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Dmitry Butko1, Vladislav Kuznetsov2, Dmitry Kolesov3, Sergey Kondrashev3

1Saint Petersburg State Pediatric Medical University, Department of Medical Rehabilitation and Sports Medicine, Saint Petersburg, Russian Federation
2I. M. Sechenov First Moscow State Medical University (Sechenov University), Department of Physical Culture, Moscow, Russian Federation
3I. M. Sechenov First Moscow State Medical University (Sechenov University), Department of Chemistry, Moscow, Russian Federation

Bobath Therapy for Cerebral Palsy: An Efficacy Study

Sport Mont 2022, 20(1), 25-29 | DOI: 10.26773/smj.220205

Abstract

Cerebral palsy is among the most severe perinatal lesions in the central nervous system and a leading cause of childhood disability. Aim to assess how Bobath therapy affects the motor functions and physical development of preschool children with spastic diplegia cerebral palsy. The study includes 42 (46.7%) boys and 48 (53.3%) girls aged four diagnosed with spastic diplegia. All patients were divided into two comparison groups of 45 children based on the method of physical rehabilitation: children enrolled in a conventional rehabilitation program (control group) and children receiving standard rehabilitation together with Bobath therapy (treatment group). After a course of integrated physical rehabilitation, patients demonstrated an improvement in motor skills: 15 (33.3%) children (p<0.05) with GMFCS level 2 improved to level 1, and 16 (35.6%) children (p<0.05) with GMFCS level 3 improved to level 2. In the control group, only 6 (13.3%) children (p<0.05) with GMFCS level 2 improved to level 1, and 11 (24.4%) children (p<0.05) with GMFCS level 3 improved to level 2. The conventional physical rehabilitation combined with Bobath therapy has a positive effect on the motor skills and physical development of children with spastic diplegia cerebral palsy.

Keywords

physical rehabilitation, cerebral palsy (CP), motor dysfunctions, impairment of the nervous system, Bobath therapy



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References

Bakulski, K. M., Halladay, A., Hu, V. W., Mill, J., & Fallin, M. D. (2016). Epigenetic research in neuropsychiatric disorders: the “tissue issue”. Current behavioral neuroscience reports, 3 (3), 264-274.

Bendix, I., Hadamitzky, M., Herz, J., & Felderhoff-Müser, U. (2019). Adverse neuropsychiatric development following perinatal brain injury: from a preclinical perspective. Pediatric research, 85 (2), 198-215.

Besios, T., Nikolaos, A., Vassilios, G., Giorgos, M., Tzioumakis, Y., & Comoutos, N. (2018). Effects of the neurodevelopmental treatment (NDT) on the mobility of children with cerebral palsy. Open Journal of Therapy and Rehabilitation, 6 (04), 95.

Das, S. P., & Ganesh, G. S. (2019). Evidence-based approach to physical therapy in cerebral palsy. Indian journal of orthopaedics, 53 (1), 20.

Farjoun, N., Mayston, M., Florencio, L. L., Fernández-De-Las-Peñas, C., & Palacios-Ceña, D. (2022). Essence of the Bobath concept in the treatment of children with cerebral palsy. A qualitative study of the experience of Spanish therapists. Physiotherapy theory and practice, 38 (1), 151–163. https://doi.org/10.1080/09593985.2020.1725943

Glader, L., Barkoudah, E., & Armsby, C. (2018). Cerebral palsy: Clinical features and classification. UpToDateAccessed on November, 6, 19-3.

Grazziotin dos Santos, C., Pagnussat, A. S., Simon, A. S., Py, R., Pinho, A. S. do, & Wagner, M. B. (2015). Humeral external rotation handling by using the Bobath concept approach affects trunk extensor muscles electromyography in children with cerebral palsy. Research in Developmental Disabilities, 36, 134-141. https://doi.org/10.1016/j.ridd.2014.09.013

Horber, V., Fares, A., Platt, M. J., Arnaud, C., Krägeloh-Mann, I., & Sellier, E. (2020). Severity of cerebral palsy—the impact of associated impairments. Neuropediatrics, 51 (02), 120-128.

Jonsson, U., Eek, M. N., Sunnerhagen, K. S., & Himmelmann, K. (2019). Cerebral palsy prevalence, subtypes, and associated impairments: A population‐based comparison study of adults and children. Developmental Medicine & Child Neurology, 61 (10), 1162-1167.

Kavlak, E., Ünal, A., Tekin, F., & Altuğ, F. (2018). Effectiveness of Bobath therapy on balance in cerebral palsy. Cukurova Medical Journal, 43 (4), 975-981.

Keser, I., Kirdi, N., Meric, A., Kurne, A. T., & Karabudak, R. (2013). Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study. The Journal of Rehabilitation Research and Development, 50 (1), 133. https://doi.org/10.1682/jrrd.2011.12.0231

MacLennan, A. H., Thompson, S. C., & Gecz, J. (2015). Cerebral palsy: causes, pathways, and the role of genetic variants. American journal of obstetrics and gynecology, 213 (6), 779-788.

Magalhaes, R. C., Moreira, J. M., Lauar, A. O., da Silva, A. A. S., Teixeira, A. L., & e Silva, A. C. S. (2019). Inflammatory biomarkers in children with cerebral palsy: a systematic review. Research in developmental disabilities, 95, 103508.

Maitre, N. L., Burton, V. J., Duncan, A. F., Iyer, S., Ostrander, B., Winter, S., ... Jiang, K. (2020). Network implementation of guideline for early detection decreases age at cerebral palsy diagnosis. Pediatrics, 145 (5), e20192126.

Michael-Asalu, A., Taylor, G., Campbell, H., Lelea, L. L., & Kirby, R. S. (2019). Cerebral palsy: diagnosis, epidemiology, genetics, and clinical update. Advances in pediatrics, 66, 189-208.

Murden, S., Borbélyová, V., Laštůvka, Z., Mysliveček, J., Otáhal, J., & Riljak, V. (2019). Gender differences involved in the pathophysiology of the perinatal hypoxic-ischemic damage. Physiological Research, 68 (3), S207–S217.

National Guideline Alliance. (2017). Cerebral palsy in under 25s: Assessment and management. UK: National Institute for Health and Care Excellence.

Novak, C. M., Ozen, M., & Burd, I. (2018). Perinatal brain injury: mechanisms, prevention, and outcomes. Clinics in perinatology, 45 (2), 357-375.

Panfoli, I., Candiano, G., Malova, M., De Angelis, L., Cardiello, V., Buonocore, G., & Ramenghi, L. A. (2018). Oxidative stress as a primary risk factor for brain damage in preterm newborns. Frontiers in pediatrics, 6, 369.

Pulgar, S., Bains, S., Gooch, J., Chambers, H., Noritz, G. H., Wright, E., ... Ferro, C. (2019). Prevalence, patterns, and cost of care for children with cerebral palsy enrolled in medicaid managed care. Journal of Managed Care & Specialty Pharmacy, 25 (7), 817-822.

Ryan, J. L., Wright, F. V., & Levac, D. E. (2020). Exploring physiotherapists’ use of motor learning strategies in gait-based interventions for children with cerebral palsy. Physical & Occupational Therapy in Pediatrics, 40 (1), 79-92.

Sadowska, M., Sarecka-Hujar, B., & Kopyta, I. (2020). Cerebral palsy: Current opinions on definition, epidemiology, risk factors, classification and treatment options. Neuropsychiatric Disease and Treatment, 16, 1505.

Singh-Mallah, G., Nair, S., Sandberg, M., Mallard, C., & Hagberg, H. (2019). The role of mitochondrial and endoplasmic reticulum reactive oxygen species production in models of perinatal brain injury. Antioxidants & redox signaling, 31 (9), 643-663.

Stavsky, M., Mor, O., Mastrolia, S. A., Greenbaum, S., Than, N. G., & Erez, O. (2017). Cerebral palsy—trends in epidemiology and recent development in prenatal mechanisms of disease, treatment, and prevention. Frontiers in pediatrics, 5, 21.

Tekin, F., Kavlak, E., Cavlak, U., & Altug, F. (2018). Effectiveness of neuro-developmental treatment (Bobath concept) on postural control and balance in cerebral palsied children. Journal of Back and Musculoskeletal Rehabilitation, 31 (2), 397–403. https://doi.org/10.3233/bmr-170813

Vitrikas, K., Dalton, H., & Breish, D. (2020). Cerebral palsy: an overview. American family physician, 101 (4), 213-220.

Zanon, M. A., Pacheco, R. L., Latorraca, C. O. C., Martimbianco, A. L. C., Pachito, D. V., & Riera, R. (2019). Neurodevelopmental treatment (Bobath) for children with cerebral palsy: A systematic review. Journal of Child Neurology, 34 (11), 679-686.