Parau Daniela, Todoran Anamaria Butila, Barcutean Laura, Avram Calin, Balasa Rodica
Doctoral School, 'George Emil Palade' University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania.
Department of Genetics, 'George Emil Palade' University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania.
Medicina (Kaunas). 2023 Oct 23;59(10):1883. doi: 10.3390/medicina59101883.
: In infants presenting with motor development impairment, early kinesiotherapeutic interventions aim to normalise the pattern of movements and improve recovery. By applying Bobath and Vojta methods, we aimed to identify a combined approach regarding motor deficit in infants with neurological disabilities. : We designed a prospective interventional study on 108 infants with motor developmental delay and applied Bobath, Vojta, or combined Bobath and Vojta therapy in three equal groups. : In the combined Bobath and Vojta group, complete motor recovery was achieved for 50% of the participants, with full recovery after six months, whereas in Bobath- or Vojta-only therapy groups, the total recovery for all participants was achieved at seven months. Regarding infants with muscular hypertonia, Bobath therapy initiation demonstrated complete recovery in 5 months in more than 50% of the cases, while for Vojta this was achieved in only 33.57% of the cases. : The comparative evaluation conducted by analysing the data regarding the application of the Bobath and Vojta methods showed that combining these two therapies results in a shorter motor deficit recovery time than if a single therapy is applied. These findings have important implications for the selection of rehabilitation therapies in infants with neurological motor development issues.
对于存在运动发育障碍的婴儿，早期运动疗法干预旨在使运动模式正常化并促进恢复。通过应用Bobath法和Vojta法，我们旨在确定一种针对神经功能障碍婴儿运动缺陷的联合治疗方法。我们设计了一项针对108名运动发育迟缓婴儿的前瞻性干预研究，并将其平均分为三组，分别应用Bobath法、Vojta法或Bobath与Vojta联合疗法。在Bobath与Vojta联合治疗组中，50%的参与者实现了完全运动恢复，六个月后完全康复；而在仅采用Bobath法或Vojta法治疗的组中，所有参与者在七个月时实现了完全恢复。对于患有肌肉张力亢进的婴儿，超过50%的病例在开始Bobath治疗五个月后实现了完全恢复，而Vojta法治疗仅在33.57%的病例中实现了这一效果。通过分析有关Bobath法和Vojta法应用的数据进行的比较评估表明，与单一疗法相比，联合应用这两种疗法可缩短运动缺陷恢复时间。这些发现对于患有神经运动发育问题的婴儿康复治疗方法的选择具有重要意义。
