hello everyone you are watching physical classroom channel and in today's video we are going to talk about the bow back therapy bow back therapy is also known as the entity or the neurodevelopmental therapy now bow bath or the entity therapy is a problem-solving approach which is used for the assessment and treatment of conditions like cerebral palsy stroke head injury and other allied neurological disorders now I described entity as a problem-solving approach which needs to be further understood and emphasized therapists who practice entity therapy considers every patient as unique every patient having different sets of problem which needs to be tackled using different therapeutic strategies now entity therapist first thoroughly evaluates and examines the patient find some of the problems and then thinks about the different ways in which those problems can be solved that's why entity therapy or the bobak therapy is considered as the best problem-solving therapy which is now available for neuro therapist worldwide so now let's talk little bit about how did this therapy came into existence this therapy was developed by Berta Bobbitt who was a German physiotherapist and her husband Karel Baba who was a psychiatrist as well as a neurophysiologist it was the year 1948 when Berta birth through trial-and-error method developed different therapeutic techniques and showed that abnormal tone can be altered in hemiplegic or stroke patients Berta Babak was in fact the first physical therapist who showed to the medical fraternity that in hemiplegic or the stroke patients not only the abnormal tone can be influenced but also the normal motor movement patterns can be retrained in such patients boba --the totally rejected the concept of compensate retraining that is to train the patient use the normal side when one or half side of the body gets paralyzed this is so because compensated training totally neglects the potential of the hemiplegic side to function normally now based on this positive treatment outcomes from this newly developed approach Carol boba husband of Berta Baba researched further and wrote various theoretical explanations to demonstrate how actually the improvements in such hemiplegic patients were coming after utilizing this new practice model subsequently the boba therapy started gaining popularity and it was being used for rehabilitation of hemiplegic cerebral palsy and other such conditions as the approach grew lot of further questions started arising and further theoretical explanations were sought which led to further redevelopment and redesigning of the new treatment model the findings made by Bo bass was totally contradictory to the understanding of motor control at that time which was purely based on the reflex hierarchical Curie given by Charles Sherrington now according to the reflex hi Raquel Curie if the brain gets damaged then the lower centers take charge which leads to the production or development of abnormal tone but bow path for the first time showed that through neuroplasticity the brain can or have the ability to regain control over the lower centers and thereby result in regulation of tone and production of normal movement patterns through the hemiplegic sign now since the development of the boba therapy in 1948 the approach has been continuously evolving through different researches and so the different theories practice models concepts philosophies of the approach are continuously modified which has resulted in the addition of many new treatment methods to the approach bobak therapy is now more commonly known as the entity or the neurodevelopmental therapy technique now in the last part of this introductory video of NDT therapy series let's talk little bit about how a therapist can start practicing mobic or the entity therapy approach in neurological patients now to practice entity therapy a therapist must develop good posture and movement analysis skills because in entity we believe that every patient is different having different sets of problem so to practice entity therapy means that your therapy is never stereotypic you are never giving the same sort of rehabilitation to each and every type of hemiplegic patient there are lot of questions that should arise in the mind of therapists who wants to practice entity and we will be discussing them in detail in the subsequent videos but for now let's just consider a few important questions that should start arising as soon as we start seeing a hemiplegic patient the therapist should immediately think first that what is the current functional status of my patient how much is he able to perform using his hemiplegic side or how much activity from the hemiplegic side is being done throughout the day by the patient now what are the different reasons are the possible explanations for not able to recruit the hemiplegic side into daily activities a therapist tries to go as deep as possible while analyzing all these problems he can think is it the range of motion which is limited is it the strength which is not available for performing reaction or is it that the patient is not aware of the body part there is lack of somatosensory awareness or is it that patient is not getting good visual feedback from the surrounding so there are not many components and we will be discussing them in the subsequent videos this particular series on entity therapy is being made with the intention to make this already popular approach even more popular and easily available to practicing therapist across the globe we will try and share as much as possible three different treatment techniques assessment skills handling skills that can be utilized to treat education see you in the next part of the entity therapy series till then keep learning keep sharing and stay