Fundación Valenciana Para La Neurorehabilitación, Valencia, Spain.
Division of Biosciences, Neuroscience, Physiology & Pharmacology, University College London, London, UK.
Physiother Theory Pract. 2022 Jan;38(1):151-163. doi: 10.1080/09593985.2020.1725943. Epub 2020 Feb 11.
: The aim was to explore the experiences of a group of Spanish physical therapists who apply the Bobath concept in the treatment of children with cerebral palsy, specifically to identify the components they experience as core and essential to the Bobath concept.: A qualitative phenomenological study.: This study used purposive sampling. Non-structured interviews were carried out with 10 Spanish Bobath-trained physical therapists who treat children with cerebral palsy. Thematic analysis was applied.: Five themes regarding the essence of the Bobath concept emerged: 1) "normal movement" as a guide; 2) a "global" concept; 3) observation; 4) the centrality of tone; and 5) working with families. Within these themes, additional principles were reflected cross-sectionally, such as therapy being a continuous process of assessment and treatment, the application of principles of motor learning, and the importance of carryover of treatment into function.: The results demonstrated themes traditionally identified as core to the Bobath concept, including working with families, which is also considered integral to the approach. The study participants used outdated terminology at times when discussing tone and movement. However, they reported that they no longer adhere to the theoretical perspective of pathological reflexes and reflex/tone inhibition. This study provides insight into how treatment of children with cerebral palsy based on the Bobath concept is experienced by a group of Spanish physiotherapists, who identified five main themes that they perceive as essential. The results provide grounds for further research into the application of the Bobath concept in children.
目的是探讨一组在治疗脑瘫儿童中应用 Bobath 概念的西班牙物理治疗师的经验，特别是确定他们认为是 Bobath 概念核心和必要的组成部分。这是一项定性现象学研究。本研究采用了目的性抽样。对 10 名接受过 Bobath 培训的治疗脑瘫儿童的西班牙物理治疗师进行了非结构化访谈。应用了主题分析。出现了五个关于 Bobath 概念本质的主题：1）“正常运动”作为指导；2）“整体”概念；3）观察；4）音调的中心性；5）与家庭合作。在这些主题中，还反映了其他一些原则，如治疗是一个连续的评估和治疗过程，运动学习原则的应用，以及治疗向功能转移的重要性。结果表明，包括与家庭合作在内的 Bobath 概念的核心主题得到了体现，这也是该方法的重要组成部分。研究参与者在讨论音调与运动时，有时会使用过时的术语。然而，他们报告说，他们不再坚持病理性反射和反射/音调抑制的理论观点。本研究深入了解了一组西班牙物理治疗师在 Bobath 概念基础上治疗脑瘫儿童的体验，他们确定了五个主要主题，认为这些主题是必不可少的。研究结果为进一步研究 Bobath 概念在儿童中的应用提供了依据。
