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The Bobath Clinical Reasoning Framework: A systems science approach to the complexity of neurodevelopmental conditions, including cerebral palsy.
Developmental Medicine & Child Neurology ( IF 3.8 ) Pub Date : 2023-08-31 , DOI: 10.1111/dmcn.15748
Margaret J Mayston 1 , Gillian M Saloojee 2 , Sarah E Foley 3
Affiliation  

The current recommended developmental Bobath practice within the Bobath Clinical Reasoning Framework (BCRF) can be conceptualized using the lens of systems science, thereby providing a holistic perspective on the interrelatedness and interconnectedness of the variables associated with childhood-onset disability. The BCRF is defined as an in-depth clinical reasoning framework that can be applied to help understand the relationships between the domains of the International Classification of Functioning, Disability and Health, how those domains can be influenced, and how they impact each other. The BCRF is a transdisciplinary observational system and practical reasoning approach that results in an intervention plan. This provides a holistic understanding of the complexity of situations associated with disorders such as cerebral palsy (CP) and the basis for the lifelong management and habilitation of people living with neurological disorders. The clinical reasoning used by the BCRF draws on the important contextual factors of the individual and their social environment, primarily the family unit. It is rooted in an understanding of the interrelationships between typical and atypical development, pathophysiology (sensorimotor, cognitive, behavioural), and neuroscience, and the impact of these body structure and function constructs on activity and participation. The systems science model integral to the BCRF is a useful way forward in understanding and responding to the complexity of CP, the overarching goal being to optimize the lived experience of any individual in any context.

中文翻译:

Bobath 临床推理框架:针对神经发育状况(包括脑瘫)复杂性的系统科学方法。

当前推荐的 Bobath 临床推理框架 (BCRF) 内的发展性 Bobath 实践可以使用系统科学的视角进行概念化,从而提供与儿童期发病残疾相关的变量的相互关联性和相互关联性的整体视角。BCRF 被定义为一个深入的临床推理框架,可用于帮助理解国际功能、残疾和健康分类领域之间的关系、这些领域如何受到影响以及它们如何相互影响。BCRF 是一个跨学科的观察系统和实践推理方法,可产生干预计划。这提供了对脑瘫(CP)等疾病相关情况的复杂性的全面理解,并为神经系统疾病患者的终身管理和康复奠定了基础。BCRF 使用的临床推理借鉴了个人及其社会环境(主要是家庭单位)的重要背景因素。它植根于对典型和非典型发育、病理生理学(感觉运动、认知、行为)和神经科学之间相互关系的理解,以及这些身体结构和功能结构对活动和参与的影响。BCRF 的系统科学模型是理解和应对 CP 复杂性的有效方法,其总体目标是优化任何环境中任何个人的生活体验。
更新日期:2023-08-31
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