December 4, 2023
EM319: Basic level IBITA course: Evaluation and treatment of the adult patient with neurological disorder – Bobath concept
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Mary Lynch ElleringtonPt, FCSP, IBITA Senior Instructor
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Alba MagriPt, IBITA Advanced Course Instructor
The Bobath concept is a problem solving approach aimed at the assessment and treatment of people with movement, postural control and function disorders caused by a lesion of the central nervous system. This approach to rehabilitation of the adult with central neurological impairment originates from the work of Berta and Karel Bobath and has evolved over the past 50 years. The rationale for its current application has its roots in current neuroscientific knowledge relating to motor control, motor learning, neural and muscular plasticity and current biomechanical knowledge. The aim of the course is to deepen the theoretical foundations of the concept and translate them into clinical skills and techniques aimed at dealing with the main rehabilitation problems of adult patients with brain injury. The teaching activity will be divided into theoretical, practical and clinical lessons with demonstration of patient treatment by the teacher in a collective session and by the participants in working pairs. Each activity of the students will take place under the supervision of the teacher for a constant refinement of the techniques: the goal is to make the student increasingly independent in clinical reasoning and competent in the planning and structuring of the specific rehabilitation intervention for each patient. The course is organized according to the IBITA international regulation and the final certification allows access to advanced level Bobath courses.
Specific aims:
- Acquire specific terminology to describe the rehabilitation approach to the adult neurological patient according to the Bobath Concept
- Update knowledge in the biomechanical and neurophysiological fields especially in relation to postural control, locomotion and reach-to-grasp
- Refine observation skills and acquire models for assessing the problems of the neurological patient
- Implement treatment techniques
- Refine and practice correct dexterity in the treatment of the adult neurological patient
- Support the comparison and discussion between participants to train clinical reasoning
- Promote teamwork
- Promote the evidence-based approach based on updated literature
In collaboration with:
Intended for
Payments
- Deposit €732.00 within 7 days from the registration
- 2nd deposit €732.00 by date November 10, 2023
- Balance €706.00 by date March 25, 2024
Calendar
24 -28 Jenuary 2024
II Module: 24 - 28 April 2024
language
Teachers: Alba Magri – Pt, Ibita Advanced Course Instructor
With online contribution and in the presence of Mary Lynch-Ellerington – Pt, FCSP, Ibita Senior Instructor
Course leader, for the presence management of the theoretical, practical and clinical parts of the entire course will be the teacher Alba Magri supported by online contributions by Mary Lynch Ellerington in the first and third week and in presence for over 50% of the practical contents and clinicians of the second week.
Course Location: Brescia @Sala Formazione Edumed
SCHEDULE
First day
8.30-9.00 Registration of participants and presentation of course objectives
9.00-10.00 Lecture: History of the Bobath Concept
10.00-11-15 Lecture: Clinical reasoning and Model of Bobath Clinical Practice (MBCP)
11.15-11.30 Coffee breaks
11.30- 12.45 Evaluation and treatment of patient A by the teacher in collective session
12.45-13.00 Summary of the evaluation and discussion
13.00-14.00 Lunch
14.00-15.00 Lecture: Characteristics of efficient movement
15.00-16.00 Practical session: Orientation of the center of mass on the support base in an upright position
16.00-17.30 Practical session: Analysis and facilitation of efficient movement: Stand-to-sit
Second day
8.30-10.00 Lesson: Postural control
10.00-11.15 Lesson: Communication within the CNS
11.15-11.30 Coffee breaks
11.30- 12.45 Evaluation and treatment of patient B by the teacher in collective session
12.45-13.00 Summary of the evaluation and discussion
13.00-14.00 Lunch
14.00-15.30 Evaluation and treatment of patient C by the teacher in collective session and discussion
15.30-17.30 Practical session: Postural control in standing position and ankle strategies
Third day
8.30-11.15 Lecture: Ascending and descending systems
11.15-11.30 Coffee breaks
11.30- 12.45 Evaluation and treatment of patient D by the teacher in collective session
12.45-13.00 Summary of the evaluation and discussion
13.00-14.00 Lunch
14.00-15.30 Evaluation and treatment of the patient E by the teacher in collective session and discussion
15.30-17.30 Practical session: Linear acceleration and lateral tilt
Fourth day
8.30-11.00 Lecture: The role of the cerebellum in motor learning
11.00-11.15 Coffee breaks
11.15- 12.45 Practical session: Assessment and positioning of the scapula in the sitting position. Sit-to-stand transition
12.45-13.00 Preparation of working couples for patient treatment – Clinical documentation
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-16.00 Evaluation review and discussion in working pairs
16.00-17.30 Practical session: Seated-supine transition
Fifth day
8.30-10.00 Lecture: Upper Motor Neuron Syndrome
10.00-11.15 Practical session: Training core-stability in supine position
11.15-11.30 Coffee breaks
11.30-13.00 Supine/side-lying transition and hip extension work
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-16.30 Practical session: Back step and front step in lateral decubitus position
16.30-17.30 Guidelines for the case-report to be prepared between the first and second module of the course
Sixth day
8.30-11.00 Lecture: Neurophysiology and biomechanics of locomotion
11.00-11.15 Coffee breaks
11.15-12.00 Practical session: Supine alignment and placing response
12.00-13.00 Reassessment of patient A by the teacher in a collective session
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-17.30 Practical session: Seated and supine foot preparation
Seventh day
8.30-10.30 Practical session: From supine to seated position – Stand-down
10.30-10.45 Coffee breaks
10.45-12.00 Practical session: Stance phase
12.00-13.00 Reassessment of patient B by the teacher in a collective session
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-16.00 Treatment review and discussion in working pairs
16.00-17.30 Practical session: Back step
Eighth day
8.30-10.30 Lecture: Neural and muscular plasticity
10.30-10.45 Coffee breaks
10.45-12.00 Practical session: From standing to prone standing
12.00-13.00 Reassessment of patient C by the teacher in a collective session
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-17.30 Practical session: Working in prone standing for selective trunk extension, scapula setting, overhead reaching, pelvis alignment, selective lower limb extension, distal components of the gait.
Ninth day
8.30-10.30 Practice session: Protraction and retraction of scapula for abduction
10.30-10.45 Coffee breaks
10.45-12.00 Practical session: Functional reaching for the sit-to stand
12.00-13.00 Reassessment of patient D by the teacher in a collective session
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-16.00 Treatment review and discussion in working pairs
16.00-17.30 Practical session: Preparation for the heel strike
Tenth day
8.30-10.30 Practical session: First step and facilitations for walking
10.30-10.45 Coffee breaks
10.45-12.00 Practical session: Facilitation for walking - continuation
12.00-13.00 Reassessment of the patient E by the teacher in a collective session
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-16.00 Review of manual skills
16.00-16.30 Ecm test
16.30 Conclusion of the first module
A work will be required to be prepared between the first and second module: a case report/case study to be sent to the teacher/assistant within a defined deadline as scheduled on the fifth day of the course.
Eleventh day
8.30-10.00 Delivery of the evaluations of the work done between the two modules and discussion
10.00-11.15 Practical session - Contactual Hand Oriented Response: brief theory and practice
11.15-11.30 Coffee breaks
11.30- 12.45 Evaluation and treatment of patient F by the teacher in collective session
12.45-13.00 Summary of the evaluation and discussion
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-16.00 Evaluation review and discussion in working pairs
16.00-17.30 Practical session - Trunk constraint for scapula setting: brief theory and practice
Twelfth day
8.30-11.15 Neurophysiology of reaching and grasping
11.15-11.30 Coffee breaks
11.30- 12.45 Evaluation and treatment of patient G by the teacher in collective session
12.45-13.00 Summary of the evaluation and discussion
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-16.00 Evaluation review and discussion in working pairs
16.00-17.30 Practical session – Revision of the postural bases for reaching from a seated and standing position: consideration of the work of the multikinetic chain of core-stability. Preparation of the shoulder girdle for seated reaching.
Thirteenth day
8.30-10.00 Lesson: Biomechanics of reaching and grasping and comparison with pathology
10.00-11.15 Practice session – Arm and elbow alignment and facilitation
11.15-11.30 Coffee breaks
11.30- 12.45 Evaluation and treatment of patient H by the teacher in collective session
12.45-13.00 Summary of the evaluation and discussion
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-17.30 Practical session – Alignment of radius and ulna, treatment of tensions of forearm structures, alignment and facilitation of wrist extension as a prerequisite to hand activation
Fourteenth day
8.30-10.00 Lesson: Hand recovery after central injury
10.00-11.15 Practical session – Sensitivity assessment
11.15-11.30 Coffee breaks
11.30- 13.00 Practical session: Preparation of the postural component of the hand, realignment of the thenar region and thumb facilitation, biomechanical preparation of the carpal structures
13.00-14.00 Lunch
14.00-15.30 Treatment of patients by the participants with supervision of the teacher
15.30-17.30 Practical session – Strengthening of the intrinsic muscles, digitization, sensory stimulation of the hand. Coordinate the shoulder, arm and hand components for functional reach-to-grasp
Fifteenth day
8.30-10.00 Practical session – The function of the upper limb in different antigravity contexts: reaching in standing
10.00-11.15 Practical session - The role of the upper limb in locomotion
11.15-11.30 Coffee breaks
11.30-13.00 Treatment of patients by the participants with supervision of the teacher and final discussion
13.00-13.30 Lunch
13.30- 14.30 Latest additions to the practical sessions and review of manual skills
14.30-15.00 ECM test
15.30-16.00 Last questions, delivery of certificates and conclusion of the course
