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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 1332203

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 1332203

NDT …

  • Enhances function; improving the individuals quality of life

  • Treats individual as a Whole person


Ndt 1332203

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.


Karl and berta bobath

Karl and Berta Bobath


Ndt 1332203

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

Mary Rose Franjoine, PT, DPT, PCS

Margo Prim Haynes, MA,PT

2009


Models of motor control

Models of Motor Control

  • Reflex

  • Hierarchical Model

  • Program Model

  • Systems Models of Motor Control

  • Neural Group Selection


Reflex

Reflex

  • Peripheral Mode of Operation

  • Complex skills remerge through chaining


Reflex1

Reflex

Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4


Hierarchical model

Hierarchical Model

  • Central Mode of Operation

  • Skill refined through a maturation process

Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4


Hierarchical model1

Hierarchical Model

Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4


Program model

Program Model

  • Peripheral and Central Mode of Operation

  • Storage of Complex Motor Programs

  • CPG


Systems models

Systems Models

  • Function emerges from the interaction of multiple systems

  • Coordinative Structures (Synergies)

  • Degrees of Freedom


Systems models1

Systems Models

Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4


Dynamical systems theory

Dynamical Systems Theory

  • Self Organization

  • Rate-limiting factor

  • Transition States (Chaos)


Neural group selection theory

Neural Group Selection Theory

  • Contemporary Theory

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

  • Plasticity


Neural group selection theory1

Neural Group Selection Theory

  • 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?

  • 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

AdditionalReferences

  • 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 1332203

NDT

Mary Rose Franjoine PT, DPT, MS, PCS

Margo Prim Haynes PT, DPT, MA, PCS


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