VOL 19 NO 1 MARCH 2011

Cerebral Disorders of Movement and Habilitation by Vojta Method

Original paper |
32
Cerebral Disorders of Movement and
Habilitation by Vojta Method
Ajsa Meholjic
1
, Tanja Knor
2
Pediatric Clinic, Clinical Centre of Sarajevo University, Sarajevo, Bosnia and Herzegovina
1
Dermatology Clinic, Clinical Centre of Sarajevo University, Sarajevo, Bosnia and Herzegovina
2
1. INTRODUCTION
Cerebral movement disorders
resulting from damage to the im-
mature brain and is manifested by
mild or severe impairment of motor
development of children. Terminol-
ogy cerebral movement disorders
is taken from the German school
of development by Vaclav Vojta. In
newborns and infants the deviation
from normal development shows a
disorder of muscle tension and sig-
nicantly reduced the natural diver-
sity of the movement that replaced
poor, the same kind of movement
or excessive movement caused by
any stimulus. In addition, it can oc-
cur excessive irritability, disorder in
rhythm of wakefulness and sleep,
excessive crying, feeding dicul-
ties, and sometimes fever with or
without convulsions (1). Te clinical
picture of cerebral movement disor-
ders depends on the presence of risk
symptoms. Tis is not the nal im-
age of motor disorders. Formerly
the term cerebral movement disor-
ders using the terms risk or symp-
tomatic neurological infant or child
(2). Depending on where and what
symptoms occur, cerebral move-
ment disorders can be divided into
the following forms: tetraparesis
form when symptoms are present
risks to all four extremities, hemi-
paresis form when they are pres-
ent on the arm and leg on one side
of the body, paraparesis (diaparesis)
form when the symptoms of risk are
present only on the arms or just legs
(much more common only on the
legs), dystonia syndrome when the
risk of prevalent symptoms are in
the form of dystonia, atetoid form
when the worm-like buckling is
visible arms or legs (3, 4). It is im-
portant to emphasize that cerebral
movement disorders must not be
confused with cerebral palsy. Cere-
bral movement disorders have sev-
eral possible outcomes: the normal-
ization of development, with a nor-
mal child walk with a possible delay
of motor development, motor retar-
dation minor disturbances (clum-
sy child, frequent falls, disordered
posture, ne motor skills, balance,
etc.) and development of the clinical
picture of cerebral paralysis, which
can range from mild to almost bor-
Original paper
SUMMARY
Cerebral movement disorders resulting
from damage to the immature brain is
manifested by mild or severe impairment of
motor development of children. Terminology
cerebral movement disorders is taken
from the German school of development
by Vaclav Vojta. Goal: The aim of this paper
is to highlight the importance of early reha-
bilitation by Vojta method in children with
cerebral movement disorders. Material and
methods: The study was conducted on a
sample of 100 children with cerebral move-
ment disorder in age from 2 to 24 months
who are habilitated at the Department of
Developmental Habilitation and Rehabili-
tation of Children Pediatric Clinic, Clinical
Center of University in Sarajevo in the
period of three years. A prerequisite for the
selection of children was the fact that there
is a cerebral movement disorder. Conducted
clinical study is retrospective. Each child was
examined by a physiatrist and diagnosed
as cerebral movement disorders, and then
included in the rehabilitation program by
Vojta method. Treatment started at the age
of 2-9 months, regular check-ups were car-
ried out in two months intervals. Results:
Out of 100 children who were identified
with cerebral movement disorders, 55 are
male and 45 female children. In 70% of
the test group treatment has begun at an
early age, which is essential for the results
of habilitation treatment. In 25% of children
the treatment started later, and in 5% very
late. Differences in the number of infants,
at the start of treatment by sex, were not
statistically significant as confirmed by Chi
square test. To achieve rotation from back
to belly, the average duration of therapy was
3 months and at the age of 6 months with
a statistical significance of p <0.001. Stati-
cally is proven that the average age when
children learn the self seating, and in whom
therapy is initiated early, was 10 months,
while the children in whom the treatment
was started late self seating was achieved
within 12 months. In the group with early
onset of therapy creep has been achieved
with an average age of 11, whereas in the
group with the late beginning of therapy
creep is achieved with 14 months. To walk
independently in the group with early onset
was achieved with 14 months in the group
with late starting it with either 19 months.
The difference in the average number of
months between the treatment of infants
with early onset of therapy (3-5 months) and
infants with late beginning of therapy (6-9
months) is statistically highly significant. A
value of t test is: t = 3.237 at significance
level p <0.001. Conclusion: An early habili-
tation of children with cerebral movement
disorders leads to faster motor training
in relation to the late start rehabilitation
treatment.
Key words: cerebral movement dis-
orders, Vojta habilitation.
Cerebral Disorders of Movement and Habilitation by Vojta Method
VOL 19 NO 1 MARCH 2011 | Original paper
33
ders with minor motor disturbanc-
es, to extremely serious leading to
complete dependence of the child.
What will the outcome of cere-
bral movement disorders are de-
pends on several factors: the sever-
ity, time of initiation of therapy and
quality of treatment (5, 6).
2. GOAL
Te aim is to underscore the im-
portance of early rehabilitation by
Vojta method in children with cere-
bral movement disorders.
3. MATERIAL AND
METHODS
Te study was conducted on a
sample of 100 children with cerebral
movement disorder in age from 2
to 24 months who are habilitated at
the Department of Developmental
Habilitation and Rehabilitation of
Children Pediatric Clinic, Clinical
Center of University in Sarajevo in
the period of three years. A prereq-
uisite for the selection of children
was the fact that there is cerebral
movement disorder. Conducted is
a clinical study which is retrospec-
tive. Each child was examined by a
physiatrist and diagnosed as cere-
bral movement disorders, and then
included in the rehabilitation pro-
gram by Vojta method. Treatment
started at the age of 2-9 months of
age, regular check-ups were carried
out every two months.
4. RESULTS
Tere were no statistically signif-
icant dierences by gender and age
structure in the study group of chil-
dren with cerebral movement dis-
orders at the start of treatment by
method according to Vojta.
Tere is a signicant dierence
in the achievement of turning from
back to tummy and vice versa in re-
lation to the time when the treat-
ment began (p <0.001). Te duration
of therapy for age of 3-5 months was
3.4 months, while for the age of in-
fants when they turned their backs
on the abdomen and back was 7.4
months. Te duration of therapy
for age of 6-9 months duration was
2.4 months, while the age of infants
when they turned their backs on the
abdomen and back was 9.3 months.
Terapy was signicantly longer in
duration for infants who have had
treatment in the early beginning
(3-4 months) compared to infants
with beginning of treatment at age
of 6-9 months.
It has been shown that indepen-
dently sitting of children with ce-
rebral movement disorders, early
treatment by Vojta achieved faster
and safer (p<0.001).
It turned out that crawling in
children with cerebral movement
disorders with early onset of ther-
apy is achieved faster than in chil-
dren with late beginning of therapy.
Child age at the beginning of
therapy in months
Male Female Total
No. of
children
%
No. of
children
%
No. of
children
%
Very early beginning
2 3 5.5 - - 3 3,0
Early beginning
3 12 21.8 8 17,8 20 20,0
4 13 23.6 17 37,9 30 30,0
5 11 20.0 9 20,0 20 20,0
Total early 36 65.4 34 75,7 70 70

2
0.057 Not significant
Late beginning
6 7 12.7 2 4,4 9 9,0
7 5 9.1 7 15,6 12 12,0
8 2 3.6 - - 2 2,0
9 1 1.8 1 7,2 2 2,0
Total late 15 27.3 10 22,2 25 25,0

2
1.000 Not significant
Very late beginning
10 1 1.8 1 2,2 2 2,0
Total 55 100.0 45 100,0 100 100,0

2
1.000 Not significant
Table 1. Gender and age distribution of subjects at the beginning of treatment by method according to Vojta
Child age at the
beginning of therapy
in months
No. of
children
Duration of therapy in
months
Age of a child when rotation from
back to tummy and vice versa begun
2 3 4.7 0.47 6.7 0.47
Early beginning of the therapy
3 20 3.8 0.83 6.8 0.83
4 30 3.3 1.1 7.4 1.11
5 20 3.1 0.94 8.1 0.94
Total early 70 3.4 1.02 7.4 1.12
Late beginning of the therapy
6 9 2.3 0.67 8.3 0.67
7 12 2.9 1.55 9.9 1.55
8 2 2.0 1.1 10.0 1.1
9 2 0.5 0.5 9.5 0.5
Total late 25 2.4 1.36 9.3 1.41
10 2 1.0 1.0 11.0 1.0
Total 100 3.1 1.24 7.9 1.52
Table 2. Rotation from back to tummy and vice versa in children with cerebral movement disorders after
treatment by method according to Vojta, according to early and late start of therapy
VOL 19 NO 1 MARCH 2011
Cerebral Disorders of Movement and Habilitation by Vojta Method
Original paper |
34
Te dierence in the average
number of months of therapy be-
tween children with early onset of
therapy (3-5 months) and children
with the late beginning of therapy
(6-9 months) was statistically high-
ly signicant. Te value of t-test is:
t=3.237, signicance level p<0.001.
Signicant dierences are in favor
of a group of children with cerebral
movement disorders with the earli-
er application of treatment by Voj-
ta method.
5. DISCUSSION
Cerebral movement disorders re-
sulting from damage to the imma-
ture brain and are manifested by
mild or severe impairment of mo-
tor development of children. Ter-
minology cerebral movement dis-
orders is taken from the German
school of development by Vaclav
Vojta. In newborns
and infants it is de-
viation from normal
development which
shows a disorder of
muscle tension and
signicantly reduced
the natural diversi-
ty of the movement
that are replaced with
poor, repeated move-
ment or excessive
movement caused by
any stimulus. In addi-
tion, can occur exces-
sive irritability, disor-
der in rhythm of wakefulness and
sleep, excessive cry-
ing, feeding dicul-
ties, and sometimes
fever with or without
convulsions (1). cere-
bral movement disor-
ders have several possi-
ble outcomes: the nor-
malization of devel-
opment, with a nor-
mal child walk with a
possible delay of mo-
tor development, mo-
tor retardation minor
disturbances (clumsy
child, frequent falls,
disturbed posture, ne
motor skills, balance,
etc.) and developing
clinical picture of cerebral palsy,
which can range from mild to al-
most borders with minor motor dis-
turbances, to extremely serious lead-
ing to complete dependence of the
child.
What will the outcome of cere-
bral movement disorders will be
dependent on several factors: the
severity, the greater the deviation
from the physiological motor de-
velopment, the prognosis is worse,
since the time of initiation of ther-
apya therapy is begun early, the
prognosis is better and the quality
of treatment (5, 6).
In this study of 100 children
who have identied cerebral move-
ment disorders of which 55 (55%)
are male and 45 (45%) female chil-
dren. In 70% of the test group treat-
ment is begun at an early age, of
which 36 male and 34 female chil-
dren. In 25% of children the treat-
ment is started later, where there
were 15 male and 10 female chil-
dren, and in 5% with very late ther-
apy onset where there was the same
number of male and female chil-
dren. Chi square test proved that
the dierences in the number of in-
fants at the start of treatment by sex
were not statistically signicant. To
achieve rotation from back to bel-
ly, the average length of therapy was
3 months and age 6 months with a
statistical signicance of p <0.001.
Statically prove that the average age
when children learn the self sit, and
in whom therapy is initiated early,
was 10 months while the children
in whom the treatment is started
late self sitting is achieved with 12
months.
Child age at the beginning of
therapy in months
No. of
children
Duration of therapy in
months
Age of a child when starts to sit
independently
2 3 6.33 0.943 8.33 0.943
Early beginning of the therapy
3 20 5.9 1.179 8.9 1.179
4 30 5.87 1.61 9.87 1.61
5 20 5.25 1.34 10.25 1.34
Total early 70 5.7 1.45 9.70 1.52
t-test 6.780 Significant p<0.001
Late beginning of the therapy
6 9 4.89 0.74 10.89 0.74
7 12 5.67 1.43 12.67 1.47
8 2 6.5 0.5 14.5 0.5
9 2 3.5 1.5 12.5 1.5
Total late 25 5.28 1.37 12.16 1.59
t-test 1.295 Not significant
10 2 5.3 0.5 15.5 0.5
TOTAL 100 5.61 1.42 10.39 2.01
Table 3 Independent sitting of children examined after application of the method according to Vojta,
according to early and late start of therapy

2
3
4
5
6
7
8
9
10
3
20
30
20
9
12
2
2
2
0
8
17
9
2
7
0
1
1
3
12
13
11
7
5
2
1
1
0
5
10
15
20
25
30
B
r
o
j

d
o
je
n

a
d
i
Starost u mjesecima
Muka dojenad
enska dojenad
Ukupno

There were no statistically significant differences by gender and age structure in the study group
of children with cerebral movement disorders at the start of treatment by method according to
Vojta.
Table 2. Rotation from back to tummy and vice versa in children with cerebral movement
disorders after treatment by method according to Vojta, according to early and late start of
therapy
Child age at
the beginning
of therapy in
months
No. of
children
Duration of therapy in
months
Age of a child when rotation from
back to tummy and vice versa begun
X

. .D S

X

. .D S

2 3 4.7 0.47 6.7 0.47
Early beginning of the therapy
3 20 3.8 0.83 6.8 0.83
4 30 3.3 1.1 7.4 1.11
5 20 3.1 0.94 8.1 0.94
Total early 70 3.4 1.02 7.4 1.12
Late beginning of the therapy
6 9 2.3 0.67 8.3 0.67
7 12 2.9 1.55 9.9 1.55
8 2 2.0 1.1 10.0 1.1
9 2 0.5 0.5 9.5 0.5
Figure 1. Gender and age distribution of subjects at the beginning of
treatment by method according to Vojta
Total late 25 2.4 1.36 9.3 1.41
10 2 1.0 1.0 11.0 1.0
Total 100 3.1 1.24 7.9 1.52

There is a significant difference in the achievement of turning from back to tummy and vice
versa in relation to the time when the treatment began (p <0.001). The duration of therapy for
age of 3-5 months was 3.4 months, while for the age of infants when they turned their backs on
the abdomen and back was 7.4 months. The duration of therapy for age of 6-9 months duration
was 2.4 months, while the age of infants when they turned their backs on the abdomen and back
was 9.3 months. Therapy was significantly longer in duration for infants who have had treatment
in the early beginning (3-4 months) compared to infants with beginning of treatment at age of 6-
9 months.

Figure 2. Rotation from back to tummy and vice versa in children with cerebral movement
disorders after applying the method according to Vojta, according to early and late start of the
therapy


4,7
6,7
3,8
6,8
3,3
7,4
3,1
8,1
2,3
8,3
2,9
9,9
2
10
0,5
9,5
1
11
0
2
4
6
8
10
12
B
r
o
j

m
j
e
s
e
c
i
2 3 4 5 6 7 8 9 10
Starost na poetku terapije (u mj.)
Duina terapije (u mj.)
Starost kada se okree sa lea na trbuh (u mj.)


Table 3 Independent sitting of children examined after application of the method according to
Vojta, according to early and late start of therapy
Figure 2. Rotation from back to tummy and vice versa in children with
cerebral movement disorders after applying the method according to
Vojta, according to early and late start of the therapy
Cerebral Disorders of Movement and Habilitation by Vojta Method
VOL 19 NO 1 MARCH 2011 | Original paper
35
Gajewska E and colleagues exam-
ined the motor development of 57
children with cerebral movement
disorders up to three years in which
to record deviations are used Vojta
diagnostics and Munich function-
al development of diagnostics and
treatment was the method accord-
ing to Vojta. Tey found that sig-
nicantly better results are achieved
with early involvement of children
in the rehabilitation treatment (7,8).
In the group with early onset of
therapy in this study, crawling was
achieved with an average age of 11,
whereas in the group with the late
beginning of therapy crawling was
achieved with 14 months.
To walk independently in the
group with early onset was achieved
with 14 months in the group with
late early to be with 19 months. Te
dierence in the average number
of months of treatment among in-
fants with early onset of therapy (3-5
months) and infants with late be-
ginning of therapy (6-9 months) is
statistically highly signicant. Val-
ues of t-test are: t=3.237, signicance
level p<0.001.
Samatha P and Hayasi M, dur-
ing the years examined motor de-
velopment in children with cere-
bral development disorder. Infants
were examined and as a group as
infants with very light motor disor-
ders, moderate motor impairment,
infants with severe motor dysfunc-
tion, with suspicion on the possibil-
ity of developing cerebral palsy. Te
children were between the ages of
2 months to one year. All children
are included in the treatment meth-
od according to Vojta. Afer a year
of treatment they have come to the
conclusion that a signicant num-
ber of children with normal motor
development in a group where they

6,33
8,33
5,9
8,9
5,87
9,87
5,25
10,25
4,89
10,89
5,67
12,67
6,5
14,5
3,5
12,5
5,3
15,5
0
2
4
6
8
10
12
14
16
B
r
o
j

m
j
e
s
e
c
i
2 3 4 5 6 7 8 9 10
Starost na poetku terapije (u mj.)
Duina terapije (u mj.)
Starost kada se samostalno posjeda

Table 4. Children with cerebral movement disorders and start of crawling after treatment method
according to Vojta, with early and late beginning
Child age
at the
beginning
of therapy
in months
No. of
children
Duration of therapy in
months
Age of a child when starts crawling
X

. .D S

X

. .D S

2 3 7.0 0.82 9.0 0.82
Early beginning of the therapy
3 20 7.15 1.35 10.15 1.35
4 30 7.2 1.74 11.2 1.74
5 20 6.5 1.32 11.5 1.32
Total early 70 6.98 1.55 10.98 1.66
Late beginning of the therapy
6 9 6.67 0.94 12.7 0.94
7 12 7.17 1.28 14.2 1.28
8 2 10.0 10.0 18.0 1.00
9 2 5.0 1.0 14.0 1.0
Total late 25 7.04 1.54 13.92 1.79
10 2 7.0 0 17.0 0
TOTAL 100 7.0 1.5 11.78 2.238
t-test 0.167 Not significant
t-test 7.197 Significant p<0.001

Figure 3. Independent sitting of children examined after application
of the method according to Vojta, according to early and late start of
therapy
Child age at the beginning
of therapy in months
No. of
children
Duration of therapy in
months
Age of a child when starts
crawling
2 3 7.0 0.82 9.0 0.82
Early beginning of the therapy
3 20 7.15 1.35 10.15 1.35
4 30 7.2 1.74 11.2 1.74
5 20 6.5 1.32 11.5 1.32
Total early 70 6.98 1.55 10.98 1.66
Late beginning of the therapy
6 9 6.67 0.94 12.7 0.94
7 12 7.17 1.28 14.2 1.28
8 2 10.0 10.0 18.0 1.00
9 2 5.0 1.0 14.0 1.0
Total late 25 7.04 1.54 13.92 1.79
10 2 7.0 0 17.0 0
TOTAL 100 7.0 1.5 11.78 2.238
t-test 0.167 Not significant
t-test 7.197 Significant p<0.001
Table 4. Children with cerebral movement disorders and start of crawling after treatment method
according to Vojta, with early and late beginning
Child age at the beginning
of therapy in months
No. of
children
Mean duration of
therapy in months
Mean age of children at the end
of the therapy in months
2 3 10.3 1.25 12.3 1.24
Early beginning of the therapy
3 20 10.1 1.2 13.1 1.20
4 30 10.7 2.13 14.7 2.13
5 20 10.4 1.19 15.4 1.19
Total early 70 10.4 1.69 14.3 1.89
Late beginning of the therapy
6 9 11.1 1.52 17.1 1.52
7 12 11.8 1.42 18.8 1.42
8 2 15.0 3.00 23.0 3.00
9 2 12.5 1.5 21.5 1.5
Total late 25 11.8 1.93 18.7 2.39
10 2 12.5 1.50 21.5 1.50
TOTAL 100 10.8 1.83 15.6 3.10
t-test 3.237 Significant p<0.001
Table 5. Independent walk of children with cerebral movement disorders after Vojta therapy, with early
and late beginning
It turned out that crawling in children with cerebral movement disorders with early onset of
therapy is achieved faster than in children with late beginning of therapy.
Figure 4. Children with cerebral movement disorders and start of crawling after treatment
method according to Vojta, with early and late beginning

7
9
7,15
10,15
7,2
11,2
6,5
11,5
6,67
12,7
7,17
14,2
10
18
5
14
7
17
0
2
4
6
8
10
12
14
16
18
B
r
o
j

m
j
e
s
e
c
i
2 3 4 5 6 7 8 9 10
Starost na poetku terapije (u mj.)
Duina terapije (u mj.)
Starost bebe kada poinje puzati (u mj.)

Table 5. Independent walk of children with cerebral movement disorders after Vojta therapy, with
early and late beginning
Child age at the
beginning of therapy in
months
No. of
children
Mean duration of
therapy in months
Mean age of children at the end
of the therapy in months
X . .D S X . .D S

2 3 10.3 1.25 12.3 1.24
Early beginning of the therapy
3 20 10.1 1.2 13.1 1.20
4 30 10.7 2.13 14.7 2.13
5 20 10.4 1.19 15.4 1.19
Total early 70 10.4 1.69 14.3 1.89
Late beginning of the therapy
6 9 11.1 1.52 17.1 1.52
7 12 11.8 1.42 18.8 1.42
8 2 15.0 3.00 23.0 3.00
9 2 12.5 1.5 21.5 1.5
Total late 25 11.8 1.93 18.7 2.39
Figure 4. Children with cerebral movement disorders and start of
crawling after treatment method according to Vojta, with early and late
beginning
VOL 19 NO 1 MARCH 2011
Cerebral Disorders of Movement and Habilitation by Vojta Method
Original paper |
36
started with an ear-
ly rehabilitation treat-
ment according to Vo-
jta method (9, 10).
Recent research by
many authors support
the conclusion that in
children with cerebral
development disorder
is very important to
begin early rehabilita-
tion treatment to mo-
tor development of the
child walked in the di-
rection of normal or
to deviations were less
pronounced, as con-
rmed by this study (11, 12).
6. CONCLUSION
An early habilitation of children
with cerebral movement disorders
leads to faster motor development
in relation to the late start of reha-
bilitation treatment. Much earli-
er achieve physiological motor pat-
terns such as turning from back to
tummy and vice versa, independent-
ly sitting, crawling and walking. Vo-
jta method is very useful rehabilita-
tion treatment in a motor develop-
ment if timely applied in children
with cerebral movement disorders,
so that we can expect a normaliza-
tion of development, with a normal
child walk with a possible delay of
motor development or minor motor
disturbances in the terms of clum-
sy child frequent falls, disturbed
posture, ne motor skills, balance,
etc.
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Kron AM, Angrisano A, Busato E.
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Neuro-Developmental Outcome
at 3 Months of Age in babies with
Hypoxic Ischemic Encephalopathy
by Vojtas Neurokinesiological Ex-
amination. Indian Pediatrics 1999;
36: 171-173.
10. Hayasi M, Arizono Y. Experience
of very early Vojta therapy in two
infants with severe perinatal hy-
poxic encephalopathy. Division of
Pediatric Neurology, Yokohama
Rihabilitation Center. 1999; 31(6):
535-41.
11. Sarkar S, Bhagat I, Dechert R,
Schumacher RE, Donn SM. Se-
vere intraventricular hemorrhage
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12. Hielkema T, Blauw-Hospers CH,
Dirks T, Drijver-Messelink M, Bos
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Corresponding author: ass prof Ajsa Meholjic, MD, PhD.
Pediatric Clinic, Clinical Centre of Sarajevo University,
Patriotske Lige 81, 71000 Sarajevo, Bosnia and
Herzegovina. E-mail: Meholjic.ajsa@gmail.com.
10 2 12.5 1.50 21.5 1.50
TOTAL 100 10.8 1.83 15.6 3.10
t-test 3.237 Significant p<0.001

The difference in the average number of months of therapy between children with early onset of
therapy (3-5 months) and children with the late beginning of therapy (6-9 months) was
statistically highly significant. The value of t-test is: t=3.237, significance level p<0.001.
Significant differences are in favor of a group of children with cerebral movement disorders with
the earlier application of treatment by Vojta method.
Figure 5. Independent walk of children with cerebral movement disorders after Vojta therapy,
with early and late beginning


10,3
12,3
10,1
13,1
10,7
14,7
10,4
15,4
11,1
17,1
11,8
18,8
15
23
12,5
21,5
12,5
21,5
0
5
10
15
20
25
B
r
o
j

m
j
e
s
e
c
i
2 3 4 5 6 7 8 9 10
Starost na kraju terapije
Prosjena duina trajanja terapije (u mj.)
Starost na kraju terapije

6. DISCUSSION
Cerebral movement disorders resulting from damage to the immature brain and are manifested
by mild or severe impairment of motor development of children. Terminology "cerebral
movement disorders" is taken from the German school of development by Vaclav Vojta. In
newborns and infants it is deviation from normal development which shows a disorder of muscle
tension and significantly reduced the natural diversity of the movement that are replaced with
poor, repeated movement or excessive movement caused by any stimulus. In addition, can occur
excessive irritability, disorder in rhythm of wakefulness and sleep, excessive crying, feeding
difficulties, and sometimes fever with or without convulsions (1). cerebral movement disorders
have several possible outcomes: the normalization of development, with a normal child walk
Figure 5. Independent walk of children with cerebral movement
disorders after Vojta therapy, with early and late beginning