Bobath method is the main method of treating pediatric cerebral palsy in the world at present. It is a treatment method created by British scholars Karel Bobath and his wife in close cooperation since the 1950s. Based on the theoretical basis of neurophysiology about postural control and pediatric development, Bobath therapy has achieved remarkable therapeutic effects by controlling abnormal postural reflexes, promoting normal postural reflexes, and establishing normal movement patterns, and has been widely adopted in developed countries such as Britain, the United States, Japan, and Germany, and special Bobath hospitals have been established. hope. In China, Bobath therapy was introduced in 1986 by the Pediatric Cerebral Palsy Treatment Center of Jiamusi Medical College, and was promoted nationwide. Bobath’s basic understanding of pediatric cerebral palsy: immaturity of motor development and abnormal motor development are the two basic ideas of Bobath’s understanding of pediatric cerebral palsy; Bobath believes that once the normally developing brain is damaged, the development of motor function stops or is delayed, showing significantly delayed motor development or stagnation compared to that of children of the same age. After brain injury, the inhibitory regulation of the higher central nervous system is diminished and symptoms of abnormal postural reflexes and abnormal movements appear. Treatment of Bobath Cerebral palsy is the immature and abnormal nature of motor development, and the basic point of treatment is to inhibit abnormal posture and promote normal posture. Control of key points, reflexive inhibition The therapist controls certain key points of the body in the treatment to inhibit abnormal postural reflex activity and naturally induce the potential functions of the affected child. 1.Reflexive inhibition of extension posture: mainly using the ball-holding posture, so that the head is forward-flexed, the child in the supine position, sitting position can be carried out, so that the head, neck and trunk of the child in the extended state are forward-flexed, the upper limbs are inward and internally rotated, the hip is flexed, the knee is flexed, and the whole body is in flexion mode, which inhibits the extension mode, thus promoting the passage of flexion posture. 2, reflexive inhibition of flexion posture: make the child in a prone position with both upper limbs extended and the head and spine kept in a straight line to fully extend the spine and inhibit flexion. 3.Head gyration: It can destroy the general extension and flexion pattern and induce the internal gyration of body axis, abduction and external rotation pattern of limbs and internal rotation and internal retraction pattern. 4.Scapular girdle and upper limbs: keeping the scapular girdle protruding to the front then the whole body flexion is dominant, which can inhibit the whole body extension mode state of head over extension to the back. As long as the upper limb is extended for induction, the scapular girdle can be maintained in the forward protrusion position. If the scapular girdle is made to retract, it will make the whole body extension mode to be extension dominant, which can inhibit the whole body flexion mode caused by head forward flexion, and promote the anti-gravity extension activity, which can be operated directly. Or use the upper limb to keep the scapular girdle limb position change. 5, trunk: (spine): trunk forward bending, the whole body becomes flexed position, will inhibit the whole body stretching pattern and promote through the flexion posture, flexion movement, the supine position of the whole body stretching pattern strong muscle tension disorder hand-foot tachycardia type, the use of forced flexion trunk is one of the common techniques to reduce the whole body over tension for the purpose. The posterior flexion and extension of the trunk allows for the predominance of the generalized extension position and becomes an inhibitor of the generalized flexion pattern. The trunk gyration can destroy the generalized flexion and extension pattern and promote the body axis gyration movement and limb gyration movement. 6, lower limbs, pelvic belt: The operation of the pelvic belt is mainly used in the sitting and standing position. When the pelvic belt is tilted back in the sitting position, the upper body flexion position is dominant, and the lower limb extension position is dominant. In the standing position, the posterior tilt position and the whole-body extension pattern are achieved. In the anteriorly inclined sitting position of the pelvic girdle, the upper body extension is dominant and the lower body flexion is dominant. In the standing position, the child is in forward leaning position and in full body flexion. Facilitation The child acquires active, automatic responses and motor skills. Inhibitory-promotional techniques are used continuously to maximize the child’s potential ability to establish normal muscle tone, movement patterns, tilt response and balance response. 1. Facilitation of cervical correction response: The facilitation of response from supine position can induce lateral and prone position, and it can also be induced from prone position to supine position. However, instead of turning over by passive manipulation, the head-turning response is facilitated to induce the contraction of the muscles to reach the neutral position. Symmetrical posture, anti-gravity stretching activity, and the separation movement of upper and lower limbs and other normal child development coordination patterns, so that the child can experience normal motor sensation. 2. Stretching response of upper limb protection: The stretching response of upper limb protection appears at 5 months after the disappearance of the hug reflex. The developmental response of extending the hand to the front first, to the side from 8 months, and to the rear after 10 months of protection is maintained continuously throughout life. 3, balance response promotion: in the supine position, sitting position, standing position and other limb positions to promote. This can be done with the use of large balls, rollers, balance boards and other auxiliary training apparatus. Sensory stimulation Stimulate intrinsic receptors and body surface receptors. It is used for the disordered type and tardive type with difficulty in controlling the posture of the whole body with low tension or simultaneous contraction disorder. 1.Pressure or weight-bearing: apply pressure while resisting or using weight load alone, for the purpose of automatic adjustment movement of trunk and limbs. It can be performed in various positions such as supine, prone, sitting, and standing. 2. Placement and retention: The limb position is placed in a certain position as required, or the limb stays in a certain position without help. The feedback of the normal postural response to the stimulation of the weight of the limb, the automatic muscle adjustment to postural changes. Can be in the supine position, prone position, sitting position, standing position and other postures to do a variety of upper limb, lower limb various limb position changes, the purpose is to improve the contraction of muscle groups and intrinsic receptor perception. 3, pat: stimulate the intrinsic receptors, body surface receptors to improve the muscle tension method, the limbs, trunk regular or irregular patting techniques to achieve the purpose of muscle tension, in order to obtain automatic limb position to maintain the promotion of manual techniques. (1) Inhibitory tapping: tapping stimulates the intrinsic receptors and the surface in the receptors and increases the muscle tone of the neck, trunk and limbs, trying to make the orange resistance muscle activation method for inhibitory tapping. (2) Compressive tapping: tapping simultaneously acts on the active muscles, antagonist muscles, and synergist muscles in an attempt to achieve an increase in postural tension. (3) Interactive tapping: In order to keep the child in a good intermediate position, interactive tapping is done for children with tachycardia and dysautonomia, and is also used to promote the balance response of children with spasticity. (4) Rubbing tapping: To give strong stimulation to specific muscles and their skin in order to increase the activity of active and synergistic muscles.