Bobat therapy - a new approach to the problem of neurological disorders

Medical rehabilitation is a promising branch of medicine that literally "puts on feet" patients with chronic neurologic deficit. One of the directions of this field of activity is Bobat therapy: what is it? At what diseases it helps, how it is performed and what contraindications it has: let's understand.

Bobat therapy is the concept of restorative treatment of patients with organic brain lesions. The method will be useful for the rehabilitation of patients with:

• infantile cerebral palsy;
• with acute impairment of cerebral circulation;
• is a subarachnoid hemorrhage.

The essence of the

method Principles of managing patients with neurological insufficiency were developed by Carl and Bertha Bobat as far back as the 1940s. After numerous studies and clinical observations that proved the effectiveness of this concept of rehabilitation management of patients with cerebral palsy and cerebral circulation disorders, it has become widespread worldwide.

Bobat therapy is not only a set of rules and recommended exercises, but also a whole system of caring for a sick person. Its main methods are as follows:

• an ontogenetic approach to rehabilitation: as a healthy kid goes through the main stages of development, first learning how to turn on the stomach, then crawl, sit down, get up and walk, and the physiotherapist should gradually develop the skills and physical activity of the patient;
• a choice of the positions reducing pathological hypertonus: normalization of a muscular tonus - one of the key moments of correction of a neurologic deficit;
• inclusion in the work of the main locomotive points: with Bobat therapy, the emphasis is not on quantity, but on the quality of movement;
• all movements using this method of rehabilitation are directed either at inhibition( reducing the amount and force of involuntary movements), or at facilitation( facilitating the implementation of targeted actions).

Do you know how to recognize the hemorrhage in the ventricles of the brain? Characteristic signs and symptoms.

What are the problems with the circulation of the brain, read here.

The main principle of treatment remains its focus: Bobat therapy helps patients adapt to everyday life. Before starting the procedure, the physiotherapist should assess the skills and abilities of the child with cerebral palsy and suggest what may be the cause of this or that neurological deficit.

Principles of treatment of

The main goal of therapy in cerebral palsy is the patient's ability to stand on his feet and suppress muscular hypertonia. Patients who have suffered an acute brain accident( stroke), this method of rehabilitation will help to cope with paresis, paralysis and improve coordination of movements. The main principles of Bobat therapy are:

• establishing a trusting contact between a physiotherapist and a patient: this is the only way to achieve complete relaxation of all muscle groups;
• joint responsibility: the physician must inform the patient( or his legal representatives) about the goals and tasks, the course of therapy and the predictions;
• smooth movements: during the procedure, the patient should not experience pain;
• delayed monitoring of results: the patient should be given the opportunity to adapt to the load;
• is an integrated approach to rehabilitation, which must be versatile.

In the physiological plan of rehabilitation, Bobat therapy, the exercises for which are individually selected in each case, is aimed at fixing the patient's body in a physiological position. For this, special devices( walkers, wheelchairs, tires, locks and risers) can be used. In this case, arbitrary movements should not be limited.

Bobat therapy: exercises and proper technique of performing

The intensity and duration of the exercises should be monitored by a physiotherapist. It is he who makes up an individual treatment plan, depending on the symptoms of the central nervous system and the general condition of the patient. With the right technique, Bobat therapy is very effective: some exercises you can also see on the video.

Positive effect:

1. When the patient is lying on his back, he reflexively straightens the arms and neck, bringing the legs, bent at the knees, to the body. To get rid of the pathological reflex, a roller or a rigid cushion is placed under the head.
2. When turning on the abdomen, the pathological activity of the brain provokes the bending of the head downwards( it is lowered to the surface), bringing the upper limbs to the trunk. You can level the painful activity by lifting your head and moving your hands forward. Under the breast is a roller or fitball. With a strong tension of the muscles of the upper limbs, relaxing exercises are recommended in the form of massage, shaking, wiggling.
3. To stimulate coups from the back to the abdomen and vice versa, the doctor performs alternate rotation of the lower extremities, pelvis and torso.
4. Training the seat - an important static skill requires training the abdominal muscles( abdominals) and the back. To stabilize the lower part of the trunk and unload the part of the muscles, between the thighs the doctor has a roller.
5. For a stable stand use special tools, and then - any support( table, chair, wall).
6. Walking is a complex act of movement that takes a lot of energy in patients with cerebral palsy. To achieve the correct biomechanics and friendly actions of the lower extremities and trunk can be done with the help of bars and other devices.

Find out what nutrition for stroke is recommended to patients. Recommendations of nutritionists.

On the treatment and prevention of cerebral ischemia, read here.

All about early signs of cerebral palsy in newborns you will learn in this article: http: //golmozg.ru/deti/ rannie-priznaki-dcp.html. Forms and features of the clinical picture.

The more often a patient engages in this technique, the better the result is achieved. Experts advocate the study of the principles of bean therapy by relatives of the patient for full-time care and regularity of classes.