关键词: Bobath concept clinical practice clinical reasoning movement neurorehabilitation

来  源:   DOI:10.1080/09638288.2024.2375054

Abstract:
UNASSIGNED: This scoping review aims to describe how Bobath concept is conceptualized, operationalized, and studied in adult neurorehabilitation.
UNASSIGNED: The Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) guidelines were adopted. Non-scientific and research articles were searched in electronic databases PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, Web of Science, ScienceDirect, and Physiotherapy Evidence Database (PEDro), with the keywords \"Bobath\" or \"Neurodevelopmental Treatment\", published in English, Spanish, and Portuguese, between 2013 and 2023.
UNASSIGNED: Of the 78 publications identified, 31 articles addressed the conceptual underpinnings of Bobath concept (seven theoretical papers, seven Delphi/surveys/mixed methods studies, four qualitative studies, one scoping review, 10 letters to the editor, and two editorials), comprising five themes: (a) theoretical principles; (b) clinical principles; (c) clinical reasoning; (d) conceptualizing movement; and, current (e) evidence debate. The revised definition and the Model of Bobath Clinical Practice provide a clarification of the unique aspects of Bobath concept. A new clinical skill was identified beyond facilitation - visuospatial kinesthetic perception - as well as how Bobath experts conceptualize movement, which are all integral to clinical reasoning.
UNASSIGNED: This review provides an updated Bobath clinical framework that gathers the theoretical foundations and clinical practice principles that require careful consideration in the design of future intervention studies.Implications for rehabilitationThis scoping review consolidates the clinical and theoretical principles of contemporary Bobath practice, providing a clear framework for clinicians.The Model of Bobath Clinical Practice (MBCP) framework enables detailed documentation of movement analysis and movement diagnosis, guiding clinical reasoning and interventions.This review identifies fundamental principles and practices to inform future Bobath intervention studies, ensuring their clinical relevance.A framework with specific recommendations has been developed to guide Bobath intervention studies, enhancing the integration of clinical practice, education, and research.
摘要:
本范围审查旨在描述Bobath概念是如何概念化的,可操作,并在成人神经康复中进行了研究。
采用了乔安娜·布里格斯研究所(JBI)和范围审查的首选报告项目(PRISMA-ScR)指南。在电子数据库PubMed中搜索非科学和研究文章,护理和相关健康文献累积指数(CINAHL),Scopus,WebofScience,ScienceDirect,和物理治疗证据数据库(PEDro),关键词为“Bobath”或“神经发育治疗”,以英文出版,西班牙语,葡萄牙语,2013年至2023年。
在确定的78种出版物中,31篇文章论述了Bobath概念的概念基础(7篇理论论文,七个德尔菲/调查/混合方法研究,四项定性研究,一次范围审查,给编辑的10封信,和两个社论),包括五个主题:(a)理论原则;(b)临床原则;(c)临床推理;(d)概念化运动;和,当前(e)证据辩论。修订后的定义和Bobath临床实践模型澄清了Bobath概念的独特方面。除了促进-视觉空间动觉感知-以及Bobath专家如何概念化运动之外,还确定了一种新的临床技能,这些都是临床推理不可或缺的。
这篇综述提供了一个更新的Bobath临床框架,收集了在设计未来干预研究时需要仔细考虑的理论基础和临床实践原则。对康复的影响这项范围审查巩固了当代Bobath实践的临床和理论原理,为临床医生提供一个清晰的框架。Bobath临床实践模型(MBCP)框架可详细记录运动分析和运动诊断,指导临床推理和干预。这篇综述确定了基本原则和实践,为未来的Bobath干预研究提供信息。确保其临床相关性。已经制定了一个有具体建议的框架来指导Bobath干预研究,加强临床实践的整合,教育,和研究。
公众号