针对脑卒中患者的Bobath治疗方法  

Bobath Approach to the Adults with Stroke

作　　者：古澤正道 陈立嘉[2,3] 

机构地区：[1]Bobath纪念医院康复部 [2]中国康复研究中心北京博爱医院神经康复科,北京市100068 [3]首都医科大学康复医学院,北京市100068

出　　处：《中国康复理论与实践》2011年第9期805-809,共5页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：首先被提及的是上行及下行系统。在偏瘫患者的治疗过程中,上行传导系统主要传导本体感觉信息,但其他的感觉信息也会被整合其中。患者的姿势控制,尤其是核心控制能力,是其步行功能、上肢和手功能及日常生活活动的基础。由于患者多存在身体图式的缺失,因此必须恢复其身体图式以产生先行性姿势调节活动。最后介绍1例慢性病例的治疗过程,该患者在其47岁时由于脑梗死造成了右侧偏瘫。由于患者偏瘫侧下肢表现出强烈的内翻现象,因此在她发病8个月后入院时,需要配戴踝足矫形器和肘拐辅助行走。起初患者不能抬起右侧上肢。在经过4年的门诊治疗后,现在患者在步行中内翻现象消失,不再需要配戴踝足矫形器和肘拐;患者也可以举起并控制偏瘫侧上肢伸入衬衫的袖子里。The ascending and descending systems were described first.In the treatment for stroke patients,main information of ascend-ing systems is proprioception,and the other sensations should be integrated into it.Postural control,especially core control,is the back-ground for walking,arm and hand function,and activities of daily living.Patients have loss of body schema,so it must be recovered to make anticipatory postural adjustments.At last I introduced the actual treatment for a chronic case who suffered right hemiplegia caused by a cere-bral infarction when she was 47 years old.As she had strong equinovarus,she walked with a short leg brace and a Lofstrand crutch when she came to our hospital at 8 months after stroke.And she could not keep right arm in apace first.She got the treatment as an outpatient around 4 years.Now she walks without an equinovarus,and she does not need a brace and a cane.She can also lift and carry her affected arm into a long sleeve of a shirt now.

关 键 词：Bobath理论 脑卒中 姿势控制 核心控制 身体图式 

分 类 号：R743.3[医药卫生—神经病学与精神病学]