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Steps to Follow: Developing a Model for Individualized Self-Training Programs Based on the Bobath Concept

Objective: Therapy interventions aimed at enabling people with chronic stroke to meet their own personal goals require tailoring of interventions to the person’s individual situation. The purpose of this qualitative study was to identify key elements of self-training programs based on the Bobath concept, and how these were modified in relation to the individual requirements of the participants. Method: Qualitative study design. A self-training program was developed based on the Bobath concept to minimize the impact of body impairments and maximize activity and participation levels, in order to facilitate personal goal achievement. As a training medium, an individually devised folder with annotated photos of the participant performing the exercise was used. The folder contained information on how to perform the exercise, adaptations of the exercise and recommendations for the number of repetitions. For the qualitative evaluation, all photos and descriptions were translated into a descriptive structure. The study utilized both pre-determined comparisons, coding the exercises with reference to the Bobath Concept, and the use of “grounded theory” to gain insights into the data without anticipating the content interpretation by the researcher. Results: Fifty-five participants with chronic stroke received a total of 503 individual exercises. The therapeutic methods and techniques used in the self-training programs were clearly assigned to the Bobath concept. The self-training was demonstrated to be based on the personal goals, on the individual needs and the abilities of the participants. Key aspects of the Bobath concept were revealed and can be identified Based on the gained knowledge, a model for creation of a self-training program was developed. Conclusion: This qualitative study unpacked the therapy component provided, in order to elaborate the principles utilized to construct and individualize interventions. The model developed has potential to improve the specificity and tailoring of self-training exercises for individuals with stroke.

Bobath, Self-Exercise Program, Goals, Qualitative Research, Stroke

APA Style

Gabriele Eckhardt, Kim Brock, Gerlinde Haase, Toshie Ishida. (2023). Steps to Follow: Developing a Model for Individualized Self-Training Programs Based on the Bobath Concept. American Journal of Health Research, 11(4), 118-129. https://doi.org/10.11648/j.ajhr.20231104.14

ACS Style

Gabriele Eckhardt; Kim Brock; Gerlinde Haase; Toshie Ishida. Steps to Follow: Developing a Model for Individualized Self-Training Programs Based on the Bobath Concept. Am. J. Health Res. 2023, 11(4), 118-129. doi: 10.11648/j.ajhr.20231104.14

AMA Style

Gabriele Eckhardt, Kim Brock, Gerlinde Haase, Toshie Ishida. Steps to Follow: Developing a Model for Individualized Self-Training Programs Based on the Bobath Concept. Am J Health Res. 2023;11(4):118-129. doi: 10.11648/j.ajhr.20231104.14

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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