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NDT . Mary Rose Franjoine PT, DPT, MS, PCS Margo Prim Haynes PT, DPT, MA, PCS. Reading and Resources. Required Reading : Neuro-Developmental Treatment Approach Theoretical Foundations and Principles of Clinical Practice Chapter 1 Assignment :

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NDT

Mary Rose Franjoine PT, DPT, MS, PCS

Margo Prim Haynes PT, DPT, MA, PCS


Reading and resources
Reading and Resources

Required Reading:

  • Neuro-Developmental Treatment Approach Theoretical Foundations and Principles of Clinical Practice

    • Chapter 1

      Assignment:

  • To be completed prior to lecture: Study Guide Learning Activity: Learning Activity 1.1.1(pp 1-2)


Ndt is
NDT is….

  • A comprehensive approach for management of patients with neuromuscular based movement disorders.

  • Functional and task oriented

  • Problem solving

  • Grounded in current scientific theory


NDT …

  • Enhances function; improving the individuals quality of life

  • Treats individual as a Whole person


NDT …

  • Family centered

  • Team approach

http://www.familyconnectionsc.org/gallery


Ndt intervention process
NDT Intervention Process…

  • Begins with a comprehensive assessment of the individuals

    • Abilities

    • Needs, Wants, …..

  • Dreams!


Ndt intervention process1
NDT Intervention Process…

  • Includes observation analysis and identification of effective and ineffective postures and movements


Ndt intervention process2
NDT Intervention Process…

  • Progressing to identification and prioritization of primary and secondary impairments critical for intervention

  • Continues with development of functional outcomes

    • Long term

    • Short term

    • Session


Ndt intervention process3
NDT Intervention Process…

  • Progresses to identification of treatment strategies to enhance function

  • Considers the task & environment in relationship to person

  • Concludes with implementation of the intervention & ongoing analysis


Ndt is1
NDT is…

  • A “Hands On” approach

  • It includes the use of:

    • Inhibition techniques

    • Facilitation techniques


Ndt is2
NDT is…

  • Therapeutic handling is used to guide and shape movement, enhancing function

  • Therapeutic handling is used interdentally


Ndt therapist
NDT Therapist…

  • Utilize typical development as a framework for treatment


Ndt therapist1
NDT Therapist…

  • Consider the multisystem effects of aging across the lifespan

  • Strives to optimize function while acknowledging the existence of central nervous system damage


Ndt treatment sessions should be
NDT Treatment Sessions should be…

  • Active

  • Dynamic

  • Fun

  • Functional


Ndt is a living approach
NDT is a Living Approach

  • The NDT approach has been enhanced by advances in neural science, movement science, motor learning and motor control.

  • The NDT Approach will continue to evolve as our knowledge and understanding of neuromuscular-based movement disorders and neuromotor control advances.



Mrs. Bobath once said, it is a “living, breathing and changing” approach, and she challenged us all to grow and advance with the approach!


Current theoretical base for ndt

Current Theoretical Base for NDT changing” approach, and she challenged us all to grow and advance with the approach!

Mary Rose Franjoine, PT, DPT, PCS

Margo Prim Haynes, MA,PT

2009


Models of motor control
Models changing” approach, and she challenged us all to grow and advance with the approach! of Motor Control

  • Reflex

  • Hierarchical Model

  • Program Model

  • Systems Models of Motor Control

  • Neural Group Selection


Reflex
Reflex changing” approach, and she challenged us all to grow and advance with the approach!

  • Peripheral Mode of Operation

  • Complex skills remerge through chaining


Reflex1
Reflex changing” approach, and she challenged us all to grow and advance with the approach!

Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4


Hierarchical model
Hierarchical Model changing” approach, and she challenged us all to grow and advance with the approach!

  • Central Mode of Operation

  • Skill refined through a maturation process

Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4


Hierarchical model1
Hierarchical Model changing” approach, and she challenged us all to grow and advance with the approach!

Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4


Program model
Program Model changing” approach, and she challenged us all to grow and advance with the approach!

  • Peripheral and Central Mode of Operation

  • Storage of Complex Motor Programs

  • CPG


Systems models
Systems Models changing” approach, and she challenged us all to grow and advance with the approach!

  • Function emerges from the interaction of multiple systems

  • Coordinative Structures (Synergies)

  • Degrees of Freedom


Systems models1
Systems Models changing” approach, and she challenged us all to grow and advance with the approach!

Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4


Dynamical systems theory
Dynamical Systems Theory changing” approach, and she challenged us all to grow and advance with the approach!

  • Self Organization

  • Rate-limiting factor

  • Transition States (Chaos)


Neural group selection theory
Neural Group Selection Theory changing” approach, and she challenged us all to grow and advance with the approach!

  • Contemporary Theory

  • Blends our knowledge of neuro embryology and development of neuro anatomy

  • Plasticity


Neural group selection theory1
Neural Group Selection Theory changing” approach, and she challenged us all to grow and advance with the approach!

  • Primary Neuronal Repertoires

    • Neonatal Optical Righting

    • Neonatal Kicking

    • Rooting

  • Secondary Repertories “Neural Groups”

    • Synergies and preferred patterns of movement

  • Neural Maps

    • Synergistic combinations activate for task performance


How theories work for ndt
How Theories Work for NDT? changing” approach, and she challenged us all to grow and advance with the approach!

  • Philosophy of NDT embraces Function for enhancing Quality of Life

  • NDT always considers the environment and the task.

  • NDT is a clinical Approach


Additional references
Additional changing” approach, and she challenged us all to grow and advance with the approach!References

  • Horak, F.B. Assumptions underlying motor control for neurological Rehabilitation. In M. Lister (Ed), Contemporary management of motor control problems. Alexandria, VA: American Physical Therapy Association.

  • Hadders-Algra, The neuronal group selection theory: Promising principles for understanding and treating developmental motor disorders. Developmental Medicine and Child Neurology, 2000;24; 20 (10):707-715.


NDT changing” approach, and she challenged us all to grow and advance with the approach!

Mary Rose Franjoine PT, DPT, MS, PCS

Margo Prim Haynes PT, DPT, MA, PCS


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