Rehabilitation priciples at children with cerebral palsy after NDT Bobath concept

Physical therapist: ADRIAN PERE

The concept of neuro-developmental treatment NDT is based on the recognition of the importance of two factors: - the interference of normal maturation of the brain by the lesion. - the presence of abnormal patters of posture and movement.

The main problems of patients with cerebral palsy are models of impaired postural control and coordinated movement. Identified deficiencies of the system are modified and improves global function when motor coordination problems are treated by direct approach neuro-motor abnormalities and postural control in a context of specific tasks. The deficiencies affect the entire person individual functions, place family and community, independence and quality of life.

Normal Develppment: look at each movement piece by piece - observe movement =eyes before hands - what muscles are working? We DO NOT use the sequence of 0-12 months in NDT. NDT not DYNAMIC!!! maintaing positionsBE

NDT intervention using motion analysis to identify missing or atypical elements, linking functional limitation of system failure. The therapist identifies the components of a biomechanical movements including the base of support alignment, weight change and amplitude of motion during a functional sequences.

The study group included 10 children with cerebral palsy which principles were applied in practice of NDT Bobath for the first time during 4 months. Before the treatment I made an assessment plan for every pacient according to the NDT BOBATH concept for clients with cerebral palsy.

In the dynamic physical therapy sessions with active movement plays prominent role dissociation. Without separate each piece like a puzzle and then put together can not have a biomechanical alignament which is another principles in NDT treatment. Another principles in therapy is trunk rotation to facilitate many posture and normal movement. Assessment and treatment the range of motion is another important principles in NDT treatment.

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that very important is to see the highest functional level, gross motor and fine motor, to established the major problems and the major components in range and function. In every physical therapy session will have a mini goal.

All the pacients were evaluated initially and finally and final scores have shown the efficiency application of the NDT Bobath concept in cerebral palsy treatment. During the 4 months treatment I observe a really nice improvement of evolution and a very good respond or the parents and caregivers. The purpose of NDT Bobath concept is to optimize the function and the intervention programs are designed to serve clients throughout the life.