A study on the bobath concept

A study on the bobath concept The Bobath Concept was established by the physiotherapist Berta Bobath and her husband Dr Bobath. Prior to the Bobath Concept emphasis was put on an orthopaedic approach using a range of treatments including massage, heat and splints (Raine, 2009, p.1). However, whilst treating a stroke patient, Berta Bobath found that facilitating movement in the affected limb had a profound effect on regaining function and with input from her husband they formed the Bobath Concept (Raine 2009, p.2). The Bobath Concept is still used by many practitioners with Lennon (2003, p.456) finding that out of the 1022 practitioners that took part in a questionnaire relating to stroke rehabilitation 67% preferred to use the Bobath Concept. However, despite significant use within neurological rehabilitation it has not been proven to be superior to other treatment approaches (Kollen et al, 2009, p.90). There are a number of neurological rehabilitation approaches available to practitioners. In studies analysing the use of approaches within physiotherapy for stroke patients it is apparent that the Bobath Concept and Motor Relearning are by far the most popular approaches with Johnstone and Proprioceptive Neuromuscular Facilitation (PNF) being used by some therapists (David and Waters 2000, p.74). This essay will aim to critically discuss the use of the Bobath Concept in stroke rehabilitation with reference to its current criticisms and lack of evidence to suggest its superiority compared with the other approaches Stroke is caused by deprivation of oxygen to part of the brain causing loss of consciousness and neural damage (Baer and Durward, 2004, p.76). Johansson (2000) suggest that the notion of plasticity comes from Merzenich and colleagues who found evidence to suggest that cortical maps can be modified by sensory input, experience and learning as well as in response to a lesion within the brain. This could therefore explain why the facilitation of movement advocated in the Bobath Concep t works well. The British Bobath Training Association (no date) suggests that the contemporary Bobath Concept consists of the facilitation of movement within the patients environment utilising a problem solving approach to enhance the motor control of the body. This concurs with the International Bobath Instructors Training Association (IBITA 2008, p.1). At the time of its inception the Bobath was revolutionary as it promoted the regaining of function in the affected limb instead of merely finding ways to compensate for the affected limbs dysfunction which in turn leads to the regain of motor control of the affected limb (Graham et al 2009, p.57). The Bobath Concept has developed over time and as a result the IBITA have put together a document to outline a set of current theoretical assumptions of the Bobath Concept to include: ‘1. Linking participation, activities and underlying impairments 2. Organization of human behaviour and motor control 3. The consequences of injury and dysfunction in the execution of movement 4. Recovery Neural and muscle plasticity Motor learning 5. Measurement of outcome’ (IBITA 2008, pp.1). The IBITA state that the Bobath Concept has promoted the link between treatment activities and the patient’s activities of daily living for a number of years and that specific goals must be set for the individual patient (IBITA 2008, p.2). This suggests that the Bobath Concept is a very individual approach and there are no set criteria that address every patient in the same way. Lennon and Ashburn (2000, p.670-671) performed a focus group with expert therapists. Both groups in the study suggested that goal setting was an important component of the therapy. However, one group stated that goals were decided in the assessment and based upon the patient’s problem areas where as the other group stated that goals were based on regaining motor control and movement. It can be seen in these groups that although goals were seen a s important therapists may not be making them patient specific. There are drawbacks with this study in that the group was very small however as the study was a focus group this would have been necessary to remain in control in the group situation. Furthermore, the therapists were chosen though selection from their interest group (Association of chartered physiotherapists with an interest in neurology and physiotherapists interested in the care of older people) and as a result it is unclear whether these therapists are actually Bobath focused practitioners. Raine (2007, p.147) argues that in their study they found that goal and task orientation that was functional to the patient was a major feature of Bobath therapy. The participants were all members of the BBTA and had extensive Bobath training and therefore it would be accepted that their understanding of the assumptions behind the Bobath Concept would be great as they are teaching the concept to others. However, the study does not show the carryover of these assumptions to the practitioners that are not members within the BBTA.

BLOG2 Essay Example | Topics and Well Written Essays - 250 words

BLOG2 - Essay Example Rather, â€Å"fag† marks failed masculinity. If masculine in demeanor, a homosexual man is not a fag; and a fag is not necessarily homosexual. Second, both the homophobia and the fag discourse are â€Å"gendered,† practiced only by boys. (Note that the boys typically think lesbians are cool). Third, both discourses are also racial. Pascoe recurrently demonstrates how masculinity models and discursive practices differ across racial groups. The relationship between adolescent masculinity and sexuality is embedded in the spectra of the faggot. Faggots represent a penetrated Masculinity in which ‘to be penetrated is to abdicate power’. Penetrated men symbolize masculinity devoid of power, this in its contradiction, threatens both psychic and social chaos. It is precisely this spectrum of penetrated masculinity that functions as a regulatory mechanism of gender for contemporary American adolescent boys. ‘Fag’ is not necessarily a static identity attached to a particular (homosexual) boy. Fag talk and fag imitations serve as a discourse with which boys discipline themselves and each other through joking relationships. Any boy can temporarily become a fag in a given social space or interaction. This does not mean that those boys who identify as or are perceived to be homosexual are not subject to intense harassment. But becoming a fag has as much to do with failing at the masculine tasks of compete nce, heterosexual prowess and strength or an anyway revealing weakness or femininity, as it does with a sexual identity. Pascoe scrupulously delineates the boundaries of these behavioral modes among boys. She presents the exceptions to the prevalent model (e.g., religious boys, and some engaged in loving relationships). Also, she makes clear that both the dramaturgy of the fag discourse and the heterosexual claims-staking are pack behavior.

The Craft of Public Administration Statute Essay

The Craft of Public Administration Statute - Essay Example Accommodating the suggestion either, totally or with modifications or restrictions; deferring action resting on the suggestion or looking for additional information concerning its operation and impact; rejecting a proposal because it does not have value or would be contradictory with other rules or a statute. (Magat 70) When an advisory committee decides primarily that a particular modify in the rules would be suitable, it normally asks its journalist to prepare a draft modification to the policy and an explanatory committee note. The draft amendment and committee note are discussed and nominated upon at a committee meeting. (Magat 72) Once an advisory committee vote initially to recommend an amendment to the rules, it is required to obtain the approval of the Standing Committee, or its chair to issue the proposed amendment for municipal comment. In seeking publication, the advisory committee must give details to the standing committee the reasons for its suggestion, including any marginal or separate views. (Magat 83) The reporter prepares a summary of the printed comments received from the municipal and the proof presented at the hearings. The advisory committee next takes a fresh look at the anticipated rule changes in light of the printed comments and testimony. ... Once the advisory committee decides to carry on in final form, it submits the proposed amendment to the Standing Committee for approval. (Magat 86) Stage 4. Approval by the Standing Committee The standing committee considers the final recommendations of the advisory committee and may recognize, reject, or modify them. If the Standing committee approves a projected rule change, it will pass on to the judicial conference. (Magat 90) Stage 5. Judicial Conference Approval The judicial Conference generally considers proposed amendments to the policy at its September assembly each year. If approved by the conference, the amendments are transmitted to the Supreme Court. (Magat 91) Stage 6. Supreme Court Approval The Supreme Court has the authority to lay down the federal rules, subject to a legal waiting period. 28 U.S.C. 2072, 2075. The Court ought to transmit proposed amendments to assembly by May 1 of the year in which the modification is to take effect. 28 U.S.C. 2074, 2075. (Magat 93) Stage 7. Congressional Review Congress has a statutory period of at least 7 months to take action on any rules prescribed by the Supreme Court. If the Congress does not pass legislation to decline, amend, or defer the rules, they take outcome as a matter of law on December 1. 28 U.S.C. 2074, 2075.

Benefits, impediments and critical success factors in B2C Annotated Bibliography

Benefits, impediments and critical success factors in B2C - Annotated Bibliography Example instead it provides insight that may be important for conducting future studies and development of theories while paying emphasis to obstacles and success faced by thousands of companies that have adopted and are adopting e-business techniques. In this study, the case study approach was used in which eight case studies were studied and analyzed while focusing on the benefits that a company expects to gain from e-business system and the benefits that the company actually gains and secondly the focus was on what are the issues experienced by those who implement e-business solutions and thirdly, the focus was on locating the critical reason that leads to the success of businesses that adopt e-business solutions (Dubelaar, 2005, p.1254). A total of eight companies were studied by the researchers, six of these companies had online existence and two of these companies were those who operated mainly through physical outlet, but they even had limited online existence. The study concluded that the major obstacles for companies in adopting an e-business solution were issues in operations, technology, leadership and lack of effective design for their business. The reasons that led to the successful application of e-business solutions were: application of doing business online and offline combined, delivering high value, customer retention and satisfaction, keep a bird’s eye on the activities of the competitors and lastly trust building. The researchers believe that if an e-business solution is to work in the factor of the company, the adoption of the solution should be relevant to the business, value adding to customers and should provide ease of operation for the organization. Since various businesses are adopting various e-business solutions such as selling over the internet and advertising, this journal article helps students learn what they have to do as managers to ensure that their business experience success as they adopt one of the e-business strategies and how

Philosophy Essay Example | Topics and Well Written Essays - 500 words - 2

Philosophy - Essay Example Therefore, we are certainly not planning to take the legislation lying down. There are also those who will manage to pay the extra tuition fee one way or the other, and will not be forced to leave college. But they too realize that this increase will result in wastage of talent and violation of merit. It will also reduce opportunities for young people and promote economic inequality in a society which is already haunted by its ill-effects (such as unsettling urban crime rates). Protests can be very effective as they can demonstrate clearly to lawmakers the unpopularity of certain legislation. They can perchance sway them, and force them to reconsider their allegiances. Protests and acts of civil disobedience are sure to swiftly put the issue in media spotlight, which will get it the attention that it deserves. Protests can provide an effective means of mobilizing public opinion for a particular cause, and can help earn support from a wide range of people. Nonviolent protests and acts of civil disobedience have been carried out for worthy causes in the past. I intend to participate in such activities to make myself heard, and draw attention to this pressing concern. Part 2 The realm of ethics (not unlike other branches of knowledge) is fraught with conundrums and complications. But ethical decision-making is a necessity.

Post Soviet Eurasia Essay Example | Topics and Well Written Essays - 2000 words

Post Soviet Eurasia - Essay Example Speaking about the collapse of the Soviet Union, it is important to note that the its main reason was killing of established regime by the crisis, caused by the internal contradictions of the Soviet system and the inability of the Communist Party to resolve them. The end of the Soviet Union led to the ethnic and other conflicts that resulted in thousands of victims and became the cause of instant impoverishment of millions of people as well as the development of the widespread criminality and massive loss of life guidelines. The question of the Post-Soviet reality is more complicated. All former Soviet republics managed to transform themselves into the independent states, which could be hardly imagined in 1991. Today the economic situation in these areas is different. Before the beginning of the global economic crisis, almost all countries of the former Soviet Union managed to overcome deep financial default, caused by the collapse and reconstruction of all-union economy. â€Å"Most of the armed conflicts that accompanied the collapse of the Soviet Union took place in the Caucasus. The independent countries of the south – Armenia, Azerbaijan, and Georgia – are beset by the economic problems, social unrest and territorial disputes† (King, Charles, 2008). The origins of the Georgian-Ossetian conflict lie in the events of the late 1980s, when the activation of the Georgian national movement for the independence from the Union center and the radical actions of its leaders led to a sharp deterioration of relations between Georgians and ethnic minorities (primarily, the Abkhazians and Ossetians, who had their own autonomous education and demanded to enhance their status). In 1992, South Ossetia was an independent state, with its own constitution (adopted in 1993), and state symbols. Georgian authorities continued to accept it as the Tskhinvali region, but they did not take active steps to establish control over it. In

Leadership Skills Assignment Example | Topics and Well Written Essays - 750 words

Leadership Skills - Assignment Example A classroom would become a fish market if a teacher does not lead it. A home would run out of finances if the parent/parents don’t control the expenditures of the children. A company would lose track of the project scope, time and quality if the employees are not led by the manager. People vary in their scope of leadership, yet they have to execute certain leadership skills irrespective of the scope of leadership or the circumstances in which they have to execute the leadership. Three Leadership Skills Three of the most fundamental leadership skills are planning, controlling and resolving the conflicts. They are discussed below: Planning Planning is the first and the foremost necessity of leadership. A leader has a plan according to which he/she directs the followers. This plan is made with a view to achieving the goal that is of interest not only to the leader, but also to the whole team. People would not follow a leader until they see something coming out of it that they val ue. Planning is defined as choosing the course of action. From among a variety of plans, a leader is entitled to select such a plan that maximizes the benefits and convenience both for himself/herself and for the whole team and minimizes the cost of operation and the problems and risks. Since the entire project is based on the plan selected by the leader, an individual must be extremely skilled in choosing the right plan in order to be an effective leader. Controlling Controlling is the second most essential skill every leader should have. Controlling essentially means making the followers conform to the instructions of the leader. A leader has hundreds of ways to control the followers, but the most effective of them requires the leader to be least authoritative and dictator in his approach and nature. A leader can best control the followers by earning their confidence. Leadership exists only as long as the trust of the followers sustains. The moment that trust is shattered, the lea der is gone. In order to gain that trust, a leader should make the followers aware of his/her plans and the reason he/she wants the followers to act in a certain way. Once the project has been started, the leader should make sure that the followers are provided with all materials, resources and funds they need to execute the project. Thus, a leader needs to control the expenses and resources. There has to be a balance in the cash flow and the use of resources. The leader must know what resources to release in what amount and at what time. Being at the right place at the right time is the key to effective controlling. Conflict Resolution Whenever there is a team, conflicts are bound to occur. Conflicts may be functional or dysfunctional. Functional conflicts are those in which the team members argue with one another in an attempt to identify the most suitable course of action. Dysfunctional conflicts are those in which the followers fight with one another over matters that are of no significance to work. A leader must ensure that the functional conflicts do not change into the dysfunctional ones and the dysfunctional conflicts do not occur at all. A leader can achieve this if he/she has adequate conflict resolution skills. There are certain exercises that can help a leader resolve conflicts among the followers. The leader should design process groups for the work and allow the followers time to spend with one another