《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2011, Vol. 17 ›› Issue (9): 805-809.

• 论文 • Previous Articles     Next Articles

Bobath Approach to the Adults with Stroke

FURUSAWA Masamichi. CHEN Li-jia trans.   

  1. Department of Rehabilitation, Bobath Memorial Hospital, 1-6-5 Higashinakahama, Joto-ku, Osaka City 536-0023, Japan
  • Received:2011-07-14 Revised:1900-01-01 Published:2011-09-25 Online:2011-09-25

Abstract: The ascending and descending systems were described first. In the treatment for stroke patients, main information of ascending systems is proprioception, and the other sensations should be integrated into it. Postural control, especially core control, is the background for walking, arm and hand function, and activities of daily living. Patients have loss of body schema, so it must be recovered to make
anticipatory postural adjustments. At last I introduced the actual treatment for a chronic case who suffered right hemiplegia caused by a cerebral infarction when she was 47 years old. As she had strong equinovarus, she walked with a short leg brace and a Lofstrand crutch when she came to our hospital at 8 months after stroke. And she could not keep right arm in apace first. She got the treatment as an outpatient around 4 years. Now she walks without an equinovarus, and she does not need a brace and a cane. She can also lift and carry her affected arm into a long sleeve of a shirt now.

Key words: Bobath concept, stroke, postural control, core control, body schema