Among the existing innovative and effective methods of physical rehabilitation, Bobaththerapy
is noted. However, scientifically substantiated results, which could indicate its impact on
the state of children with Central Nervous System deficiency is very few.
A total Bobath-therapy course was conducted of 72 procedures, 35 children (4.3 ± 1.0
years old) patients with Cerebral Palsy undergo a half-year were treated with Bobath-therapy.
At the beginning and at the end of the physical rehabilitation course, all children
underwent a comprehensive examination, which included diagnostics of physical development,
psychophysical state, motor function, and cerebral blood flow using the method of transcranial
dopplerography (TCDG).
According to the assessment of children physical development, there was a significant
increase in body length (p <0.05), body length sitting (p <0.01), body weight (p <0.01) and chest
coverage (p <0.05), but the mobility of the chest has not increased. According to the scale of
motor function assessment, the increase was more than doubled, the number of children who were
able to sit on the floor, to sit down and to walk without additional means of transport has changed
from 22.9% to 48.6%. At the same time, children with total limitation of motor function and the
inability to move independently, at the end of the course, have not been observed at all. According
to the Munich Diagnostics, the positive trend has been related to the greater degree of motor
abilities of the child, namely, the aperture and small motility, however, according to the
parameters of "speech comprehension" and "psychological age", the inconsistency with age norms
increased insignificantly.
According to the data of the TCDG of the brain vessels, it has shown that the usage of the
Bobat method in the course of physical rehabilitation of children with Cerebral Palsy significantly
has improves cerebrovascular circulation, which is reflected in the normalization of blood flow
parameters in the basins of the external and internal carotid arteries, the anterior, middle and
posterior cerebral arteries, extracranial and intracranial segments the vertebral artery, which
reaches the normative values in 62.7-97.1% of children. In this case, the growth of normative
variants varies from 8.6% for the right internal carotid artery to 20.0% in cases for the
extracranial spine of the left arterial region. At the end of the rehabilitation course there is a
disappearance of circulatory in the segments of the vertebral artery, as well as excessive blood
flow disorders in the direct venous sinus
