Terminology


The Bobath Concept
is a globally applied approach in neurological rehabilitation
for patient assessment and the treatment of patients with brain injuries.
The Bobath concept serves to promote motor learning for efficient motor control
in various environments, thereby improving participation and function. This is done
through specific patient handling skills (facilitation) to guide and support patients
through initiation and completion of intended tasks.


Forced Use
(also Constraint-Induced-Movement-Therapy (CIMT)) combines firm
restraint of the unaffected limb and intensive use of the affected limb, thereby
forcing the patient to use the affected limb to carry out the set exercises. The affected
hand or arm is used to carry out certain activities and exercises over a longer period
of time.
The objective of this intensive, repetitive exercise is to activate new neural pathways.


Wolf Motor Function Test, WMFT
is a time-based method to evaluate upper extremity
performance while providing information and understanding into joint-specific
and total limb movements. The WMFT was developed by Wolf (Wolf et al., 1989) and
modified by Taub (Taub et al., 1993). It consists of 19 function-based tasks for the
upper extremity, testing both proximal and distal muscle movement. The patient has
two minutes to complete each activity. Each completed task is assessed by the quality
and quantity of the movements involved. («Behandlung motorischer Störungen nach
Schlaganfall – die Taubsche Bewegungsinduktionstherapie» – H. Bauder, E. Taub,
W. Miltner).


Learned Non Use
,
a term first used by Taub (1980) to describe a phenomena in the early
phase after brain damage; the hemoparethic patient learns to use the healthy arm for
nearly all everyday tasks. The affected arm is subsequently no longer used, even if it
recovers part, or all, of its functionality.


The Motor Activity Log (MAL)
is a questionnaire developed by Taub (Taub et al., 1993),
registering the extent to which the affected arm is used in everyday activities.
It is an important instrument used to assess whether the transfer of new
motion sequences acquired during therapy are successfully integrated into the patient’s
everyday life. The individual tasks include unilateral and bilateral tasks performed
by everyone several times a day (for example drinking from a glass or putting on a pair
of trousers). The test is conducted as a structured interview, whereby the patients
assess the Quality of Movement (QOM) and Amount of Use (AOU) of the affected arm
in everyday life on scales.