Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

Which of the following is an application of the Bobath principles?

1. Transfer of a patient to a chair from the unaffected side

2. Assessment of physical therapy goals

3. Transfer of a patient to a chair from the affected side

4. Development of a rehabilitation plan

The correct answer is: Transfer of a patient to a chair from the affected side

The Bobath principles, also known as Neurodevelopmental Treatment (NDT), focus on the treatment of individuals with movement and coordination difficulties, particularly those who have experienced a neurological insult such as a stroke. One of the key aspects of these principles is promoting proper movement patterns and facilitating the use of the affected side to improve function and enhance recovery. Transferring a patient to a chair from the affected side aligns well with the Bobath approach because it encourages use of the weaker side, which is crucial for motor learning and functional rehabilitation. This method aims to help the patient gain confidence in using their affected limb, thereby enhancing motor control and promoting neuroplasticity—which is the brain's ability to reorganize itself by forming new neural connections. This facilitates engagement and encourages patients to practice utilizing their involved side in a practical context, which is essential to building functional abilities in daily activities. By integrating movements that incorporate the affected side, the Bobath principles are applied effectively, supporting the overall goals of rehabilitation.