EM428: CREMONA - Optimizing function: feeding ability, dysphagia, and communicative connection in the Bobath Concept

INTRODUCTION

The Bobath Concept is based on a comprehensive, individualized approach that actively involves the child and his or her family in a process of observation, assessment, critical analysis, and intervention planning. This approach considers not only the child's current situation-in terms of participation, activity, and motor skills-but also his or her potential for developing future functional abilities. As a clinical reasoning framework that guides assessment and therapeutic intervention through the adoption of strategies aimed at the management of children with infantile cerebral palsy (CP) or other neurological conditions, it is the fertile ground on which the training event is based.

In the context of PCI, optimization of feeding and swallowing function is a crucial clinical challenge. Alterations in swallowing and oropharyngeal function not only compromise a child's nutrition and safety, but also affect global motor development and quality of life. With its focus on neural plasticity and the ability to facilitate more effective motor patterns, the Bobath Concept emerges as a powerful tool for the treatment of dysphagia. Through targeted and individualized interventions, it is possible to
improve swallowing efficiency, prevent associated complications, and promote feeding autonomy.

Another central issue for children with PCI is communication, which can be impaired by neuromotor, cognitive, and sensory difficulties. Communication, however, is not only a means of individual expression, but a fundamental pillar for social, educational, and
family. In this context, early attention to communicative facilitation, together with the integration of Augmentative Alternative Communication (AAC) strategies, within the clinical reasoning of the Bobath Concept, allow supporting the overall development of communication. AAC strategies enable the child to overcome the limitations imposed by neuromotor conditions, providing individualized tools and techniques for the child to interact with his or her environment and improve quality of life.

Objective of the training event:

This course is designed to provide participants with theoretical and practical skills, useful for addressing with integrated approaches, the complex needs of children with PCI, enhancing their potential and improving their participation in social and family life.
The training event offers a multidisciplinary experience divided into two thematic areas:

- Feeding and Dysphagia (approximately 20 hours): a focused in-depth look at the observation and treatment of swallowing difficulties according to the Bobath Concept. This part of the course will guide participants in the critical analysis and application of individualized clinical strategies to ensure safety, optimize feeding function, and improve quality of life for children and their families.

- Communication (approximately 8 hours): a course dedicated to understanding the communication peculiarities of children with PCI, with a specific focus on the role of Augmentative Communication (CA). Practical techniques and tools to enhance interaction, foster participation, and support more effective communication in the daily context will be explored.