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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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slide1

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
slide5
NDT …
  • Enhances function; improving the individuals quality of life
  • Treats individual as a Whole person
slide6
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.
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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.
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NDT

Mary Rose Franjoine PT, DPT, MS, PCS

Margo Prim Haynes PT, DPT, MA, PCS

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