Biotronix Hi Low Height Adjustable Bobath Table Motorized ( Electrical ) with Remote Control Single Section used in Physiotherapy and Rehabilitation
Biotronix Hi Low Height Adjustable Bobath Table Motorized ( Electrical ) with Remote Control Single Section used in Physiotherapy and Rehabilitation
|Overall Dimension||48 x 72 inch|
|Height Adjustable||20 to 38 inch|
|Warranty Motor||36 Months|
|Minimum Order Quantity||01|
|Minimum Order Quantity||1|
Electric operated ( Remote Controlled ) Bobath table , 48 inch x 72 inch , 20 to 38 inch height adjustable electrically ,
|Size||48 inch X 72 inch|
|Finishing Type||Powder Coated|
|Number Of Wheels||4 Breakable Wheels|
|Frame Material||MS Steel|
|No of Section||Single Section|
|Patient Load Capacity||200 Kg|
|Minimum Order Quantity||1|
Its Features are as follows:
- Very large surface 48 Inch X 72 inch
- Electric ( Motorized height adjustment
- The Single Section model can be used as a neurological exercise or treatment couch
This wide Bo-Bath Table has been especially designed for the treatment of patients suffering from neurological conditions. Features a large upholstered top which allows exercise movements to be performed with room both for the patient and the therapist.
Features and Benefits
- Low operating height of only 20”.
- Excellent for patient transferring and standing exercises.
- Unique lifting mechanism allows a maximum height of 38”
- Smooth lifting action is achieved by the electric actuator which is controlled via a Hand Remote Control
- Supports up to 200 kg
- Breath hole are supplied standard with this table.
- Minimum height: 20”
- Maximum height: 38”
- Size : 48 inch X 72 Inch
- Lift mechanism Electric ( motorized )
- Breathing hole: 1
- 1 pc Biotronix Hi Low Height Adjustable Bobath Table Motorized ( Electrical ) with Remote Control Single Section used in Physiotherapy and Rehabilitation
- 1 Hand Remote Control
- 1 Complementary Physio Chart Set ( 6 wall pasted physio charts )
Warranty Details : 3 Year Motor Warranty against manufacturing Defect.
The Bobath concept is a problem-solving approach used in the evaluation and treatment of individuals with movement and postural control disturbances due to a lesion of the central nervous system.It is named after Berta Bobath, a physiotherapist, and her husband Karl, a psychiatrist/neuropsychiatrist, who proposed the approach for treating patients affected with Central Nervous System anomalies.
They developed this approach for effective management of neuro-motor dysfunctions manifested by children with cerebral palsy (CP). Earlier, braces, passive stretching, and surgery were the most common forms of interventions. The Bobath concept provided a new reference that viewed children with CP as having difficulty with postural control and movement against gravity.
An international association was established in 1983 by a group of experienced Bobath instructors to facilitate the development of Bobath Concept. Since 1996, it is known as International Bobath Instructor Training Association (IBITA)
What is NDT?
Neurodevelopmental treatment is based on the premise that the presence of normal postural reflex mechanisms is fundamental to a motor skill's performance. The normal postural reflex mechanisms consist of righting and equilibrium reactions, reciprocal innervation, and coordination patterns. The release of abnormal tone and tonic reflexes seen in CP interfered with the development of righting and equilibrium reactions.
It is an interactive problem-solving approach that focuses on continuing reassessment with attention to individual goals, developing working hypotheses, treatment plans, and relevant objective measures to evaluate interventions.
- Regardless of severity, individuals of any age with damage to their CNS can be handled with this approach. This makes the approach different from other forms of treatment, like motor relearning or constraint-induced movement therapy, which can only work on high functioning individual.
- It is congruent with the International Classification of Functioning, Disability, and Health. It lays emphasis on two interdependent aspects important for optimizing motor recovery following stroke:
- integration of postural control and task performance and
- selective movement control for the production of coordinated sequences of movements.
- In addition, the contribution of sensory inputs to motor control and motor learning has always been a vital focus of the Bobath concept.
Clinical Application of Bobath Concept
Bobath Concept concerns sensory, perception and adaptive behaviour along with the motor problem that involves the whole patient. It is a goal-orientated and task-specific approach, aiming to organise the internal (proprioceptive) and external (exteroceptive) environment of the nervous system for efficient functioning of the individual. It is an interactive process between patients and therapists
Therapy focuses on the following:
- neuro-muscular system, spinal cord and higher centres to change motor performance,
- neuroplasticity, an interactive nervous system, and individual expression of movement.
- overcoming weakness of neural drive after a UMN lesion through selective activation of cutaneous and muscle receptors.
Therapists should have the knowledge of the principles of motor learning: active participation, opportunities for practice, and meaningful goals. Bobath concept demands training in different real-life situations rather than just practicing in the therapy department. Task-specific muscle activation patterns and sensory input enables successful completion of the task in different contexts and environments, taking in to account the perceptual and cognitive demands
Therapy addresses abnormal, stereotypical movement patterns that interfere with function (IBITA 2007). It is aimed at preventing development of spasticity and improving residual function. Therapists can influence hypertonia at a non-neural level by influencing muscle length and range.
Therapists work on tone to improve movement, not to normalise tone. Tone can be reduced by
- mobilisation of muscles and stiff joints,
- muscle stretch,
- practice of more normal movement patterns, and
- through a more efficient, less effortful performance of functional tasks
The Bobath approach addresses the problems that occur as a result of impairment of the developing central nervous system that affect the individual's sensory - motor, cognitive, perceptual, social and emotional development
- It is an approach/concept, not a method
- It recognises that all clients with neurodisability have the potential for enhanced function
- It recognises the need for thorough analysis of each patient's functional skills
- Based on available knowledge evidence
- It is an important approach to the rehabilitation of patients with neurological injuries.
- In the United States the Bobath concept is usually referred to as 'neuro-developmental treatment' (NDT).
- It is based on the brain's ability to reorganise (neuroplasticity)
- It is a multidisciplinary approach, involving physiotherapists, occupational therapists and speech and language therapists.
- Individuals with CNS pathophysiology have dysfunction in posture and movement and subsequent functional activity limitations.
- The NDT/Bobath approach continues to be enriched with the emergence of new theories, new models and new information in the movement sciences. There have been changes in the concept of NDT but some aspects are remain the same
Aspects that remain the same are:
- It is a problem solving and assessments approach
- Tone plays an important role in movements pattern and postural control and directly effect the performance of functional tasks
- Handling is the main method for better functional and postural performance of tasks .
- Individuals are encourage for active participations during treatment sessions
- functional training is important of milestone developments
Aspects that have been changed:
- Neural and none neural components can be affected by tone.
- Spasticity is rarely a major source of patient's movements disorders
- In addition, as the characteristics of the population with CNS pathophysiology change, the approach continues to evolve.
What is Bobath?
Bobath is a type of physiotherapy treatment which aims to improve movement and mobility in patients with damage to their central nervous system (brain and spinal cord). Many physiotherapists use Bobath in the rehabilitation of patients with neurological conditions to promote the sensory and motor pathways and facilitate normal movement and motor control.
The Bobath concept continues to develop in concordance which changes in the presentation of individuals with different neurological conditions. Bobath also changes with the emergence of new theories, models and information.
Principles of Bobath
Bobath is based around the brains ability to adapt to change and reorganise and recover after neurological damage.
The Bobath approach rests on a number of principles that include:
- Encouragement of normal movement patterns
- Focusing on quality of movement
- Normalisation of tone to facilitate active movement
- Positioning and posture in lying, sitting and standing
- Discouragement of compensatory movements
- Discouragement of muscle strength training
- Promotion of maximum functional recovery to improve quality of independence
Benefits of Bobath
Bobath physiotherapists encourage a person to move in the most normal and energy efficient way and prevent abnormal movement patterns in order to:
- Normalise tone
- Regain motor control
- Make movements easier to achieve that are precise and goal directed
- Improve posture
- Lengthen tight muscles to help decrease spasticity and reduce contractures
- Improve ability with everyday activities
- Increase independence
- Achieve maximum potential
Bobath is currently used to treat neurological conditions including:
Bobath physiotherapy will help improve movement and mobility using a combination of techniques involving passive and active movements in a functional way in order to obtain functional independence. Bobath physiotherapy will help make everyday tasks a great deal easier and improve quality of life.
The physiotherapists at Physio.co.uk are experienced in treating patients with neurological conditions. Physiotherapy treatment is enjoyable and effective emphasising a friendly and caring approach which means that you can be confident that you are receiving treatment of the highest quality.
The Bobath concept is an approach to neurological rehabilitation that is applied in patient assessment and treatment (such as with adults after stroke,or children with cerebral palsy). The goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments, thereby improving participation and function. This is done through specific patient handling skills to guide patients through initiation and completion of intended tasks.This approach to neurological rehabilitation is multidisciplinary, primarily involving physiotherapists, occupational therapists and speech and language therapists. In the United States, the Bobath concept is also known as 'neuro-developmental treatment' (NDT).
The concept and its international tutors / instructors have embraced neuroscience and the developments in understanding motor control, motor learning, neuroplasticity and human movement science. They believe that this approach continues to develop.
The Bobath concept is named after its inventors: Berta Bobath (physiotherapist) and Karel Bobath (a psychiatrist/neurophysiologist). Their work focused mainly on patients with cerebral palsy and stroke. The main problems of these patient groups resulted in a loss of the standard postural reflex mechanism and regular movements.The Bobath concept was focused on regaining regular movements through re-education at its earliest inception. Since then, it has evolved to incorporate new information on neuroplasticity, motor learning, and motor control. Therapists that practice the Bobath concept today also embrace the goal of developing optimal movement patterns through the use of orthotics and appropriate compensations instead of aiming for ultimately "normal" movement patterns.
In the Bobath Concept, postural control is the foundation on which patients begin to develop their skills. Patients undergoing this treatment typically learn how to control postures and movements and then progress to more difficult ones. Therapists analyze postures and movements and look for any abnormalities that may be present when asked to perform them. Examples of common abnormal movement patterns include obligatory synergy patterns. These patterns can be described as the process of trying to perform isolated movement of a particular limb, but triggering the use of other typically uninvolved muscles (when compared to normal movement) in order to achieve movement. Obligatory synergy patterns can be further subdivided into flexion and extension synergy components for both the upper and lower extremities. This approach requires active participation from both the patient and the therapist.Depending on the patient, rehabilitation goals may work to improve any or all of the following: postural control, coordination of movement sequences, movement initiation, optimal body alignment, abnormal tone or muscle weakness. Treatment will therefore address both negative signs such as impaired postural control, and positive signs such as spasticity.
Intervention strategies and techniques for Bobath consist of therapeutic handling, facilitation, and activation of key points of control. Therapeutic handling is used in order to influence the quality of the patients' movements and incorporates both facilitation and inhibition. Facilitation is a key technique used by Bobath practitioners to promote motor learning. It is the use of sensory information (tactile cue through manual contacts, verbal directions) to reinforce weak movement patterns and to discourage overactive ones. The appropriate provision of facilitation during the motor task is regulated in time, modality, intensity and withdrawal, all of which affects the outcome of motor learning. Inhibition can be described as reducing parts of movement/posture that are abnormal and interfere with normal performance. Key points of control generally refers to parts of the body that are advantageous when facilitating or inhibiting movement/posture.
Activities assigned by a Physical Therapist or Occupational Therapist to an individual who has suffered from a stroke are selected based on functional relevance and are varied in terms of difficulty and the environment in which they are performed. The use of the individual's less involved segments, also known as compensatory training strategies, are avoided. Carryover of functional activities in the home and community setting is largely attributed to patient, family and caregiver education.
The Bobath Concepts theoretical underpinning and practice is clearly documented in a contemporary book published by Wiley Blackman in 2009: Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation' written by the British Bobath Tutors Association (BBTA) and edited by Raine, Meadows and Lynch-Ellerington. The chair of ACPIN (Association of Chartered Physiotherapists in Neurology) reviewed this book and concluded :- “I am not really sure that it is clear from the book what the Bobath approach actually is”, “often the prose turns into jargon” and “this book will do little to quell the critics; in fact it will no doubt give them more fuel for the fire”.
Paci (2003) conducted an extensive critical appraisal of studies to determine the effectiveness of the Bobath concept for adults with hemiplegia following a stroke. Selected trials showed no evidence proving the effectiveness of the Bobath Concept as the optimal type of treatment. Paci (2003) recommended that standardized guidelines for treatment be identified and described, and that further investigations are necessary to develop outcome measures concerning goals of the Bobath approach such as quality of motor performance.
Bobath therapy is nonstandardized as it responds, through clinical reasoning and the development of a clinical hypothesis, to the individual patient and their movement control problems. The decisions about specific treatment techniques are collaboratively made with the patient, and are guided by the therapist, through the use of goal setting and the development of close communication and interaction. Working to develop improved muscle tone, appropriate to the task, the individual and the environment, will enable better alignment and activation of movement, and allow for recruitment of, for example, arm activity in functional situations within various positions.
A study by Lennon et al. concluded that even under idealized conditions (patients with optimal rehabilitation potential, advanced trained therapists, unlimited therapy input and a movement analysis laboratory) the Bobath approach had no effect on the quality of gait for patients with a stroke.
Products Tags and Keywords :
Bo Bath Tables ,Bobath Table ,Biotronix Bobath table ,Physiotherapy Table ,Treatment Tables ,Solution Forever Bobath Tables
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