1. NDT Mary Rose Franjoine PT, DPT, MS, PCS
Margo Prim Haynes PT, DPT, MA, PCS

2. 2009

3. 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)
2009

4. 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
2009

5. NDT … Enhances function; improving the individuals quality of life
Treats individual as a Whole person
2009

6. NDT … Family centered Team approach
2009

7. NDT Intervention Process…
Begins with a comprehensive assessment of the individuals
Abilities
Needs, Wants, …..
Dreams!
2009

8. NDT Intervention Process…
Includes observation analysis and identification of effective and ineffective postures and movements
2009

9. 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
2009

10. 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

11. NDT is… A “Hands On” approach It includes the use of:
Inhibition techniques
Facilitation techniques
2009

12. NDT is…
Therapeutic handling is used to guide and shape movement, enhancing function
Therapeutic handling is used interdentally
2009

13. NDT Therapist…
Utilize typical development as a framework for treatment
2009

14. NDT Therapist…
Consider the multisystem effects of aging across the lifespan
Strives to optimize function while acknowledging the existence of central nervous system damage
2009

15. NDT Treatment Sessions should be…
Active
Dynamic
Fun
Functional
2009

16. 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.
2009

17. Karl and Berta Bobath
2009

18. Mrs. Bobath once said, it is a “living, breathing and changing” approach, and she challenged us all to grow and advance with the approach!
2009

19. Current Theoretical Base for NDT
Mary Rose Franjoine, PT, DPT, PCS
Margo Prim Haynes, MA,PT
2009

20. Models of Motor Control
Reflex
Hierarchical Model
Program Model
Systems Models of Motor Control
Neural Group Selection
2009

21. Reflex Peripheral Mode of Operation
Complex skills remerge through chaining
2009

22. Reflex
Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4
2009

23. Hierarchical Model Central Mode of Operation
Skill refined through a maturation process
Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4
2009

24. Hierarchical Model
Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4
2009

25. Program Model Peripheral and Central Mode of Operation
Storage of Complex Motor Programs
CPG
2009

26. Systems Models
Function emerges from the interaction of multiple systems
Coordinative Structures (Synergies)
Degrees of Freedom
2009

27. Systems Models
Assumptions Underlying Motor Control for Neurologic Rehabilitation Chapter 4
2009

28. Dynamical Systems Theory
Self Organization
Rate-limiting factor
Transition States (Chaos)
2009

29. Neural Group Selection Theory
Contemporary Theory
Blends our knowledge of neuro embryology and development of neuro anatomy
Plasticity
2009

30. 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
2009

31. 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
2009

32. Additional 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):
2009

33. NDT Mary Rose Franjoine PT, DPT, MS, PCS
Margo Prim Haynes PT, DPT, MA, PCS