October 13, 2024
Introduction:
The movements of the body that follow a linear trajectory are the result of a series of rotations and counter-rotations of the body segments: rotation is dominant in all activities of daily life such as walking, running, climbing the stairs, taking an object from the shelf...
Rotation functionally connects the two sides of the body, the upper extremities with the lower ones, facilitates the transmission of forces between body segments, enhances the lengths and ranges of movement, modulates reflex responses in many neurological conditions, it is an accessory movement that allows joints to move at full range.
In central lesions this motor component is often limited and the movement as a whole appears rigid, not very fluid and dominated by high levels of fixation. The aim of this workshop is to reflect on the importance of using rotation in a therapeutic key (in joint, tissue, trunk and limb mobilisation) to look at the recovery of movement in its three-dimensionality. The Bobath Concept is an approach to the rehabilitation of adults with acquired neurological damage born from the work of Berta and Karel Bobath and has evolved over the last 70 years. The rationale for its application is rooted in current neuroscientific knowledge relating to motor control, motor learning, neural and muscular plasticity and in current biomechanical knowledge.
Specific objectives:
In collaboration with:
Course Location: Brescia @Sala Formazione Edumed
First day
8.45-9.00 Registration of participants and presentation of course objectives
9.00-11.15 Lesson: Rotation in efficient human movement: an overview
11-15-11.30 Coffee breaks
11.30-12.45 Demonstration of a clinical case by the teacher in a collective session
12.45-13.00 Synthesis of clinical reasoning and discussion
1.00pm-2.00pm Lunch
2.00pm-3.30pm Practical laboratory 1: The rotary components of walking (brief theory and introduction to practice) – The work of the lower limbs in the gait pattern
3.30-3.45pm Coffee breaks
3.45pm-5.30pm Practical laboratory 2: The rotary components of walking: considerations on the work of the trunk and upper limbs
5.30-5.45pm Summary of learning, questions and conclusions.
Second day
8.45-10.00 Lesson: Functional patterns: comparison between typical movement and pathology (video presentation and discussion)
10.00-11.00 Laboratory 3: The rotational elements necessary for functional reach-to grasp (brief theory and introduction to practice)
11.00-11.15 Coffee break
11.15-12.45 Demonstration of a clinical case by the teacher in a collective session
12.45-13.00 Synthesis of clinical reasoning and discussion
1.00pm-2.00pm Lunch
2.00pm-3.30pm Practical laboratory 4: External rotation of the shoulder as a common element for the postural basis of reaching and the linear trajectory of the arm
3.30-3.45pm Coffee breaks
3.45pm-5.30pm Practical laboratory 5: Rotation of the forearm as a prerequisite for the orientation of the hand to the object
5.30-5.45pm Summary of learning, questions and conclusions.
Third day
8.30-11.15 Practical laboratory 6: Rotation around the median axis of the body: reaching and taking in different points of space, the transition sitting-supine-side lying-prone
11.00-11.15 Coffee break
11.15-12.45 Demonstration of a clinical case by the teacher in a collective session
12.45-13.00 Synthesis of clinical reasoning and discussion
1.00pm-2.00pm Lunch
2.00pm-3.00pm Practical laboratory 7: Rotation around the median axis of the body: changes in direction
3.00pm-4.15pm Practical laboratory 8: Rotation around the median axis of the body - Transfers to the ground: sitting-lateral sitting-quadrupedia and back
4.15pm-5.00pm ECM practical test and conclusion of the course