BOBATH PEDIATRIC CONCEPT IN NEURORISIC CHILDREN

Abstract

Veliki broj istraživanja i stručnjaka naglašava što ranije, odnosno pravovremeno prepoznavanje uzroka tj. problema i provođenje terapije upravo kao rješenje tih problema. Djeca mogu biti rođena s neurološkom bolesti ili je steći tijekom ili nakon poroda. Do neuroloških poremećaja dolazi kada se pojave abnormalnosti u mozgu, živčanom sustavu ili mišićnom sustavu. Isto tako može doći do određenih neuroloških poremećaja i u kasnijem dijelu života kao posljedica loših životnih uvjeta, traumatskih događaja. Uzroci mogu ujedno biti i genetska predispozicija, infekcije i metabolički poremećaji. Tijekom rehabilitacijskog pristupa djeci s neurološkim oboljenjima najčešće se primjenjuje Vojta terapija, Bobath koncept i robotika. Djeca s neurološkim oboljenjima zahtijevaju individualan pristup rehabilitacijskog stručnog tima neurologa, fizijatra, ortopeda, fizioterapeuta, psihologa. Osim samih stručnjaka vrlo bitna karika u terapijama za rehabilitaciju su isto tako i roditelji, odnosno obitelj. Tijekom trajanja rehabilitacije Bobath tehnikom dijete se uči pravilnom obrascu izvođenja pokreta. Uz Bobath koncept primjenjuje se i Vojta terapija koja za cilj ima stimuliranje i poticanje mozga na pravilne geste pomoću živaca. Robotikom se ostvaruje povećanje sposobnosti spoznaja mozga i daje se povratna informacija. Proučavanjem istraživanja utjecaja Bobath koncepta i robotike u neurorehabilitaciji djece dolazi se do zaključka da najbolje rezultate imaju osobe kojima su tijekom rehabilitacije bile omogućene obje terapije.A large number of researches and experts emphasize as early as possible, i.e. timely recognition of the causes, i.e. problems, and the implementation of therapy precisely as a solution to these problems. Children can be born with a neurological disease or acquire it during or after birth. Neurological disorders occur when abnormalities occur in the brain, nervous system or muscular system. Certain neurological disorders can also occur later in life as a result of poor living conditions and traumatic events. The causes can also be genetic predisposition, infections and metabolic disorders. During the rehabilitation approach to children with neurological diseases, Vojta therapy, Bobath concept and robotics are most often applied. Children with neurological diseases require an individual approach to the rehabilitation of a professional team of neurologists, physiatrists, orthopedists, physiotherapists, and psychologists. In addition to the experts themselves, parents and family are also a very important link in rehabilitation therapies. During rehabilitation with the Bobath technique, the child is taught the correct pattern of performing movements. In addition to the Bobath concept, Vojta therapy is also applied, which aims to stimulate and encourage the brain to make proper gestures using the nerves. Robotics increases the cognitive abilities of the brain and provides feedback. Studying the influence of the Bobath concept and robotics in the neurorehabilitation of children leads to the conclusion that the best results are achieved by people who were provided with both therapies during rehabilitation

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