Neurodevelopmental Treatment (Bobath) for Children With Cerebral Palsy: A Systematic Review

Zanon, Márcia Andréa; Pacheco, Rafael Leite; Latorraca, Carolina de Oliveira Cruz; Martimbianco, Ana Luiza Cabrera; Pachito, Daniela Vianna; Riera, Rachel

doi:10.1177/0883073819852237

Cited by 56 publications

(55 citation statements)

References 37 publications

(52 reference statements)

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“…In stark contrast, bottom-up, generic, and/or passive motor interventions are less effective and sometimes clearly ineffective for improving function and movement for children with cerebral palsy. These include craniosacral therapy [239][240][241], hyperbaric oxygen [234,235], neurodevelopmental therapy in the original passive format [108,[129][130][131][132], and sensory integration [3] (red lights). When viewed through the lens of neuroplasticity, these results are logical.…”

Section: Motor Interventionsmentioning

confidence: 99%

State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy

Novak

Morgan

Fahey

et al. 2020

Curr Neurol Neurosci Rep

627

611

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Purpose of Review Cerebral palsy is the most common physical disability of childhood, but the rate is falling, and severity is lessening. We conducted a systematic overview of best available evidence (2012-2019), appraising evidence using GRADE and the Evidence Alert Traffic Light System and then aggregated the new findings with our previous 2013 findings. This article summarizes the best available evidence interventions for preventing and managing cerebral palsy in 2019. Recent Findings Effective prevention strategies include antenatal corticosteroids, magnesium sulfate, caffeine, and neonatal hypothermia. Effective allied health interventions include acceptance and commitment therapy, action observations, bimanual training, casting, constraint-induced movement therapy, environmental enrichment, fitness training, goal-directed training, hippotherapy, home programs, literacy interventions, mobility training, oral sensorimotor, oral sensorimotor plus electrical stimulation, pressure care, stepping stones triple P, strength training, task-specific training, treadmill training, partial body weight support treadmill training, and weight-bearing. Effective medical and surgical interventions include anti-convulsants, bisphosphonates, botulinum toxin, botulinum toxin plus occupational therapy, botulinum toxin plus casting, diazepam, dentistry, hip surveillance, intrathecal baclofen, scoliosis correction, selective dorsal rhizotomy, and umbilical cord blood cell therapy. Summary We have provided guidance about what works and what does not to inform decision-making, and highlighted areas for more research.

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Section: Motor Interventionsmentioning

confidence: 99%

State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy

Novak

Morgan

Fahey

et al. 2020

Curr Neurol Neurosci Rep

627

611

View full text Add to dashboard Cite

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“…Bobat kinesitherapy included neuro-developmental treatment: key joints, fixation, stimulation of equilibrium and upright reactions, development of motor skills, and automation of motor skills in everyday life [9,29].…”

Section: Materials and Methods:-mentioning

confidence: 99%

“…In the diagnostic and classification of cerebral motor disorders, the following kinesiology tests are most often used: Gross Motor Function Classification System (GMFCS) [7][8][9]; Manual Ability Classification System (MACS) [7,[10][11][12]; Communication Function Classification System (CFCS) [11,13,14]; Eating and Drinking Ability Classification System (EDACS) [11,13,15]; Gross Motor Function Measurement (GMFM) [16]; Bimanual Fine Motor Function (BFMF) [1,7,10,17,18] and fidgety motors [4][5][6][18][19][20][21].…”

Section: …………………………………………………………………………………………………… Introduction:-mentioning

confidence: 99%

Six-Month Follow-Up of Kinesitherapy for Cerebral Motor Disorders in Early Childhood

Kostova¹,

Aleksiev²

2021

IJAR

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Introduction:- There is a consensus about the positive effect of kinesitherapy in cerebral motor disorders, but not about its recommended frequency. There is no consensus on the statistical significance of predictive factors. Aim:- To compare the effect of kinesitherapy versus control, as well as to compare the statistical significance of the following factors: age, corrected age, weight, gender, pregnancy, number of pregnancies, conception, birth, twins, pathological reflexes, primitive reflexes, kinesiology tests, cranial ultrasound, follow-up and frequency of kinesitherapy. Material and methods:- 27 children (age 8.21 Â± 5.49 months) with cerebral motor disorders were followed for six months. They were divided into kinesitherapy group and control group. The control group (n = 15) was followed up in the beginning, at the second week, and at the sixth month. The treatment group (n = 12) was followed up in the same way but received kinesitherapy once daily for two weeks at the beginning of every month. Parents were instructed to perform the same techniques with their children as often as possible at home. The following factors were recorded and analyzed: age, corrected age, weight, gender, pregnancy (normal or pathological), number of pregnancies, conception (normal or in vitro), birth (normal or pathological), twins (yes or no), pathological reflexes, primitive reflexes, kinesiology tests, cranial ultrasound, follow-up (short-term and long-term) and frequency of kinesitherapy. Results:- At the beginning of the follow-up, there was no difference between the two groups regarding all factors (P>0.05). Both groups showed better results after two weeks (P<0.05) and after six months (P<0.05) regarding kinesiology tests, pathological and primitive reflexes. The kinesitherapy group showed better results versus the control group at the end of the second week (P<0.05) and at the end of the sixth month (P<0.05) regarding kinesiology tests, pathological and primitive reflexes. The regression coefficients of the factors decreased in the following sequence: frequency of kinesitherapy (0.787), kinesiology tests (0.412), primitive reflexes (0.352), conception (0.298) , birth (0.282), twins (0.221), corrected age (0.220), age (0.197), pregnancy (0.197), pathological reflexes (0.143), cranial ultrasound (0.127), number of pregnancies (0.0501), gender (0.0306), follow-up (0.00547), and weight (0.0000031). Conclusion:- Kinesitherapy has a significant short-term and long-term effect that exceeds the placebo effect. Significance of the factors decreased in the following order: frequency of kinesitherapy, kinesiology tests, primitive reflexes, conception, birth, pregnancy, corrected age, age, pathological reflexes, cranial ultrasound, pregnancy, gender, follow-up, and weight. The frequency of kinesitherapy is the most important factor, which should be recommended at least three times daily in cerebral motor disorders in early childhood.

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“…The systematic review of three randomized trials indicated that there are no statistically significant differences (p > 0.05) between Bobath therapy and traditional rehabilitation. However, two of these studies had methodological limitations for the use of Bobath therapy, and only one study provided data on the effect of this method on gross motor skills in children with cerebral palsy (Zanon et al, 2019). Most studies of Bobath therapy involved a small number of children.…”

Section: Figure 1: Changes Over Time In Gmfcs Levels Of Children With Spastic Diplegiamentioning

confidence: 99%

Treatment and Rehabilitation of Children with Perinatal Injury of Central Nervous System using Non-Drug Methods

2021

pnr

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The aim of the study is to evaluate the effect of neuro-developmental treatment (Bobath concept) on physical development, postural control, and balance in preschool children with spastic diplegia (a form of cerebral palsy). The study includes 90 children (48 girls and 42 boys) aged four with spastic diplegia. The patients were divided into two groups: A control group (n = 45) and a treatment group (n = 45). Children in the control group were assigned to traditional physical rehabilitation, while children in the treatment group underwent neuro-developmental treatment. The rehabilitation period in both groups was 6 months (three courses of 10 days). Children in the control and treatment groups had significant improvements in the sitting function (improved by 9.1% and 15.5%, respectively, p < 0.05). Furthermore, improvements were recorded in all parameters, such as motor performance in prone position (6.0% vs 14.7%, p < 0.05), motor performance in supine position (6.7% vs 13.2%, p < 0.05), kneeling (13.78% vs 16.3%, p < 0.05), half-kneeling (13% vs 23.6%, p < 0.05), and standing (7.8% vs 21%, p < 0.05) for both groups. Compering to the traditional physical rehabilitation, neuro-developmental treatment is more effective in enhancing physical development of children and improving somatometric indicators and motor performance.

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Neurodevelopmental Treatment (Bobath) for Children With Cerebral Palsy: A Systematic Review

Cited by 56 publications

References 37 publications

State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy

State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy

Six-Month Follow-Up of Kinesitherapy for Cerebral Motor Disorders in Early Childhood

Treatment and Rehabilitation of Children with Perinatal Injury of Central Nervous System using Non-Drug Methods

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