Vojta、Bobath、上田法综合治疗小儿脑性瘫痪临床观察

Vojta, Bobath, top-grade fields law complex therapy young child neural paralysis clinical observation

目的：评价Vojta、Bobath及上田法综合治疗脑性瘫痪的疗效.方法：对36例年龄在2月-3岁9月小儿脑瘫患儿同时应用Vojta、Bobath及上田法进行治疗比较治疗前后姿势异常、反射、肌张力、肌力的改善情况,比较治疗前后运动发育率评价治疗效果.结果：本文对36例脑瘫患儿应用Vojta、Bobath及上田法各种手技,根据评价异常的结果,制定个体化综合方案,在家长的参与下进行康复训练,36例经一年连续治疗,取得较好的疗效,正常化27.7%（10例/36例）,有效72.2%（26/36例）,总有效率100%（36例/36例）.结论：应用Bobath疗法、Vojta疗法及上田法综合治疗脑性瘫痪,可有效减轻患儿的残疾程度,达到正常化或轻症化的目的.

Objective：To evaluate the effect of Vojta, Bobath and Ueda method on cerebral palsy children. Methods： 36 cases of cerebral palsy children were treated with Vojta, Bobath and Ueda method whose age are between 2 months and 9 months past 3 years old. The improvement of abnormal posture, reflex, muscular tension and muscle strength were compared between before and after treatment. The motor development rate which was compared between before and after treatment to evaluate therapeutic. Reo suits：With the involvenment of parents, the treatment of Vojta, Bobath and Ueda method was applied to the function recovery train- ing according to the result of abnormal evaluation. 36 cases of cerebral palsy children have got satisfactory efficacy after one year of continuous treatment. 27.7% get right while 72.2% get effective. Conclusion：The treatment of Vojta, Bobath and Ueda method on cerebral palsy children can reduce the level of disability in order to normal or mild.