d'Avignon M, Norén L, Arman T
Neuropediatrics. 1981 Aug;12(3):232-41. doi: 10.1055/s-2008-1059654.
Thirty children with early signs of cerebral neuromotor disturbances according to "Vojta criteria" were followed until the age of thirty-three months to six years. Twelve children were treated with early physiotherapy according to Bobath, ten children were treated according to Vojta and eight constituted a control group. The infants tended for early physical therapy were divided by random into two different groups. The neonatal risk factors, however, proved to be unevenly distributed among the infants in the Vojta- and the Bobath-treated groups - the latter being more heavily burdened in this respect. Vojta has claimed that his method of early physiotherapy is able to prevent the development of cerebral palsy (cp) of "uncomplicated" (but not of "complicated") type. At follow-up we found one child out of nine with "uncomplicated" cp in the Vojta group against three out of six in the Bobath- and two out of six in the control group. These differences, however, are not statistically significant. Further detailed studies with greater groups of children seem necessary to help us to clarify these problems. The psychological aspects of early physiotherapy should be thoroughly considered and this is particularly important in connection with the Vojta method.
按照“沃伊塔标准”，对30名有早期脑性神经运动障碍迹象的儿童进行随访，直至其33个月至6岁。12名儿童按照博巴斯方法接受早期物理治疗，10名儿童按照沃伊塔方法接受治疗，8名儿童组成对照组。倾向于接受早期物理治疗的婴儿被随机分为两个不同的组。然而，新生儿危险因素在沃伊塔治疗组和博巴斯治疗组的婴儿中分布不均——在这方面，后者负担更重。沃伊塔声称，他的早期物理治疗方法能够预防“非复杂性”（而非“复杂性”）类型的脑瘫（CP）。在随访中，我们发现沃伊塔组9名患有“非复杂性”CP的儿童中有1名，而博巴斯组6名中有3名，对照组6名中有2名。然而，这些差异无统计学意义。似乎有必要对更多儿童群体进行进一步详细研究，以帮助我们澄清这些问题。早期物理治疗的心理方面应得到充分考虑，这与沃伊塔方法相关时尤为重要。
