Yalcinkaya Ebru Yilmaz, Caglar Nil Sayıner, Tugcu Betul, Tonbaklar Aysegul
Department of Physical Medicine and Rehabilitation, Istanbul Physical Therapy and Rehabilitation Training and Research Hospital, Turkey.
Department of Ophthalmology, Bakirkoy Sadi Konuk Training and Research Hospital, Turkey.
J Phys Ther Sci. 2014 Feb;26(2):285-9. doi: 10.1589/jpts.26.285. Epub 2014 Feb 28.
[Purpose] To evaluate the results of Bobath-based rehabilitation performed at a pediatric cerebral palsy (CP) inpatient clinic. [Subjects and Methods] The study subjects were 28 children with CP who were inpatients at a pediatric service. Inclusion criteria were: being an inpatient of our hospital aged 2-12 with a diagnosis of CP; having one permanent primary caregiver; and the caregiver having no medical or psychotic problems. All of the patients received Bobath treatment for 1 hour per day, 5 days a week. The locomotor system, neurologic and orthopedic examination, Gross Motor Function Measure (GMFM) of the patients, and Short Form-36 (SF-36) of permanent caregivers were evaluated at the time of admission to hospital, discharge from hospital, and at 1 and 3 months after discharge. [Results] Post-admission scores of GMFM at discharge, and 1 and 3 months later showed significant increase. Social function and emotional role subscores of SF-36 had increased significantly at discharge. [Conclusion] Bobath treatment is promising and randomized controlled further studies are needed for rehabilitation technics.
[目的]评估在小儿脑性瘫痪(CP)住院诊所进行的基于Bobath法的康复治疗效果。[对象与方法]研究对象为28名小儿科住院的CP患儿。纳入标准为:我院2至12岁住院患儿,诊断为CP;有一名固定的主要照料者;照料者无医学或精神问题。所有患者每天接受1小时Bobath治疗,每周5天。在入院时、出院时、出院后1个月和3个月对患者的运动系统、神经和骨科检查、粗大运动功能测量(GMFM)以及固定照料者的简明健康调查问卷36项量表(SF-36)进行评估。[结果]出院时、出院后1个月和3个月的GMFM入院后评分显著提高。SF-36的社会功能和情感角色子评分在出院时显著增加。[结论]Bobath治疗前景良好,康复技术需要进一步开展随机对照研究。