What is the theory behind the Bobath neurodevelopmental approach to treatment?

The Bobath method is one of the main treatment methods for cerebral palsy and adult post-stroke hemiplegia in the world. It was created by British scholars Mr. and Mrs. Karel Bobath and Mr. Berta Bobath, who worked closely with each other from the 50's onwards.****The treatment method is the same as that created by the British scholars Mr. and Mrs. Karel and Mrs. Berta Bobath. Cortical four levels, the lower centers are controlled by the upper centers (cortical pyramidal system plays an inhibitory role, the extrapyramidal system plays an excitatory and inhibitory role, the cerebellum plays an excitatory role) Brain injury caused by symptoms, in addition to motor developmental delay, there must be a release of the upper centers to lift the release of the control of the symptoms of the various primitive reflexes of abnormal postures and movements, especially midbrain and cortical injuries caused by the upright reflexes and balance reflexes, the symptoms are not only the development of the brain, the brain and cortical injury caused by the brain and the brain. It plays an important role in the pathogenesis of cerebral palsy

The basic principle of the Bobath method is to find out at what level the child's development stops through careful evaluation, and then to use reflexinhibithingposture (RIP) to inhibit the abnormal postures and movements, and reflexinhibithingposture (RIP) to promote the correct motor sensation and movement pattern. Motor sensation and movement patterns

This leads to two basic principles of treatment:

1. Inhibition of abnormal postures and movement patterns, especially of the abnormal tense postural reflexes

2. Facilitation of normal postures and movement patterns, especially of the upright reflexes and balance reflexes, which have a high degree of integrative capacity for fine motor movements

Bobath emphasizes that in order to promote normal movement, it is necessary to inhibit abnormal postures, such as those caused by the tense labyrinthine reflex, symmetrical and asymmetrical tense cervical reflexes, etc. At the same time, it also emphasizes that it is necessary to promote motor development in accordance with the order of neurodevelopment of the child, such as the developmental sequence from head to tail and from proximal to distal. Therefore, the Bobath method is also known as the neurodevelopmental treatment method through reflex inhibition and promotion

To this end, the treatment of cerebral palsy must inhibit the abnormal postures governed by primitive reflexes, and promote the normal automatic response and motor ability. In terms of the specific training methods, it emphasizes the training of infants and young children according to the stages of their motor development, such as lifting the head→turning over→sitting→crawling→kneeling→standing→walking

Bobath believes that the clinical symptoms of cerebral palsy are at least until puberty. Bobath believes that the clinical symptoms of children with cerebral palsy are progressive at least until puberty, and are often accompanied by visual, auditory, sensory, intellectual, and personality symptoms. Therefore, Bobath also emphasizes the importance of long-term treatment from the perspective of the whole-person developmental disorders in a wide range of areas, including language training, occupational therapy, and daily living ability training