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Bobath or NDT Approach to The Treatment of Adults with hemiplegia

Bobath or NDT Approach to The Treatment of Adults with hemiplegia. Contents. Introduction History Definition NDT Philosophy Key Theoretical Statements Assessment NDT Principles NDT Handling Techniques NDT of Adults with hemiplegia Effectiveness. Introduction.

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Bobath or NDT Approach to The Treatment of Adults with hemiplegia

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  1. Bobath or NDT Approach to The Treatment of Adults with hemiplegia

  2. Contents • Introduction • History • Definition • NDT Philosophy • Key Theoretical Statements • Assessment • NDT Principles • NDT Handling Techniques • NDT of Adults with hemiplegia • Effectiveness

  3. Introduction Karel Bobath and Berta Bobath developed Bobath or Neurodevelopment Treatment (NDT) Approach to restoring normal movements and eliminating abnormal movements in children with cerebral palsy and adults with acquired hemiplegia.

  4. History • 1940 – They began to develop NDT approach. • Berta Bobath discovered NDT Approach. • Karel Bobath presented scientific rationale in hypothetical terms of NDT. • They died in 1990. • NDTA in US and organizations of other countries have been working to update the theoretical basis for NDT.

  5. Definition The Bobath concept is a problem solving approach to the treatment and assessment of individuals with disturbance of function, movement and postural control due to lesion of the CNS.

  6. NDT Philosophy • Living concept. • Problem solving approach. • Involves the assessment and treatment of movement dysfunction in individuals with CNS pathophysiology. • Goal of assessment and treatment is the enhencement of individuals capacity to function.

  7. Key Theoretical Statements • Organization of motor behavior. • Motor control. • Movement dysfunction. • Neural plasticity.

  8. Assessment • Identify abilities and functional capabilities. • Identify functional limitations. • Determine what problems interfere with movement control and functional performance. • Establish functional goals and treatment goals.

  9. NDT Principles Treatment should • Avoid movements and activities that increase abnormal muscle tone in the involved side. • Be directed towards the development of normal patterns of posture and movement. • Increase functional use of the hemiplegic side. • Produce a change in the quality of movement and functional performance of the hemiplegic side.

  10. NDT Handling Techniques • Uses of inhibition techniques. • Uses of facilitation techniques.

  11. NDT of Adults with Hemiplegia • Flaccid stage. • Spastic stage. • Recovery stage.

  12. Effectiveness Though it’s a familiar approach but theoretical explanation given by K Bobath is now in debate. Results of recent research (Done in 2004) show that NDT approach was not found effective in the care of stroke patients in the hospital setting.

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