In the past decade there has been an increasing demand on all health care professionals including Physiotherapist for home in Chandigarh to provide evidence to support the effectiveness of their interventions and ‘to make conscientious, explicit and judicious use of current best evidence to make decisions about the care of individual patients’ (Sackett et al 1996). This concept of evidence-based practice is now widely considered to be best practice. Comprehensive assessment and outcome measurement are integral to this process.
Neurological Physiotherapy.
A therapist using a problem-solving approach to the management of neurological patients prior to the 1940s may have asked: How can I train the person to use their unaffected body parts to compensate for the affected parts, and how can I prevent deformity? The result was a strong emphasis on orthopaedic intervention with various types of splints, strengthening exercises and surgical intervention. However, in the 1940s several other ideas emerged, the most popular being the Bobath approach. Bobath (1985) with others, such as Peto (Forrai 1999), Kabat & Knott (1954), Voss (1967) and Rood (1954), pioneered the neurological approach to these disorders, recognising that patients with neurological impairment, in particular stroke patients, had potential for functional recovery of their affected body parts. For the child with a neurodevelopmental disorder, the approach was based on the idea that each child’s development could be guided by the therapist, to maximise their potential for functional independence and minimise contractures and deformities. While the Bobath approach is one of the most used and accepted in the UK, little has been written about it in recent years, and there is no robust evidence for its efficacy (Davidson & Waters 2000). We practice best neuro physiotherapy techniques while Home Physiotherapy in Chandigarh.