The theoretical basis of the Bobath concept is redefined based on contemporary neuroscience and rehabilitation science. The framework utilized in the Bobath concept for the analysis of movement and movement dysfunction is described. This framework focuses on postural control for task performance, the ability to move selectively, the ability to produce coordinated sequences of movement and vary movement patterns to fit a task, and the role of sensory input in motor behaviour and learning. The article describes aspects of clinical practice that differentiate this approach from other models of practice. Contemporary practice in the Bobath concept utilizes a problem-solving approach to the individual's clinical presentation and personal goals. Treatment is focused toward remediation, where possible, and guiding the individual towards efficient movement strategies for task performance. The aim of this article is to provide a theoretical framework on which future research into the Bobath concept can be based.
This article outlines the development of post-graduate physiotherapy education in South Africa and the problems encountered. The method and results of two surveys are discussed. The first, conducted in 1986, ascertained involvement and interest in post-graduate study, and the reasons for non-participation. The respondents’ needs and preferences were also analysed. The second (1989) survey investigated the extent to which universities were meeting these needs. The difference between clinical specialisation and academic post-graduate study is discussed and the progress made in the former is detailed.Proposals are made for overcoming current problems in postgraduate programmes, including delineating objectives and competencies, optimum management of existing resources and developing new resources. The question remains as to whether the direction in which post-graduate programmes are developing at present can be justified in terms of the needs of the population.
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