中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (2): 341-346.doi: 10.3969/j.issn.1673-8225.2010.02.036

• 组织构建学术探讨 tissue construction academic discussion • 上一篇    下一篇

Bobath观念理论假说与临床实践
神经组织修复重构及功能重建的治疗依据     

赵健乐1，黄  霞2     

  1. 1武警杭州医院脑损伤康复中心，浙江省杭州市   310051；2浙江省民政康复中心，浙江省杭州市 310016
  • 出版日期:2010-01-08 发布日期:2010-01-08
  • 作者简介:赵健乐，男，1968年生，浙江省宁波市人，汉族，1992年浙江中医药大学毕业，副主任医师，从事神经系统疾病的物理治疗方法基础和临床研究。 zhaojl2@hzcnc.com

Theoretical hypothesis and clinical practice of Bobath concept: A therapeutical basis for nervous tissues repairing and functional reconstruction

Zhao Jian-le1, Huang Xia2   

  1. 1 Rehabilitative Center for Brain Injury, Hangzhou Hospital of Chinese People’s Armed Police Forces, Hangzhou  310051, Zhejiang Province, China; 2 Civil Administration Rehabilitative Center of Zhejiang Province, Hangzhou  310016, Zhejiang Province, China
  • Online:2010-01-08 Published:2010-01-08
  • About author:Zhao Jian-le, Associate chief physician, Rehabilitative Center for Brain Injury, Hangzhou Hospital of Chinese People’s Armed Police Forces, Hangzhou 310051, Zhejiang Province, China zhaojl2@hzcnc.com

PDF

735

摘要：

目的：总结Bobath观念、Bobath观念理论假说、以及在临床实践上的新观点等方面的最新研究成果，为Bobath成为神经组织修复及功能重建治疗中一种重要治疗方法提供依据。
方法：以计算机检索方法检索Highwire press、Pubmed数据库关于Bobath治疗脑卒中的相关文献，检索词为“Bobath观念，脑卒中，物理治疗”。纳入标准:①Bobath观念及其理论假说相关文献。②Bobath观念临床实践新观点相关文献。排除标准：重复性研究。检索后对每项研究的资料结果进行提取、分析。
结果：Bobath观念的基本原理是随着现代运动控制理论、运动学习和神经可塑性及生物力学的理论知识发展而不断进步。最新的理论观点来自于国际Bobath教师培训协会(IBITA)和英国Bobath教师协会(BBTA)，他们从参与、活动和病损之间联系、行为和运动控制、神经损伤和功能障碍的后果、神经和肌肉可塑性、运动学习等方面对Bobath观念进行论述。还探讨了临床实践中遇到的几个重要问题的新观念。
结论：Bobath作为传统治疗脑卒中神经组织修复重构及功能重建治疗过程重的康复方法，其本身也在不断地吸收当前神经科学和心理学等学科研究成果，与其他治疗方法相互融合，促进了神经康复医学的发展。

关键词: 物理治疗, Bobath观念, 康复, 脑卒中, 综述文献

Abstract:

OBJECTIVE: A series of Bobath concept, Bobath theoretical hypothesis and clinical practice were summarized, to provide a better understanding of Bobath concept involved in nervous tissues repairing and functional reconstruction.
METHODS: Articles concerning the Bobath treatment for stroke-related literature were retrieved in Highwire press, MEDLINE, and Google from 2001 to 2009, using the key words of “Bobath concept, stroke physical therapy”. Data of each study were extracted and analyzed following retrieval. Inclusion criteria: ①Bobath concept and its theoretical hypothesis. ②New development of Bobath concept in clinical practice. Exclusion criteria: Repetitive studies. The results of retrieved literature were analyzed.
RESULTS: The theoretical basis of Bobath concept is based on present-day knowledge of motor control, motor learning, neural and muscle plasticity, and biomechanics. The latest theories and viewpoints are resourced from International Bobath Instructors Training Association and the British Bobath Tutors Association. They expounded on the Bobath concept from linking participation, activities and underlying impairments, organization of human behavior and motor control, the consequences of injury and dysfunction in the execution of movement, neural and muscle plasticity, motor learning and so. This article also discusses several important questions which meet in clinical practice.
CONCLUSION: Bobath therapy, as a traditional method for stroke rehabilitation, is constantly absorbing the research results from current neuroscience, psychology and other disciplines, and blended with other treatments to promote the development of neuro-rehabilitation medicine.

中图分类号: