Graham Julie Vaughan, Eustace Catherine, Brock Kim, Swain Elizabeth, Irwin-Carruthers Sheena
Private Practice, Toronto, Canada.
Top Stroke Rehabil. 2009 Jan-Feb;16(1):57-68. doi: 10.1310/tsr1601-57.
Future development in neurorehabilitation depends upon bringing together the endeavors of basic science and clinical practice. The Bobath concept is widely utilized in rehabilitation following stroke and other neurological conditions. This concept was first developed in the 1950s, based on the neuroscience knowledge of those times.
The theoretical basis of the Bobath concept is redefined based on contemporary neuroscience and rehabilitation science. The framework utilized in the Bobath concept for the analysis of movement and movement dysfunction is described. This framework focuses on postural control for task performance, the ability to move selectively, the ability to produce coordinated sequences of movement and vary movement patterns to fit a task, and the role of sensory input in motor behaviour and learning. The article describes aspects of clinical practice that differentiate this approach from other models of practice. Contemporary practice in the Bobath concept utilizes a problem-solving approach to the individual's clinical presentation and personal goals. Treatment is focused toward remediation, where possible, and guiding the individual towards efficient movement strategies for task performance. The aim of this article is to provide a theoretical framework on which future research into the Bobath concept can be based.
神经康复的未来发展依赖于基础科学与临床实践的共同努力。Bobath概念在中风及其他神经疾病后的康复中被广泛应用。这一概念最初于20世纪50年代基于当时的神经科学知识而形成。
基于当代神经科学和康复科学对Bobath概念的理论基础进行重新定义。描述Bobath概念中用于分析运动及运动功能障碍的框架。该框架聚焦于任务执行中的姿势控制、选择性运动能力、产生协调运动序列及改变运动模式以适应任务的能力，以及感觉输入在运动行为和学习中的作用。本文描述了该方法与其他实践模式不同的临床实践方面。Bobath概念的当代实践采用解决问题的方法来应对个体的临床表现和个人目标。治疗尽可能侧重于补救，并引导个体采用高效的运动策略来执行任务。本文旨在提供一个理论框架，作为未来对Bobath概念进行研究的基础。
