Reevaluating the Theoretical Model Underlying the Neurodevelopmental Theory
Abstract
The purpose of this paper is to evaluate the foundations of prevalent physical therapy technique based on the current research on motor control. The conceptual framework of the neurodevelopmental theory, as described in the writings of the Bobaths, is presented. Their explanations of central nervous system disorders and recommendations for intervention are based upon a unidirectional model of the nervous system in which postural and voluntary motion become two separate and distinct entities. Systems theory is an alternative model of nervous system structure. In systems theory, the organism is a circular network of interacting yet autonomous subsystems, rather than a vertical structure of descending controls. Relevant research that supports the systems viewpoint is discussed and applied to the theories in the neurodevelopmental approach. Thus, another model is offered for understanding the functioning of the central nervous system when it is intact and when it is in a pathological state.
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A number of original assumptions of the Bobath Concept show intrinsic weaknesses.
“However, what is known is that a number of original assumptions of the Bobath Concept show intrinsic weaknesses (see for critical reviews, references 61,62 ).”
From The Effectiveness of the Bobath Concept in Stroke Rehabilitation: What is the Evidence? (2009) · cites this paper as [61]
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The Effectiveness of the Bobath Concept in Stroke Rehabilitation: What is the Evidence?
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The Bobath Concept (NDT) as rehabilitation in stroke patients: A systematic review
Pathak, A., Gyanpuri, V., Dev, P., & Dhiman, N. R. (2021) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_528_21 · Cited by 60 · see citing works
- Authors
- Keshner, E. A.
- Affiliations
- Albert Einstein College of Medicine (US)
- Corresponding author
- Keshner, Emily A
- ORCID
- Keshner, Emily A
- Venue
- Physical Therapy
- Publisher
- Oxford University Press (OUP)
- Published
- 1981-07-01
- Volume
- 61
- Issue
- 7
- Pages
- 1035-1040
- ISSN
- 0031-9023 (ISSN-L)
- 1538-6724
- OpenAlex
- W2186366081
- Cited by
- 29
- References
- 28
- Citations by year
- 2021: 1 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Physical Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Keywords
- neurodevelopmental theory, Bobath method, systems theory, central nervous system, motor control, postural control, voluntary movement, central nervous system disorders, physical therapy intervention
- MeSH terms
- Animals, Haplorhini, Central Nervous System, Central Nervous System Diseases, Humans, Models, Neurological, Movement, Synaptic Transmission, Posture, Reflex, Systems Theory, Physical Therapy Modalities
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