Influence of Bobath’s Concept on muscle function of the spastic tetraplegia cerebral palsy

Firmino, Raíne Costa Borba; Lima, Ana Karolina Pontes de; Almeida, Cristiana; Uchôa, Silvana

doi:10.4181/rnc.2015.23.04.1047.08p

Cited by 3 publications

(4 citation statements)

References 11 publications

(12 reference statements)

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“…In the present study, an early intervention was provided with the application of the Bobath Concept, and improvement in motor skills was seen, mainly in the prone position, which influences crawling activity. This result was obtained because one of the objectives of the Bobath Concept is to increase the number of motor units recruited, thereby increasing muscle strength [21] and improving balance and postural control [36].…”

Section: Discussionmentioning

confidence: 99%

“…The authors concluded that this technique helps infants reach motor milestones in the best possible way and contributes to the gain of adequate and essential postural patterns for achieving other motor milestones [25]. Concomitantly, Firmino et al [21] observed that this type of intervention increases the recruitment of muscle fibers, directly promoting the improvement of muscle function [21].…”

Section: Discussionmentioning

confidence: 99%

“…The Bobath Concept analyzes the motor development of a specific task through normal neuropsychomotor development [21], and alters functional performance to improve movement [22]. This concept is divided into 3 techniques: stimulation, inhibition and facilitation [19,21]. Facilitation can be used to activate or stabilize some musculature [21].…”

Section: Methodsmentioning

confidence: 99%

“…This concept is divided into 3 techniques: stimulation, inhibition and facilitation [19,21]. Facilitation can be used to activate or stabilize some musculature [21]. The Bobath Concept works with altering tone and improving muscle strength, influencing postural control and performance of movements and static or dynamic functional activities.…”

Section: Methodsmentioning

confidence: 99%

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Physiotherapeutic stimulation in infants with Down syndrome to promote crawling

et al. 2020

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Introduction: Down syndrome (DS) is a genetic disorder characterized mainly by ligament laxity and hypotonia. Infants with this syndrome have substantial motor retardation also with crawling. To reach this motor milestone, postural control and head and neck control in the prone position are necessary. Seeking to avoid atypical muscular synergies and facilitate the execution of functional activities, the Bobath Concept aims to stimulate weight transfers, promoting motor acquisitions in the prone, supine, sitting and standing positions. Objective: To evaluate and compare crawling before and after the intervention through the Bobath Concept method in infants with DS. Method: A longitudinal, prospective, evaluative and interventional study was carried out. The sample was composed of 4 infants with DS, aged 7 to 24 months. There were three stages of treatment: evaluation in accordance with the Alberta Infant Motor Scale (AIMS); short term intervention by the Bobath Concept; and re-evaluation using the same scale. Results: According to statistical analysis, there was no significant difference between pre- and post-treatment (t -3.1705, p=0.0504). However, the results obtained by evaluation and reevaluation, showed progress in infants’ activity, the greatest progress being in the prone position. Infant 4 had the most satisfactory result, in percentage, as much as in the prone position (evolving 9.5%), as in general (evolving 22.4%). Conclusion: Infants submitted to intervention with the Bobath Concept obtained evolution in motor development, when comparing before and after therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Physiotherapeutic stimulation in infants with Down syndrome to promote crawling

et al. 2020

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Abordagem fisioterapêutica na Síndrome de Edwards: uma revisão integrativa

Oro

Jorge

2020

RIPS

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Introdução: a Síndrome de Edwards é uma doença congênita autossômica rara, caracterizada pela trissomia no 18º par cromossômico. A taxa de mortalidade destes indivíduos é alta e, quando sobrevivem, apresentam complicações físicas e cognitivas graves. A fisioterapia apresenta-se como um dos componentes multidisciplinares essenciais para a qualidade de vida desta população. Objetivo: conhecer as evidências acerca da abordagem fisioterapêutica em indivíduos com Síndrome de Edwards. Método: revisão integrativa da literatura realizada nas bases de dados Embase, Medline, LILACS, Scopus, Web of Science, Cochrane Library, PEDro e SciELO, utilizando os descritores “Trisomy 18 Syndrome” e “Physical Therapy Specialty”. Adicionalmente, utilizou-se a palavra-chave “Edwards Syndrome”. Dos 35 artigos encontrados, cinco preencheram os critérios de seleção do estudo. Resultados: houve predomínio dos relatos de caso. As abordagens fisioterapêuticas utilizadas foram a hidroterapia, a fisioterapia respiratória, os exercícios de amplitude de movimento, o Método Bobath, exercícios de reeducação/aprendizagem motora e psicomotricidade e o uso de órteses. Estas intervenções foram benéficas para a regulação dos sinais vitais, alívio da dor, melhora da condição respiratória, dos aspectos motores e de aprendizagem, da amplitude de movimento articular, da marcha e da atividade de vida diária para realizar a higiene. Conclusão: os estudos sobre o tema pesquisado são escassos, porém as evidências demonstram a necessidade do tratamento fisioterapêutico para proporcionar qualidade de vida aos indivíduos com Síndrome de Edwards.

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Measuring muscle activation using electromyography during neurodevelopmental treatment in individuals with severe cerebral palsy

Paludo

Zardo

Mattos

et al. 2023

BMR

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BACKGROUND: In the motor rehabilitation of individuals with neurological disorders, including cerebral palsy (CP), Neurodevelopmental treatment (NDT) one of the most used approaches worldwide. OBJECTIVE: To verify muscle activation in NDT handling in individuals with severe CP using electromyography. METHODS: This was a controlled, cross-sectional, quantitative clinical trial. The individuals were evaluated using electromyography to analyze the muscular activation of the spinal erector, gluteus medius, rectus abdominis and multifidus during different NDT handling. We evaluated 59 individuals: 39 with spastic quadriparesis CP (Gross Motor Function Classification System, level IV–V) and 20 typically-developing individuals (control group). These groups were homogeneous with respect to age and gender. RESULTS: There was a significant difference in muscle activation of the spinal erector, gluteus medius, rectus abdominis and multifidus in the six NDT handling used in this study: side-sitting for kneeling; supine for lateral decubitus, prone position for lateral decubitus, “sitting on horseback”, sitting on the roll, and proprioceptive stimulation sitting on the ball. CONCLUSION: The results show that all NDT handling analyzed in this study were effective for muscle activation of the spinal erector, gluteus medius, rectus abdominis and multifidus in individuals with severe spastic quadriparetic CP.

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Influence of Bobath’s Concept on muscle function of the spastic tetraplegia cerebral palsy

Cited by 3 publications

References 11 publications

Physiotherapeutic stimulation in infants with Down syndrome to promote crawling

Physiotherapeutic stimulation in infants with Down syndrome to promote crawling

Abordagem fisioterapêutica na Síndrome de Edwards: uma revisão integrativa

Measuring muscle activation using electromyography during neurodevelopmental treatment in individuals with severe cerebral palsy

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