CAJ | 학술논문

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(lBITA)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.
목적:총결Bobath관념、Bobath관념이론가설、이급재림상실천상적신관점등방면적최신연구성과,위Bobath성위신경조직수복급공능중건치료중일충중요치료방법제공의거.방법:이계산궤검색방법검색Highwire press、Pubmed수거고관우Bobath치료뇌졸중적상관문헌,검색사위"Bobath관념,뇌졸중,물리치료".납입표준:①Bobath관념급기이론가설상관문헌.②Bobath관념림상실천신관점상관문헌.배제표준:중복성연구.검색후대매항연구적자료결과진행제취、분석.결과:Bobath관념적기본원리시수착현대운동공제이론、운동학습화신경가소성급생물역학적이론지식발전이불단진보.최신적이론관점래자우국제Bobath교사배훈협회(lBITA)화영국Bobath교사협회(BBTA),타문종삼여、활동화병손지간련계、행위화운동공제、신경손상화공능장애적후과、신경화기육가소성、운동학습등방면대Bobath관념진행논술.환탐토료림상실천중우도적궤개중요문제적신관념.결론:Bobath작위전통치료뇌졸중신경조직수복중구급공능중건치료과정중적강복방법,기본신야재불단지흡수당전신경과학화심이학등학과연구성과,여기타치료방법상호융합,촉진료신경강복의학적발전.
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 literatura 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 rasourced 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.