Bobath理念在卒中后偏瘫患者步态康复中的研究进展
|
摘要
Bobath理念通过促进姿势控制、建立正确的身体图式,进而改善卒中后偏瘫患者步行及运动功能。单独运用Bobath理念或结合其他治疗,如膝关节稳定性训练、肉毒素注射和中医治疗等,都能提高偏瘫患者步行能力。Bobath理念在国内尚未普及,其临床效果较难评定,是国内现阶段存在的主要问题。
Bobath concept improves walking and motor function in stroke patients with hemiplegia by promoting posture control and establishing correct body mapping. The use of the Bobath concept alone or in combination with other treatments,such as knee stability training, Botulinum toxin injection, and Traditional Chinese Medicine, can effectively improve the walking ability of stroke patients. The Bobath concept has not been widely used, and its clinical effect is difficult to assess, which is the major problem at the current stage in China.
Bobath concept improves walking and motor function in stroke patients with hemiplegia by promoting posture control and establishing correct body mapping. The use of the Bobath concept alone or in combination with other treatments,such as knee stability training, Botulinum toxin injection, and Traditional Chinese Medicine, can effectively improve the walking ability of stroke patients. The Bobath concept has not been widely used, and its clinical effect is difficult to assess, which is the major problem at the current stage in China.
引文
[1] Thrift A G, Thayabaranathan T, Howard G, et al. Global Stroke Statistics[J]. Int J Stroke, 2017, 12(1):13-32.
[2] Fernandez-Gonzalez P, Molina-Rueda F, Cuesta-Gomez A, et al. Instrumental gait analysis in stroke patients, in Spanish[J]. Rev Neurol,2016, 63(10):433-439.
[3] Michielsen M, Vaughan-Graham J, Holland A, et al. The Bobath concept—a model to illustrate clinical practice[J]. Disabil Rehabil, 2017-12-17:1-13. doi:10.1080/09638288.2017.1417496.[Epub ahead of print]
[4] Miko?ajewska E. The value of the NDT-Bobath method in post-stroke gait training[J]. Adv Clin Exp Med, 2013, 22(2):261-272.
[5] Baker R, Esquenazi A, Benedetti M G, et al. Gait analysis:clinical facts[J]. Eur J Phys Rehabil Med, 2016, 52(4):560-574.
[6]吴希希,钱竞光,康延琳.步态分析技术在偏瘫康复中的应用研究[J].南京体育学院学报(自然科学版), 2016, 15(3):37-41, 81.
[7]万青,吴伟,刘慧华,等.脑卒中患者偏瘫步态的时空及关节运动学参数分析[J].中国康复医学杂志, 2014, 29(11):1026-1030.
[8] Lennon S, Baxter D, Ashburn A. Physiotherapy based on the Bobath concept in stroke rehabilitation:a survey within the UK[J]. Disabil Rehabil, 2001, 23(6):254-262.
[9] Vaughan-Graham J, Cott C, Wright F V. The Bobath(NDT)concept in adult neurological rehabilitation:what is the state of the knowledge? A scoping review. Part I:conceptual perspectives[J]. Disabil Rehabil,2015, 37(20):1793-1807.
[10] Capelovitch S. The Bobath concept–did globalization reduce it to a Chinese whisper?[J]. Dev Med Child Neurol, 2017, 59(5):557.
[11]紀伊克昌,刘畅,常冬梅. Bobath理论与历史的变迁[J].中国康复理论与实践, 2011, 17(9):801-804.
[12] Kavounoudias A, Roll R G, Roll J. Foot sole and ankle muscle inputs contribute jointly to human erect posture regulation[J]. J Physiol,2001, 532(3):869-878.
[13] Benito G M, Atin A M, Terradillos A M. The Bobath concept in walking activity in chronic stroke measured through the international classification of functioning, disability and health[J]. Physiother Res Int,2015, 20(4):242-250.
[14]王文威,王路,李凌晋,等.基于Bobath理念的步行训练在恢复期脑卒中患者中的应用[J].中国康复医学杂志, 2012, 27(12):1124-1128.
[15] Paci M. Physiotherapy based on the Bobath concept for adults with post-stroke hemiplegia:a review of effectiveness studies[J]. J Rehabil Med, 2003, 35(1):2-7.
[16] van Vliet P M, Lincoln N B, Foxall A. Comparison of Bobath based and movement science based treatment for stroke:a randomised controlled trial[J]. J Neurol Neurosurg Psychiatry, 2005, 76(4):503-508.
[17]林婕,唐占英,金晟,等. Bobath康复疗法的研究进展[J].神经损伤与功能重建, 2014, 9(6):515-518.
[18]樊留博,江毅卿,刘宝华,等.基于Bobath理念的强化膝关节控制训练在痉挛性偏瘫患者康复中的应用[J].温州医科大学学报, 2017, 47(1):23-28.
[19] Druzbicki M, Guzik A, Przysada G, et al. Changes in gait symmetry after training on a treadmill with biofeedback in chronic stroke patients:a 6-month follow-up from a randomized controlled trial[J]. Med Sci Monit, 2016, 22:4859-4868.
[20] Eich H J, Mach H, Werner C, et al. Aerobic treadmill plus Bobath walking training improves walking in subacute stroke:a randomized controlled trial[J]. Clin Rehabil, 2004, 18(6):640-651.
[21]文建国,王庆伟.儿童神经源性膀胱的诊断治疗进展[J].实用儿科临床杂志, 2008, 23(23):1796-1800.
[22] Gallagher S, Phadke C P, Ismail F, et al. Physical therapy for an adult with chronic stroke after Botulinum toxin injection for spasticity:a case report[J]. Physiother Can, 2015, 67(1):65-68.
[23]李剑,滕安琪,白海涛. A型肉毒素注射联合康复治疗偏瘫后痉挛性足下垂及足内翻[J].新乡医学院学报, 2009, 26(5):512-514.
[24]郝福春.Bobath疗法在临床康复中的应用[J].继续医学教育, 2016,30(12):166-167.
[25]谭世洪.透穴针刺联合Bobath技术治疗脑卒中后偏瘫肢体痉挛的临床疗效观察[J].中西医结合心脑血管病杂志, 2018, 16(20):3044-3047.
[26]张绍华,王玉龙,张天奉,等.温针灸联合Bobath康复疗法对脑卒中病人步态稳定性的影响[J].中西医结合心脑血管病杂志, 2018, 16(7):843-845.
[2] Fernandez-Gonzalez P, Molina-Rueda F, Cuesta-Gomez A, et al. Instrumental gait analysis in stroke patients, in Spanish[J]. Rev Neurol,2016, 63(10):433-439.
[3] Michielsen M, Vaughan-Graham J, Holland A, et al. The Bobath concept—a model to illustrate clinical practice[J]. Disabil Rehabil, 2017-12-17:1-13. doi:10.1080/09638288.2017.1417496.[Epub ahead of print]
[4] Miko?ajewska E. The value of the NDT-Bobath method in post-stroke gait training[J]. Adv Clin Exp Med, 2013, 22(2):261-272.
[5] Baker R, Esquenazi A, Benedetti M G, et al. Gait analysis:clinical facts[J]. Eur J Phys Rehabil Med, 2016, 52(4):560-574.
[6]吴希希,钱竞光,康延琳.步态分析技术在偏瘫康复中的应用研究[J].南京体育学院学报(自然科学版), 2016, 15(3):37-41, 81.
[7]万青,吴伟,刘慧华,等.脑卒中患者偏瘫步态的时空及关节运动学参数分析[J].中国康复医学杂志, 2014, 29(11):1026-1030.
[8] Lennon S, Baxter D, Ashburn A. Physiotherapy based on the Bobath concept in stroke rehabilitation:a survey within the UK[J]. Disabil Rehabil, 2001, 23(6):254-262.
[9] Vaughan-Graham J, Cott C, Wright F V. The Bobath(NDT)concept in adult neurological rehabilitation:what is the state of the knowledge? A scoping review. Part I:conceptual perspectives[J]. Disabil Rehabil,2015, 37(20):1793-1807.
[10] Capelovitch S. The Bobath concept–did globalization reduce it to a Chinese whisper?[J]. Dev Med Child Neurol, 2017, 59(5):557.
[11]紀伊克昌,刘畅,常冬梅. Bobath理论与历史的变迁[J].中国康复理论与实践, 2011, 17(9):801-804.
[12] Kavounoudias A, Roll R G, Roll J. Foot sole and ankle muscle inputs contribute jointly to human erect posture regulation[J]. J Physiol,2001, 532(3):869-878.
[13] Benito G M, Atin A M, Terradillos A M. The Bobath concept in walking activity in chronic stroke measured through the international classification of functioning, disability and health[J]. Physiother Res Int,2015, 20(4):242-250.
[14]王文威,王路,李凌晋,等.基于Bobath理念的步行训练在恢复期脑卒中患者中的应用[J].中国康复医学杂志, 2012, 27(12):1124-1128.
[15] Paci M. Physiotherapy based on the Bobath concept for adults with post-stroke hemiplegia:a review of effectiveness studies[J]. J Rehabil Med, 2003, 35(1):2-7.
[16] van Vliet P M, Lincoln N B, Foxall A. Comparison of Bobath based and movement science based treatment for stroke:a randomised controlled trial[J]. J Neurol Neurosurg Psychiatry, 2005, 76(4):503-508.
[17]林婕,唐占英,金晟,等. Bobath康复疗法的研究进展[J].神经损伤与功能重建, 2014, 9(6):515-518.
[18]樊留博,江毅卿,刘宝华,等.基于Bobath理念的强化膝关节控制训练在痉挛性偏瘫患者康复中的应用[J].温州医科大学学报, 2017, 47(1):23-28.
[19] Druzbicki M, Guzik A, Przysada G, et al. Changes in gait symmetry after training on a treadmill with biofeedback in chronic stroke patients:a 6-month follow-up from a randomized controlled trial[J]. Med Sci Monit, 2016, 22:4859-4868.
[20] Eich H J, Mach H, Werner C, et al. Aerobic treadmill plus Bobath walking training improves walking in subacute stroke:a randomized controlled trial[J]. Clin Rehabil, 2004, 18(6):640-651.
[21]文建国,王庆伟.儿童神经源性膀胱的诊断治疗进展[J].实用儿科临床杂志, 2008, 23(23):1796-1800.
[22] Gallagher S, Phadke C P, Ismail F, et al. Physical therapy for an adult with chronic stroke after Botulinum toxin injection for spasticity:a case report[J]. Physiother Can, 2015, 67(1):65-68.
[23]李剑,滕安琪,白海涛. A型肉毒素注射联合康复治疗偏瘫后痉挛性足下垂及足内翻[J].新乡医学院学报, 2009, 26(5):512-514.
[24]郝福春.Bobath疗法在临床康复中的应用[J].继续医学教育, 2016,30(12):166-167.
[25]谭世洪.透穴针刺联合Bobath技术治疗脑卒中后偏瘫肢体痉挛的临床疗效观察[J].中西医结合心脑血管病杂志, 2018, 16(20):3044-3047.
[26]张绍华,王玉龙,张天奉,等.温针灸联合Bobath康复疗法对脑卒中病人步态稳定性的影响[J].中西医结合心脑血管病杂志, 2018, 16(7):843-845.