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Journal of Evaluation in Clinical Practice

Resumen/Descripción – provisto por la editorial en inglés
The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective.
Palabras clave – provistas por la editorial

journal of evaluation in clinical practice; audit; clinical audit; clinical medicine; clinical pract

Disponibilidad
Institución detectada Período Navegá Descargá Solicitá
No detectada desde ene. 1995 / hasta dic. 2023 Wiley Online Library

Información

Tipo de recurso:

revistas

ISSN impreso

1356-1294

ISSN electrónico

1365-2753

Editor responsable

John Wiley & Sons, Inc. (WILEY)

País de edición

Reino Unido

Fecha de publicación

Tabla de contenidos

Conceptualizing movement by expert Bobath instructors in neurological rehabilitation

Julie Vaughan‐GrahamORCID; Kara Patterson; Karl Zabjek; Cheryl A. Cott

<jats:title>Abstract</jats:title><jats:sec><jats:title>Rationale, aims, and objectives</jats:title><jats:p>Movement, a core aspect of physiotherapy practice, and integral to the clinical reasoning process has undergone limited theoretical development. Instead, research has focused on intervention effectiveness embedded within the positivist paradigm. The purpose of this study was to explore how expert neurorehabilitation therapists conceptualize movement as part of their clinical reasoning.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>A qualitative interpretive descriptive approach consisting of stimulated recall using video‐recorded treatment sessions and in‐depth interviews was used. Theoretical sampling was used to recruit members of the International Bobath Instructors Training Association (IBITA) who are recognized experts in neurorehabilitation. Interview transcripts were transcribed verbatim. Data analysis was progressive, iterative, and inductive.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Twenty‐two IBITA instructors from 7 different countries volunteered to participate. They ranged in clinical experience from 12 to 40 years and instructor experience from 1 to 35 years. The conceptualization of movement by the IBITA instructors involves the following elements: (1) movement comprises the whole person and the whole body, not just individual body segments; (2) active alignment of body segments is integral to movement performance; and (3) efficient movement requires the relative integration of postural control/stability and selective movement/mobility.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>The IBITA instructors conceptualize movement from a person‐centred perspective. The integration of postural control and selective movement, with alignment and variability as key components, forms the foundation of their understanding of movement. Further investigation into the role of postural control in movement recovery post central nervous system lesion is required. Likewise, the dimensions of movement critical to the conceptualization of movement are not well understood from the perspective of the physiotherapist or persons with neurological impairments.</jats:p></jats:sec>

Pp. 1153-1163