Václav Vojta
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Václav Vojta (12 July 1917 – 12 September 2000) was a renowned
Czech Czech may refer to: * Anything from or related to the Czech Republic, a country in Europe ** Czech language ** Czechs, the people of the area ** Czech culture ** Czech cuisine * One of three mythical brothers, Lech, Czech, and Rus' Places *Czech, ...
medical doctor who specialized in the treatment of children with cerebral palsy and developmental disorders. He discovered the principle of reflex locomotion, which is used to treat various physical and neuromuscular disorders through the stimulation of the human sensomotoric system's reflex points. Originally used in the treatment of spastic children, the technique is now used on babies and adults.


Biography


Early life and education

Vojta began his studies in
Prague Prague ( ; cs, Praha ; german: Prag, ; la, Praga) is the capital and largest city in the Czech Republic, and the historical capital of Bohemia. On the Vltava river, Prague is home to about 1.3 million people. The city has a temperate ...
in 1937, but due to the Nazi occupation, he was forced to postpone them, eventually earning his doctoral degree 10 years later, in 1947. He pursued training in pediatric neurology, working in the clinic at
Charles University ) , image_name = Carolinum_Logo.svg , image_size = 200px , established = , type = Public, Ancient , budget = 8.9 billion CZK , rector = Milena Králíčková , faculty = 4,057 , administrative_staff = 4,026 , students = 51,438 , undergr ...
in Prague, and in 1956, he became head of the Department of Pediatric Neurology at the 4th Neurological Clinic of the Medical Faculty of Charles University in Prague. Dr. Vojta is most noted for his work in developmental kinesiology and his discovery of reflex locomotion therapy, which became broadly known as the Vojta Method.


Exile in Germany

In 1968, Soviet troops invaded Czechoslovakia, disrupting Vojta’s work and posing a threat to his professional future. Vojta, along with his wife and three small children, sought refuge in Germany. There, Vojta began work as a research fellow at the Orthopedic Clinic of the University of Cologne, pursuing his work in developmental kinesiological studies, and organizing courses in diagnostics and physical therapy. In 1975, Dr. Vojta relocated to Munich, taking a position at the Munich Children’s Centre, where he became head of the rehabilitation department. In 1989, after the fall of the communist regime, Vojta returned to his native Czechoslovakia to receive tenure as Professor of Pediatric Neurology and Rehabilitation from Charles University in Prague, an honor denied him as a “politically unreliable person” under the Soviet regime. He was able to teach there once again, and continued to do so until his retirement in 1995. After his retirement, Vojta continued to lecture and teach around the world until his death in 2000.


Career


The Vojta Method

Vojta’s research was focused on reflex locomotion therapy, particularly in the treatment of children exhibiting developmental delays. He discovered the basis of reflex locomotion while searching for treatment therapies for children with
cerebral palsy Cerebral palsy (CP) is a group of movement disorders that appear in early childhood. Signs and symptoms vary among people and over time, but include poor coordination, stiff muscles, weak muscles, and tremors. There may be problems with sensa ...
and
spastic paralysis Spasticity () is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity, and hypertonia. It is also colloquially referred to as an unusual "tightness", stiffness, or "pull" of muscles. ...
. He discovered that muscle groups that the children could not activate themselves can be activated by applying pressure to specific zones on a patient’s body. Repeated activation resulted in improved gait, better posture and improved speech in children with cerebral palsy. Professor Vojta recognized that many of the movement complexes he found could be traced to common subjective global patterns of movement that mark developmental milestones in healthy children. Although the emphasis of Vojta’s work was initially directed to pediatrics, he very soon recognized that the treatment could also be applied to neurological problems in adult patients. However, Vojta Therapy is most effective in patients under the age of six months, an age when early developmental changes are most profound. Vojta therapists use a combination of 10 different zones on a patient's body, applying light pressure on a specific area and resistance to the current movement, causing the patient's body to involuntarily perform certain reflexive movement patterns. Repeated stimulation appears to make previously blocked neurological connections between the patient's spinal cord and brain. The patient is eventually able to perform similar movements without any external stimulation. Vojta Therapy has been used to treat cerebral palsy, peripheral paralysis of the arms and legs,
hip dysplasia Hip dysplasia is an abnormality of the hip joint where the socket portion does not fully cover the ball portion, resulting in an increased risk for joint dislocation. Hip dysplasia may occur at birth or develop in early life. Regardless, it doe ...
, and problems in
breathing Breathing (or ventilation) is the process of moving air into and from the lungs to facilitate gas exchange with the internal environment, mostly to flush out carbon dioxide and bring in oxygen. All aerobic creatures need oxygen for cellular ...
,
swallowing Swallowing, sometimes called deglutition in scientific contexts, is the process in the human or animal body that allows for a substance to pass from the mouth, to the pharynx, and into the esophagus, while shutting the epiglottis. Swallowing i ...
and
chewing Chewing or mastication is the process by which food is crushed and ground by teeth. It is the first step of digestion, and it increases the surface area of foods to allow a more efficient break down by enzymes. During the mastication process, th ...
. In recent years, the principles underlying Vojta's method have been adapted to ''Dynamic Neuromuscular Stimulation'' or DNS, a modern iteration of Vojta therapy. DNS therapy has been successfully used to rehabilitate athletic injury and enhance performance, leading to a reduction in injury, decreased recovery time, and increased performance markers. When an adult athlete or patient is injured, they sometimes revert to an early pattern of locomotion similar to that of a young infant, before proper control was established. For example, a patient with a shoulder impingement may internally rotate and flex their arm in a way similar to a two-month-old child who has not yet developed external rotation and extension. In this case, DNS places an adult patient in a developmental position to re-teach proper control of the shoulder joint. While Vojta Therapy has been recognized for decades as a viable treatment method throughout Europe and Asia, it has only recently made inroads in the United States, particularly among physical therapists. As research and practice of the Vojta method grow, Dr. Vojta’s contributions to the fields of physical therapy and physical performance will undoubtedly gain universal recognition.


Published works and training

Vojta published over 100 scientific works and two textbooks, ''Cerebral Movement Disturbances in Infancy'' and ''The Vojta Principle'', written with Anne Peters. Both have appeared in several editions and been translated into several languages. His works have inspired further research and additional scientific works worldwide. In 1984, Vojta and his German colleagues formed the ''Vojta Society'', dedicated to promoting and disseminating the principles of reflex locomotion in diagnostics and therapy, with the goal of training physiotherapists and physicians in the Vojta method. In 1998, the organization was renamed the International Vojta Society, over which Professor Vojta presided until his death. The non-profit society, with its headquarters in Munich, runs annual qualification seminars in Germany for health care professionals. Training around 150 doctors and physiotherapists a year, the qualification seminars focus on treatment of new-born babies, children and adults. Before his death, Professor Vojta traveled extensively, conducting seminars and training sessions worldwide.


Awards and recognitions

Vojta received recognition in the form of awards and honors for his work throughout his career. In 1974 he was awarded the
Heinrich Heine Prize Heinrich Heine Prize refers to three different awards named in honour of the 19th-century German poet Christian Johann Heinrich Heine: * ''Heinrich Heine prize of Düsseldorf'' * ''Heinrich Heine prize of the Ministry for Culture'' of the former ...
, the highest award of the German Society for Orthopedics. In 1979 he received the "Growing with Each Other" Medal from the German association ''Aktion Sonnenschein'' for his work with disabled children. In 1983, he won the
Ernst von Bergmann Ernst Gustav Benjamin von Bergmann (16 December 1836 – 25 March 1907) was a Baltic German surgeon. He was the first physician to introduce heat sterilisation of surgical instruments and is known as a pioneer of aseptic surgery. Biography B ...
Prize for training in medicine from the
German Medical Association The German Medical Association (GMA) (german: Bundesärztekammer, BÄK), founded in 1947 and based in Berlin, is the co-ordinating body of physicians’ self-regulation in Germany. It co-ordinates the activities of the 17 State Chambers of Physicia ...
. In 1990, Vojta was awarded the von Pfaundler Medal for training in pediatrics from the Professional Association of Pediatricians. In October 2000, Vojta was posthumously awarded the Czech Order of Merit by Vaclav Havel, the
President of the Czech Republic The president of the Czech Republic is the head of state of the Czech Republic and the commander-in-chief of the Armed Forces of the Czech Republic. The president mostly has ceremonial powers as the day-to-day business of the executive governm ...
.


References


External links

* {{DEFAULTSORT:Vojta, Vaclav Czech neurologists 1917 births 2000 deaths Recipients of Medal of Merit (Czech Republic) Czech pediatricians Czechoslovak defectors Czechoslovak emigrants to Germany People from Klatovy District Academic staff of Charles University