Article

The study's purpose was to describe the range of knowledge pertaining
to the Bobath (NDT) concept in adult neurological rehabilitation, synthesizes the
findings, identify knowledge gaps and develop empirically based recommendations
for future research. METHODS: A scoping review of research and non-research
articles published from 2007 to 2012. Two independent reviewers selected studies
based on a systematic procedure. Inclusion criteria for studies were
electronically accessible English language literature with Bobath and/or
Neurodevelopmental Therapy as the subject heading in the
title/ keyword/abstract/intervention comparison with respect to adult neurological
conditions. Data were abstracted and summarized with respect to study design,
theoretical framework, clinical application including population representation,
study fidelity, intervention comparison, duration of care, measurement and
findings. RESULTS: Of the 33 publications identified 17 were intervention studies
(11 RCT's/1 prospective parallel group design/5 N-of-1). One other paper was a
systematic review. CONCLUSIONS: The intervention studies, primarily RCT designs,
have serious methodological concerns particularly related to study/treatment
fidelity and measurement resulting in no clear clinical direction. Aspects such
as theoretical framework, therapist skill, quality of movement measurement and
individualized interventions require careful consideration in the design of
Bobath studies. Implications for Rehabilitation Future intervention studies
should be based on the current Bobath theoretical framework and key aspects of
clinical practice. Study and treatment fidelity issues need to be carefully
considered when interpreting the results of existing RCT's evaluating the Bobath
concept. N-of-1 randomized, observational, factorial and mixed method study
designs should be considered as alternative study options.

Langue : ANGLAIS