Bobath理念在卒中后偏瘫患者步态康复中的研究进展

doi:10.3969/j.issn.1006-9771.2019.00.004

Abstract

Abstract: Bobath concept improves walking and motor function in stroke patients with hemiplegia by promoting posture control and establishing correct body mapping. The use of the Bobath concept alone or in combination with other treatments, such as knee stability training, Botulinum toxin injection, and Traditional Chinese Medicine, can effectively improve the walking ability of stroke patients. The Bobath concept has not been widely used, and its clinical effect is difficult to assess, which is the major problem at the current stage in China.

Key words: Bobath concept, stroke, hemiplegia, gait, walking, review

CLC Number:

R743.3

WANG Jian-qiao, LIU Hui-lin. Bobath Concept in the Process of Gait Rehabilitation for Post-stroke Patients with Hemiplegia (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(6): 683-685.

References

1 ThriftA G, ThayabaranathanT, HowardG, et al. Global Stroke Statistics [J]. Int J Stroke, 2017, 12(1): 13-32.
2 Fernandez-GonzalezP, Molina-RuedaF, Cuesta-GomezA, et al. Instrumental gait analysis in stroke patients, in Spanish [J]. Rev Neurol, 2016, 63(10): 433-439.
3 MichielsenM, Vaughan-GrahamJ, HollandA, et al. The Bobath concept—a model to illustrate clinical practice [J]. Disabil Rehabil, 2017-12-17: 1-13. doi: 10.1080/09638288.2017.1417496. [Epub ahead of print]
4 MikołajewskaE. The value of the NDT-Bobath method in post-stroke gait training [J]. Adv Clin Exp Med, 2013, 22(2): 261-272.
5 BakerR, EsquenaziA, BenedettiM G, et al. Gait analysis: clinical facts[J]. Eur J Phys Rehabil Med, 2016, 52(4): 560-574.
6 吴希希,钱竞光,康延琳.步态分析技术在偏瘫康复中的应用研究[J].南京体育学院学报(自然科学版), 2016, 15(3): 37-41, 81.
7 万青,吴伟,刘慧华,等.脑卒中患者偏瘫步态的时空及关节运动学参数分析[J].中国康复医学杂志, 2014, 29(11): 1026-1030.
8 LennonS, BaxterD, AshburnA. Physiotherapy based on the Bobath concept in stroke rehabilitation: a survey within the UK [J]. Disabil Rehabil, 2001, 23(6): 254-262.
9 Vaughan-GrahamJ, CottC, WrightF V. The Bobath (NDT) concept in adult neurological rehabilitation: what is the state of the knowledge? A scoping review. Part I: conceptual perspectives [J]. Disabil Rehabil, 2015, 37(20): 1793-1807.
10 CapelovitchS. The Bobath concept–did globalization reduce it to a Chinese whisper? [J]. Dev Med Child Neurol, 2017, 59(5): 557.
11 紀伊克昌,刘畅,常冬梅. Bobath理论与历史的变迁[J].中国康复理论与实践, 2011, 17(9): 801-804.
12 KavounoudiasA, RollR G, RollJ. Foot sole and ankle muscle inputs contribute jointly to human erect posture regulation [J]. J Physiol, 2001, 532(3): 869-878.
13 BenitoG M, AtinA M, TerradillosA M. The Bobath concept in walking activity in chronic stroke measured through the international classification of functioning, disability and health [J]. Physiother Res Int, 2015, 20(4): 242-250.
14 王文威,王路,李凌晋,等.基于Bobath理念的步行训练在恢复期脑卒中患者中的应用[J].中国康复医学杂志, 2012, 27(12): 1124-1128.
15 PaciM. Physiotherapy based on the Bobath concept for adults with post-stroke hemiplegia: a review of effectiveness studies [J]. J Rehabil Med, 2003, 35(1): 2-7.
16 van VlietP M, LincolnN B, FoxallA. Comparison of Bobath based and movement science based treatment for stroke: a randomised controlled trial [J]. J Neurol Neurosurg Psychiatry, 2005, 76(4): 503-508.
17 林婕,唐占英,金晟,等. Bobath康复疗法的研究进展[J].神经损伤与功能重建, 2014, 9(6): 515-518.
18 樊留博,江毅卿,刘宝华,等.基于Bobath理念的强化膝关节控制训练在痉挛性偏瘫患者康复中的应用[J].温州医科大学学报, 2017, 47(1): 23-28.
19 DruzbickiM, GuzikA, PrzysadaG, et al. Changes in gait symmetry after training on a treadmill with biofeedback in chronic stroke patients: a 6-month follow-up from a randomized controlled trial [J]. Med Sci Monit, 2016, 22: 4859-4868.
20 EichH J, MachH, WernerC, et al. Aerobic treadmill plus Bobath walking training improves walking in subacute stroke: a randomized controlled trial [J]. Clin Rehabil, 2004, 18(6): 640-651.
21 文建国,王庆伟.儿童神经源性膀胱的诊断治疗进展[J].实用儿科临床杂志, 2008, 23(23): 1796-1800.
22 GallagherS, PhadkeC P, IsmailF, et al. Physical therapy for an adult with chronic stroke after Botulinum toxin injection for spasticity: a case report [J]. Physiother Can, 2015, 67(1): 65-68.
23 李剑,滕安琪,白海涛. A型肉毒素注射联合康复治疗偏瘫后痉挛性足下垂及足内翻[J].新乡医学院学报, 2009, 26(5): 512-514.
24 郝福春.Bobath疗法在临床康复中的应用[J].继续医学教育, 2016, 30(12): 166-167.
25 谭世洪.透穴针刺联合Bobath技术治疗脑卒中后偏瘫肢体痉挛的临床疗效观察[J].中西医结合心脑血管病杂志, 2018, 16(20): 3044-3047.
26 张绍华,王玉龙,张天奉,等.温针灸联合Bobath康复疗法对脑卒中病人步态稳定性的影响[J].中西医结合心脑血管病杂志, 2018, 16(7): 843-845.

[1]	SHAO Weiting, LEI Jianghua. Effect of response interruption and redirection as a behavioral intervention on vocal stereotypy in children with autism spectrum disorder: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 10-20.
[2]	WANG Hangyu, GE Keke, FAN Yonghong, DU Lilu, ZOU Min, FENG Lei. Effect of active music therapy on cognitive function for older adults with cognitive impairment: a systematic review based on ICD-11 and ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 36-43.
[3]	WEN Jianing, JIN Qiuyan, ZHANG Qi, LI Jie, SI Qi. Effect of cognitively engaging physical activity on developing executive function of children and adolescents: a systematic review based on ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 44-53.
[4]	GE Keke, FAN Yonghong, WANG Hangyu, DU Lilu, LI Changjiang, ZOU Min. Health benefit of mindfulness intervention for older adults with insomnia disorders: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 54-60.
[5]	LIN Na, GAO Hanlu, LU Huiping, CHEN Yanqing, ZHENG Junfan, CHEN Shurong. Effect of virtual reality on upper limb function after stroke: a study of diffusion tensor imaging [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 61-67.
[6]	WANG Haoyi, SHI Yawei, LU Jun, XU Guangxu. Impact of subjective vertical perception impairment on function in stroke patients: a retrospective study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 68-73.
[7]	CHEN Junwen, CHEN Qian, CHEN Cheng, LI Shuyue, LIU Lingling, WU Cunshu, GONG Xiang, LU Jun, XU Guangxu. Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 74-80.
[8]	HU Yonglin, MA Ying, DOU Chao, LU Anmin, JIANG Xiaoge, SONG Xinjian, XIAO Yuhua. Effect of neural mobilization based on shoulder control training on shoulder pain and upper limb function in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 81-86.
[9]	WEI Mengli, ZHONG Yaping, ZHOU Yiwen, GUI Huixian, GUAN Yeming, YU Tingting. Difference in bilateral lower limb muscle synergy mode for gait in patients after unilateral anterior cruciate ligament reconstruction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 95-104.
[10]	ZHANG Jingya, ZOU Min, SUN Hongwei, SUN Changlong, ZHU Juntong. Effect of psychological intervention on anxiety or depression in children and adolescents with hearing impairment: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1004-1011.
[11]	WANG Junyu, YANG Yong, YUAN Xun, XIE Ting, ZHUANG Jie. Effect of high-intensity interval training on executive function for healthy children and adolescents: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1012-1020.
[12]	WEI Xiaowei, YANG Jian, WEI Chunyan. Psychological and behavioral benefits of adapted yoga exercise for children with autism spectrum disorder in special education schools: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1021-1028.
[13]	YANG Yaru, YANG Jian. School-based physical activity-related health services and their health benefits within the World Health Organization health-promoting school framework: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1040-1047.
[14]	WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056.
[15]	SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064.

Bobath Concept in the Process of Gait Rehabilitation for Post-stroke Patients with Hemiplegia (review)

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0