Keshner E A
Phys Ther. 1981 Jul;61(7):1035-40. doi: 10.1093/ptj/61.7.1035.
The purpose of this paper is to evaluate the foundations of prevalent physical therapy technique based on the current research on motor control. The conceptual framework of the neurodevelopmental theory, as described in the writings of the Bobaths, is presented. Their explanations of central nervous system disorders and recommendations for intervention are based upon a unidirectional model of the nervous system in which postural and voluntary motion become two separate and distinct entities. Systems theory is an alternative model of nervous system structure. In systems theory, the organism is a circular network of interacting yet autonomous subsystems, rather than a vertical structure of descending controls. Relevant research that supports the systems viewpoint is discussed and applied to the theories in the neurodevelopmental approach. Thus, another model is offered for understanding the functioning of the central nervous system when it is intact and when it is in a pathological state.
本文旨在基于当前对运动控制的研究，评估流行物理治疗技术的基础。文中介绍了Bobaths著作中所描述的神经发育理论的概念框架。他们对中枢神经系统疾病的解释和干预建议基于一种单向的神经系统模型，在该模型中，姿势和随意运动成为两个独立且不同的实体。系统理论是神经系统结构的另一种模型。在系统理论中，生物体是一个由相互作用但又自主的子系统组成的循环网络，而不是一个由下行控制构成的垂直结构。文中讨论了支持系统观点的相关研究，并将其应用于神经发育方法中的理论。因此，本文提供了另一种模型，用于理解中枢神经系统在正常状态和病理状态下的功能。
