(A) NDT Flashcards
what treatment approach is NDT: bottom up or top down?
bottom up
what is ndt?
based on facilitating missing components of normal mvm by providing sensory feedback to inhibit abnormal reactions and facilitate normal movement furing fucntional task
=> ot guide movement as needed to prevent/decrease w behaviors that interfere w functional abilities (providing less guidance over time)
what theory is ndt based on?
dynamic system theory
what are the tx goals of ndt? (4)
- decrease observable symptoms of UMN (hypertonicity, assymettrical posture) using inhibition
- increase normal patterns using facilitaiton
- improve functional use of involved side by facilitating postural control and decrease compensation
- active participation of client
what are the 4 key components of NDT?
therapeutic handling, facilitation, inhibition, key points of control
what is therapeutic handing
tactile, proprioceptive, kinesthetic inpuc
what is facilitation
provide sequence of mvm and m activity for performance for client to experience it
=> manipulates afferent inputs to cns (sensory feedback, pressure via weight bearing/shifting, vision, vestibular)
=> grade the input
what is inhibition
- change patterns of spasticity thru reflex, traciton, joint compression
what are key points of control? what are the 2 types?
points of physical contact on body to produce change in speed, alignment, direction
proximal pt: trunk spine => shoulder, pelvic
distal pt: parts of limbs = elbow, knee, hands, feet
describe the tx sequence of ndt (5)
- prep for posture, alignment, passive mvm
- select key points for handling
- inhibit tone issue or coordination
- facilitate targeted posture then mvm
- stimulate activities w object
- functional task
what is the evidence of ndt?
rarely show motor gain superior to no intervention => more research on intensive NDT needed
