January 8, 2020
The Bobath Concept is a problem-solving rehabilitative approach, aimed at the evaluation and treatment of children with disorders of function, movement and postural control caused by damage to the central nervous system.
In particular, the current intervention is enriched by the contribution of new discoveries on motor control and learning, on neuromuscular plasticity and on biomechanics. The goal of treatment is to optimize the function. The typical / efficient and atypical motor behavior after injury is currently interpreted in the light of systemic, ecological and action-oriented models. The Bobath Concept is a manual approach where the facilitation of movement is the "complex therapeutic tool" to improve the child's interaction with the environment. Spasticocentric vision and inhibition of pathological movement patterns as a treatment target is currently outdated. The close relationship between postural control and selective motion for motor control is considered a key aspect of functional recovery. Repetition in variable contexts and with diversified strategies for solving problems is an equally fundamental element to induce a stable and generalizable change. To induce this change, mainly proprioceptive and kinesthetic tact channels are used. Feedback is fundamental to learning processes, but the Bobath Concept recognizes, of course, the importance of pro-active anticipation processes. Error and error reprocessing are recognized as important elements of the learning process.
The Bobath Concept also provides for a global involvement of all the reference figures that revolve around the patient (family, medical specialists, care givers, rehabilitation professionals) in this way the treatment takes on a multidisciplinary and continuous dimension in the day by not limiting itself exclusively to the treatment session. In fact, it extends to the multiple aspects of the patient's relationship life by taking care of the daily life activities (family, school and connected to all the other experiential fields of the child) so that the results obtained with the therapy can be transferred with profit in daily life and contribute to the full development of evolutionary potential.
Objectives of the course:
The aim of the course is to provide a solid theoretical and practical training for the clinical evaluation and treatment of the child affected by PCI in order to identify the priority and essential needs for development and growth. Through a sensorimotor approach and a suitable context / activity the operator will be able to guide the child in the development of the fundamental prerogatives for his growth path avoiding secondary damages that could aggravate the starting clinical picture.
Specific teaching:
Theoretical bases of the Bobath Concept, Neural organization of movement and perception, Motor control and motor learning, Neuro-evolutionary growth, The role of postural control in functional activities, Pathophysiology of PCI and related neurological conditions for the treatment, processing of PRI and patient management, Meeting points between Bobath Concept and ICF classification, Demonstration of clinical cases by teachers, Working groups for the evaluation and treatment of children with central damage, Practical laboratory for the acquisition of manual skills and basic techniques.
The teaching activity will be articulated in: magisterial lessons; series of reports on a preordained theme; presentation of clinical cases in plenary session; direct execution by all participants of practical and / or technical activities, treatment of clinical cases by the participants. The course is internationally recognized and enables access to advanced EBTA training courses.
In collaboration with:
The course is internationally recognized and enables access to advanced EBTA training courses.
EBTA course Basic level: Re-education of childhood cerebral palsies and related neurological conditions - Bobath concept
Program:
First Module
First day:
8.30-9.00 Registration of participants and presentation of course objectives
9.00-10.45 Lesson: The antigravity response and the budget
10.45-11.00 Coffee break
11.00-13.00 Guide to observation: analysis of the posture and movement of the child with normal neuromotor development.
13.00-14.00 Lunch
14.00- 16.30 Guide to the analysis of movement in work pairs
16.30-16.45 Coffee break
16.45-17.45 Summary and discussion of the main inverse problems in small groups and conclusion of the day
Second day:
8.30-10.45 Lesson: Neural organization of movement
10.45-11.00 Coffee break
11.00-13.00 Guide to observation: Analysis of some activities of daily life
13.00-14.00 Lunch
14.00 - 16.30 Guide to the analysis of functional movement in work pairs - observation of clinical examples live or through videos
16.30-16.45 Coffee break
16.45-17.45 Summary and discussion of the main problems that emerged in the work in small groups and the end of the day
Third day:
8.30-10.45 Lesson: Theories of learning and motor control
10.45-11.00 Coffee break
11.00-13.00 Guide to observation: Analysis of some activities of daily life
13.00-14.00 Lunch
14.00 - 16.30 Guide to the analysis of functional movement in work pairs - observation of clinical examples live or through videos
16.30-16.45 Coffee break
16.45-17.45 Summary and discussion of the main problems that emerged in the work in small groups and the end of the day
Fourth day:
8.30-10.45 Lesson: History and evolution of the Bobath Concept
10.45-11.00 Coffee break
11.00-13.00 Guide to observation: Analysis of some activities of daily life
13.00-14.00 Lunch
14.00 - 15.30 Lecture: Theoretical bases of the Bobath Concept today. Discussion
15.30-15.45 Coffee break
15.45-17.15 Guide to the analysis of functional movement in work pairs - observation of clinical examples live or through videos
17.15-17.45 Presentation of the work to be carried out between the first and second module. Discussion
Fifth day:
8.30-10.45 Lecture: The congruence between the clinical model of the Bobath Concept and the ICF
10.45-11.00 Coffee break
11.00-13.00 Lesson - Rehabilitation project management: from evaluation to prognosis
13.00-14.00 Lunch
14.00 - 16.00 Lesson: Evaluation tools in pediatric age
16.00-16.15 Coffee break
16.15-17.30 Discussion of a clinical case proposed by the teacher
17.30-17.45 Latest and deliveries and conclusion of the form
Program: Second Module
First day:
8.30-10.45 Lesson - From fetal life to birth: the skills of the fetus
10.45-11.00 Coffee break
11.00-13.00 Guide to observation: videos and clinical experiences proposed by the teacher - Discussion
13.00-14.00 Lunch
14.00 - 16.30 Guide to analyzing the movement of the newborn and infant with supervision by the teacher
16.30-16.45 Coffee break
16.45-17.45 Discussion and theoretical study of the problems emerged in the works presented by the participants and conclusion of the day
Second day:
8.30-10.45 Lesson: The first trimester of life
10.45-11.00 Coffee break
11.00-13.00 Guide to observation: videos and clinical experiences proposed by the teacher - Discussion
13.00-14.00 Lunch
14.00 - 16.30 Guide to the analysis of the movement: observation of a newborn by the teacher in collective session
16.30-16.45 Coffee break
16.45-17.45 Summary of the topics discussed, discussion and conclusion of the day
Third day:
8.30-10.45 Lesson: The second quarter of life
10.45-11.00 Coffee break
11.00-13.00 Observation of a newborn by the teacher in collective session
13.00-14.00 Lunch
14.00 - 16.30 Presentation and compilation of an evaluation sheet proposed by the teacher
16.00 - 16.15 Coffee break
16.15-17.45 Work in small groups - therapeutic settings for specific problems proposed by the teacher
Fourth day:
8.30-10.45 Lesson: The third trimester of life
10.45-11.00 Coffee break
11.00-13.00 Observation of an infant by the teacher in collective session - Discussion
13.00-14.00 Lunch
14.00 - 15.30 Laboratory: Neonatal handling
15.30-15.45 Coffee break
15.45-17.15 Therapeutic settings and specific facilities for the newborn and infant
17.15-17.45 Presentation of the work to be carried out between the second and third module.
Fifth day:
8.30-10.45 Lesson: The fourth quarter of life
10.45-11.00 Coffee break
11.00-12.00 Lesson: From 12 to 18 months of life
12.00-13.00 Lesson: From 18 to 36 months of life
13.00-14.00 Lunch
14.00 - 16.00 Demonstration of a clinical case by the teacher in collective session
16.00-16.15 Coffee break
16.15-17.30 Summary of clinical reasoning, discussion, ECM test and conclusion of the module
Program: Third Module
First day:
8.30-10.45 Lesson: Postural control and feedback and feedforward: specific considerations for the developmental age
10.45-11.00 Coffee break
11.00-12.00 Lesson: Facilitation in neuromotor treatment
12.00-13.00 Laboratory: Examples of clinical facilitation
13.00-14.00 Lunch
14.00 - 16.00 Lesson: postural control and muscle tone
16.00-16.15 Coffee break
16.15 -17.45 Workshop: Problem solving related to the subject matter
Second day:
8.30-10.45 Lesson: Definition of PCI
10.45-11.00 Coffee break
11.00-13.00 Lesson: Classification of PCI - Etiology - Epidemiology
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Third day:
8.30-11.00 Observation guide: spontaneous and interactive behavior of the oldest child
11.00-11.15 Coffee break
11.15-13.00 Evaluation form for the clinical case treated by the participants (work pairs) with supervision of the teacher
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fourth day:
8.30-10.45 Lesson: The child with spastic tetraparesis and features of the motor picture
10.45-11.00 Coffee break
11.00-13.00 Lesson: Evolution of the motor picture in children with spastic tetraparesis and essential elements to be considered in the treatment
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fifth day:
8.30-10.45 Lesson: The child, the family, the therapist in the rehabilitation project
10.45-11.00 Coffee break
11.00-13.00 Presentation of a clinical case (video) by the teacher and discussion of the problems. Training in clinical reasoning
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.15 Evaluation and treatment of clinical cases by participants in work pairs with supervision of the teacher
17.15-17.30 Discussion in work pairs
17.30-17.45 Latest deliveries and completion of the form
Program: Fourth Module
First day:
8.30-10.45 Lesson - The child with diplegia: characteristics of the motor picture
10.45-11.00 Coffee break
11.00-13.00 Lesson: Natural evolution of the motor picture and essential elements to be considered in the treatment
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Second day:
8.30-10.45 Lesson - The child with hemiparesis: characteristics of the motor picture
10.45-11.00 Coffee break
11.00-13.00 Lesson: Natural evolution of the motor picture and essential elements to be considered in the treatment
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Third day:
8.30-10.45 Lesson - The "floppy" child: characteristics of the motor picture
10.45-11.00 Coffee break
11.00-13.00 Natural evolution of the motor picture and essential elements to be considered in the treatment
13.00-14.00 Lunch
14.00 - 16.30 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fourth day:
8.30-10.45 Lesson: Physiology of swallowing - The child with swallowing problems
10.45-11.00 Coffee break
11.00-13.00 Evaluation form for the clinical case treated by the participants (work pairs) with supervision of the teacher
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fifth day:
8.30-10.45 Lesson: The correct positioning for the feeding of the pathological child
10.45-11.00 Coffee break
11.00-13.00 Laboratory: Nutrition techniques
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.15 Evaluation and treatment of clinical cases by participants in work pairs with supervision of the teacher
17.15-17.30 Discussion in work pairs
17.30-17.45 Latest deliveries and completion of the form
Program: Fifth Module
First day:
8.30-10.45 Lesson - The child with atetosis: characteristics of the motor picture
10.45-11.00 Coffee break
11.00-13.00 Lesson: Natural evolution of the motor picture and essential elements to be considered in the treatment
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Second day:
8.30-10.45 Lesson - The child with ataxia: characteristics of the motor picture
10.45-11.00 Coffee break
11.00-13.00 Lesson: Natural evolution of the motor picture and essential elements to be considered in the treatment
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Third day:
8.30-10.45 Lesson - The manipulative and praxic functions in neuromotor development
10.45-11.00 Coffee break
11.00-13.00 Lesson - The development of the upper limbs in children from 0 to 3 years
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fourth day:
8.30-10.45 Lesson: The manipulative and praxic functions in the child with PCI
10.45-11.00 Coffee break
11.00-13.00 Lesson: Therapeutic indications and aids for manipulative functions in the child with PCI
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fifth day:
8.30-10.45 Lesson: Functional assessment card for upper limbs
10.45-11.00 Coffee break
11.00-13.00 Lesson: Clinical examples (video) of rehabilitation projects for the upper limbs in the different forms of PCI
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.15 Evaluation and treatment of clinical cases by participants in work pairs with supervision of the teacher
17.15-17.30 Discussion in work pairs
17.30-17.45 Latest deliveries and completion of the form
Program: Sixth Module
First day:
8.30-10.45 Lesson - The preterm infant
10.45-11.00 Coffee break
11.00-12.00 Guide to observation / evaluation of neuromotor problems of the preterm child
12.00-13.00 Evaluation sheet of the clinical case treated by the participants
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Second day:
8.30-10.45 Lesson - The family of the preterm infant
10.45-11.00 Coffee break
11.00-12.00 Lesson: The interactive process between the family of the disabled child and the rehabilitator
12.00-13.00 Evaluation sheet of the clinical case treated by the participants
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Third day:
8.30-10.45 Lesson - Visual impairment of central origin in PCI
10.45-11.00 Coffee break
11.00-13.00 Lesson: Evaluation of visual impairment in different forms of PCI
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fourth day:
8.30-10.45 Lesson: New orientations of orthopedic surgery in PCI
10.45-11.00 Coffee break
11.00-13.00 Lesson: Treatment of spasticity in the pre-surgical era
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fifth day:
8.30-10.45 Lesson: Pre and post-surgical orthoses in PCI
10.45-11.00 Coffee break
11.00-13.00 Laboratory: Advantages and disadvantages of the main aids / orthoses used in the treatment of PCI in pre and post-surgical age
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.15 Evaluation and treatment of clinical cases by participants in work pairs with supervision of the teacher 1
7.15-17.30 Discussion in work pairs
17.30-17.45 Latest deliveries and completion of the form
Program: Seventh Module
First day:
8.30-10.45 Analysis and discussion of the papers prepared by the course participants
10.45-11.00 Coffee break
11.00-13.00 Laboratory: implementation of treatment techniques related to the elaborate / clinical case presented in the morning.
13.00-14.00 Lunch
14.00 - 15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Second day:
8.30-10.45 Analysis and discussion of the papers prepared by the course participants
10.45-11.00 Coffee break
11.00-13.00 Laboratory: implementation of treatment techniques related to the elaborate / clinical case presented in the morning.
13.00-14.00 Lunch
14.00-15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Third day:
8.30-10.45 Analysis and discussion of the papers prepared by the course participants
10.45-11.00 Coffee break
11.00-13.00 Laboratory: implementation of treatment techniques related to the elaborate / clinical case presented in the morning.
13.00-14.00 Lunch
14.00-15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fourth day:
8.30-10.45 Analysis and discussion of the papers prepared by the course participants
10.45-11.00 Coffee break
11.00-13.00 Laboratory: implementation of treatment techniques related to the elaborate / clinical case presented in the morning.
13.00-14.00 Lunch
14.00-15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fifth day:
8.30-10.45 Analysis and discussion of the papers prepared by the course participants
10.45-11.00 Coffee break
11.00-13.00 Laboratory: implementation of treatment techniques related to the elaborate / clinical case presented in the morning.
13.00-14.00 Lunch
14.00-15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Latest deliveries and completion of the form
Program: Eighth Module
First day:
8.30-10.45 Analysis and discussion of the papers prepared by the course participants
10.45-11.00 Coffee break
11.00-13.00 Laboratory: implementation of treatment techniques related to the elaborate / clinical case presented in the morning.
13.00-14.00 Lunch
14.00-15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Second day:
8.30-10.45 Analysis and discussion of the papers prepared by the course participants
10.45-11.00 Coffee break
11.00-13.00 Laboratory: implementation of treatment techniques related to the elaborate / clinical case presented in the morning.
13.00-14.00 Lunch
14.00-15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Third day:
8.30-10.45 Analysis and discussion of the papers prepared by the course participants
10.45-11.00 Coffee break
11.00-13.00 Laboratory: implementation of treatment techniques related to the elaborate / clinical case presented in the morning.
13.00-14.00 Lunch
14.00-15.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fourth day:
8.30-10.45 Analysis and discussion of the papers prepared by the course participants
10.45-11.00 Coffee break
11.00-13.00 Laboratory: implementation of treatment techniques related to the elaborate / clinical case presented in the morning.
13.00-14.00 Lunch 2.00- 3.45 pm Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
15.45-16.00 Coffee break
16.00-17.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
17.30-17.45 Discussion in work pairs and end of the day
Fifth day:
8.30-10.45 Analysis and discussion of the papers prepared by the course participants
10.45-11.00 Coffee break
11.00-12.00 Laboratory: implementation of treatment techniques related to the elaborate / clinical case presented in the morning.
12.00-13.00 Lunch
13.00-14.45 Treatment of a clinical case by the teacher in collective session and discussion of clinical reasoning
14.45-15.00 Coffee break
15.00-16.30 Evaluation and treatment of clinical cases by participants in work pairs with teacher supervision
16.30-17.00 ECM test, delivery of certificates and completion of the course.