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. 2023 Jun 15;12(12):4078. doi: 10.3390/jcm12124078

Table A3.

Specific guidelines for the qualitative functional and functional approaches.

Qualitative Functional Approach (Pictures a–d) Functional Approach (Pictures e–h)
Bobath-concept-oriented Functional-therapy-oriented
Activity- and impairment-focused Activity-focused
Active and passive preparation of the function
  • -

    Movement analysis

  • -

    Biomechanical principles to enhance efficient movement patterns

Therapists identify impairments (clinical reasoning) related to the performance of a task and create more optimal conditions before training for the specific task. The sensory cues and the stimulation of muscles provide input that should enhance active movement
No preparation of the function
Hands-on, facilitation through handling skills, and hands-off
Using key points of control to facilitate more efficient, qualitative strategies during the performance of a task
Hands-off adjustment of the environment
Verbal cues enhance the quality of movement No verbal cues on the quality of movement during the performance
Goal setting on impairment and activity level of the International Classification of Functioning, Disability and Health (ICF) (e.g., enhance the extension of the hip in stance and during sit-to-stand or improve going up and down the stairs holding one handrail) Goal setting on the activity level of the ICF (e.g., sit-to-stand without using the hands or improve transfers from sitting on the ground to standing position)
a. b. e. f.
graphic file with name jcm-12-04078-i001.jpg graphic file with name jcm-12-04078-i002.jpg graphic file with name jcm-12-04078-i003.jpg graphic file with name jcm-12-04078-i004.jpg
Qualitative functional approach Functional approach
c. d. g. h.
graphic file with name jcm-12-04078-i005.jpg graphic file with name jcm-12-04078-i006.jpg graphic file with name jcm-12-04078-i007.jpg graphic file with name jcm-12-04078-i008.jpg
Qualitative functional approach Functional approach