Bobath Concept Theory and Clinical Practice PDF

BOBATH CONCEPT Aditya Denny Pratama, SST.FT, M.Fis  KONSEP BOBATH KONSEP LAMA Inhibisi aktivitas reflek abnormal dan relearning normal movement dengan fasilitasi dan handling KONSEP BARU Pendekatan penyelesaian masalah (problem solving)...

BOBATH CONCEPT Aditya Denny Pratama, SST.FT, M.Fis  KONSEP BOBATH KONSEP LAMA Inhibisi aktivitas reflek abnormal dan relearning normal movement dengan fasilitasi dan handling KONSEP BARU Pendekatan penyelesaian masalah (problem solving) dengan esesmen dan treatment dari individual dengan mempengaruhi tonus, gerakan dan fungsi karena gangguan Sistem Saraf Pusat The goal of treatment is to optimize function by improving postural control and selective movement through facilitation. (IBITA, 1995)  FORCES ACTING ON THE BODY MOVEMENT NEURAL CONTROL SYSTEM SYSTEMS APPROACH TO MOTOR CONTROL  PLASTISITAS Motor learning is the permanent change in an individual’s motor performance brought about as a result of practice ▪ Denervation supersensitivity, (loss of input from other brain regions) ▪ Collateral sprouting (collateral dendrites make connections with those synapses lost by cell necrosis) ▪ Unmasking of silent (latent) synapses. (form new connections) Cortical plasticity Although not totally reversible, there have been numerous findings demonstrating cortical plasticity and remapping following a cortical lesion. Muscle plasticity Skeletal muscle can be either conditioned or deconditioned depending upon the demands put on the muscle, and these can influence properties such as strength, speed and endurance of the muscle. KEY THEORETICAL ASSUMPTIONS NEURAL AND MUSCLE PLASTICITY SISTEM STRATEGY NEUROMUSCULAR PERFORM A TASK PLASTITAS Kemampuan untuk beradaptasi, membangun kembali dan mengorganisasikan kembali dalam dua hal yaitu molekul dan fungsi  Motor learning Cognitive to automatic levels Active participation, practice and meaningful goals NEW SKILL The importance of afferent information in the control of movement  PENDEKATAN BOBATH ACTIVE COMMUNICATION HINDARKAN PASSIVE NOISE  KONSEP BOBATH POSTURAL KONTROL FUNGSI OPTIMAL DAN EFISIEN SELECTIVE MOVEMENT KEY ASPECTS OF CLINICAL PRACTICE CLINICAL REASONING AND MOVEMENT ANALYSIS ASSESSMENT HYPOTHESIS  POSTURAL SET Keselarasan key point yang membuat tonus yang lemah menjadi aktif sebagai selective movement Melawan Gravitasi Dengan Gravitasi Di dalam sikap (posture) KEY THEORETICAL ASSUMPTIONS RECOVERY Recovery does not take place randomly. It is influenced by many factors. Changes within the CNS, even when far-removed from the lesion Positioning and handling by the caregivers How the individual attempts to move Functional recovery is more than recovery from impairments. The use of effective behavioural strategies may result in improvements in motor skills (Kwakkel et al 2004). MEKANISME ANTISIPASI SINERGI  POSTURAL ALIGNMENT Keselarasan dari bagian tubuh badan untuk menentukan gerakan selanjutnya. Alignment tidak dapat pasif atau statis tetapi selalu berubah  Postural Control Movement Postural Control  POSTURAL CONTROL Kontrol posisi badan di dalam ruang untuk tujuan : Orientasi : Postural Control saat beraktivitas Stabilisasi : Kemampuan tubuh untuk mempertahankan CoG Stability Limit: Kemampuan tubuh mempertahankan CoG dalam melakukan aktifitas dengan BoS yang kecil KEY THEORETICAL ASSUMPTIONS ORGANIZATION OF HUMAN BEHAVIOUR AND MOTOR CONTROL INDIVIDUAL TASK ENVIRONMENT When learning motor skills, the individual concentrates on the task rather than on the specific movement components of the task (Woollacott and Shumway-Cook 1990). KEY ASPECTS OF CLINICAL PRACTICE Integrating postural control and task-directed movement Selective Patterns of Movement Varied Patterns that Provide task- directed Activity Daily Life Situations Terima Kasih