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    Neuro Developmental Treatment (NDT) Techniques: History

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    Gafencu Sergiu
    Neurodevelopmental Treatment (NDT) is a technique developed by Berta and Karel Bobath to promote functional recovery through facilitation of normal movement patterns and use of sensory feedback. Key aspects of NDT include focusing on alignment, demanding use of the involved side, and taking a whole-person approach to meet individualized functional goals. For NDT to be effective, therapists must be able to distinguish normal from abnormal movement, make activities meaningful, and select optimal practice methods.

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    Neuro Developmental Treatment (NDT) Techniques: History

    Uploaded by

    Gafencu Sergiu
    231 views3 pages
    Neurodevelopmental Treatment (NDT) is a technique developed by Berta and Karel Bobath to promote functional recovery through facilitation of normal movement patterns and use of sensory feedback. Key aspects of NDT include focusing on alignment, demanding use of the involved side, and taking a whole-person approach to meet individualized functional goals. For NDT to be effective, therapists must be able to distinguish normal from abnormal movement, make activities meaningful, and select optimal practice methods.

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    NDT

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    Neurodevelopmental Treatment (NDT) is a technique developed by Berta and Karel Bobath to promote functional recovery through facilitation of normal movement patterns and use of sensory feedback. Key aspects of NDT include focusing on alignment, demanding use of the involved side, and taking a whole-person approach to meet individualized functional goals. For NDT to be effective, therapists must be able to distinguish normal from abnormal movement, make activities meaningful, and select optimal practice methods.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    231 views3 pages

    Neuro Developmental Treatment (NDT) Techniques: History

    Uploaded by

    Gafencu Sergiu
    Neurodevelopmental Treatment (NDT) is a technique developed by Berta and Karel Bobath to promote functional recovery through facilitation of normal movement patterns and use of sensory feedback. Key aspects of NDT include focusing on alignment, demanding use of the involved side, and taking a whole-person approach to meet individualized functional goals. For NDT to be effective, therapists must be able to distinguish normal from abnormal movement, make activities meaningful, and select optimal practice methods.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Neuro Developmental Treatment (NDT) Techniques

    History

     Developed by Berta Bobath, PT and Karel Bobath, MD for functional recover


     Main patient populations include: adult CVA/hemiplegia, and Cerebral Palsy

    Theoretical Framework

    NDT as a neuromuscular and functional reeducation technique now includes


    neuroplasticity as a basis how the brain can change and reorganize itself and its
    processes based on practice and experience

     facilitation of normal postural alignment and movement patterns


     demand should be placed on the involved side during developmental and functional
    activities
     sensory feedback (manual contact, visual integration, somatosensory reinforcement)
    is essential to recovering function
     treatment includes looking at the whole person and specific functional needs;
    recovery vs. compensation

    Outline of N
    Patient: Life role, supports systems, home environment, patie
    Individualized Functional Outcomes
    ICF: Pathologies, abilities, limitations

    Motor Control Optimize use of systems (sensory, musculoskeletal) and avail

    Target the Involved Side Progressive, increased demand and functional use

    Closed vs. open environment, simple vs. complex, part vs. wh


    Motor Learning
     

    Team-Approach Coordination with rehab team, parents/caregivers, and suppor

    Essentials for Treatment Effectiveness

     therapists must be able to observe and distinguish normal from abnormal alignment
    and movement patterns
     therapists must be able to make the functional retraining activities meaningful to the
    patient; task specific
     therapists must be able to select the optimal practice method, feedback, and
    environment for maximum function and independence
     therapists must have stable footwear, good flexibility in lumbar spine and lower
    extremities for optimal body mechanics during mat activities.
    Key elements to Applying NDT

    http://www.stonecrestmedical.com/CPM/Neuro_Ball.jpg

    Cannot impose normal


    Alignment movement on malaligned
      joints
     

    Inhibition, Facilitation, Key


    Handling
    points
     
     

    Assisting patients in
    Placing
    achieving the appropriate
     
     

    Alignment Check points - PTs and PTAs use manual contact to establish, align and assist
    the patient with these key elements

     Base of support - wide, narrow, staggered, asymmetrical


     Body segment alignment - synergies, compensatory head and trunk position
     Muscle activation - pattern and timing of movement during functional activities
     Weight shift - in all planes
     

    Functional Check points - PTs and PTAs will modify manual cues and feedback to the
    demands of the task and the ability of the patient. Examples of functional check points
    include:

    1. Gravity
    2. Levers
    3. Time
    4. Distance
    5. Speed
    6. Environment

    http://www.mitaka-supply.com/02en_models/102m165/p2.gif

    NDT Intervention Framework


    Starting Posture Missing Components Manual Cues

    Begin and
    assess the most Observe starting posture Use hands on key
    efficient posture and make comparisons to
    from which to points of control to
    normal facilitate normal
    move (typically
    upright) Review the evaluation and posture/movement
    POC for PT assessment of and inhibit abnormal
    Reorient to primary impairments (e.g. posture/movement
    midline decreased ROM, strength, May includes manual
    (head/trunk) sensation, control) stretching if PT has
    Neutral Select a movement-based determined
    alignment of functional intervention ROM/muscle length
    body segments which progresses patient interferes with
      toward mobility goals function
     

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