
The abnormal patterns must be stopped not so much by modifying the sensory input, but by giving back to the patient the lost or undeveloped control over his out put in developmental sequence.
The basic patterns of posture & movement, the righting reaction & equilibrium responses are elicited by providing the appropriate stimuli while the abnormal patterns are inhibited.
In this way patient the patient is given the opportunity to experience normal movement.
The sensory information of correct movement is absolutely necessary for the development of improved motor control.
Treatment therefore, concentrate on handling the patient in such a way as to inhibit abnormal distribution of tone & abnormal postures while stimulating or encouraging the next level of motor control.
 The abnormal postures & tone are controlled at key point (proximal body parts, I.e. head neck trunk, & sometimes distal parts I.e. thumb & fingers), using reflex inhibiting movement or patterns called as RIPs.
 If the patient lack s tone, sensory stimulation or tapping is used while the RIPs is applied so the is sensory inflow will not shunt into abnormal patterns.
Bobath believes that once the patient can move in & out of normal basic patterns of posture & movement he will automatically be able to elaborate on these patterns to learn the more skilled activities required in daily living.

4 comments:

  1. My OT was trained in NDT and I originally believed that my recovery was based on her using that. Since then I have learned a lot more and prefer Brunnstrom.
    Diversity in neurological physiotherapy: a content analysis of the Brunnstrom/Bobath controversy (2002).
    http://en.scientificcommons.org/26409679
    Motor Relearning Program vs. Bobath
    http://cre.sagepub.com/content/14/4/361.short
    Brunnstrom allows you to use any movement possible.

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