Bobath/NDT & Brunstrom Flashcards
Premis of Bobath/NDT
Motor function can be improved by REDUCING abnormal movements or reflex patterns
Once abnormal movements are modiffed, normal automatic movements, such as righting and & equilibrum reactions can be developed
Bobath Therapeutic Tx
No preset exercises mainly is an approach that looks at normalizing tone.
Inhibatory & Facilitory (speed of movements, envts, & theraputic use of self
Muscle re ed
Process of teaching pt to move “normally” again
Bobath Muscle Re ed Sequence (1-3)
Isometric (hold)
Ecentric (lower)
Concentric (Lift)
Bobath Sensory input
Heavy deep preasure 1st
Tapping 2nd
5 stages of NDT/Bobath: 1
Observation/Analysis: observing pts movement, WB, muscle contraction
NDT : Stage 2
Preperation: try to provide sensory input, normalize tone (mobilization, PROM, stretching)
NDT : Stage 3
Simulated activity/ Functional Exercise
FF: reaching tasks w/ VC’s
Tactile aka wrist w/ e stim for grasping
NDT : Stage 4
Functional Task : Functional toilet trasfers, turning on sink w/o hiking Sh
NDT : Stage 5
Carry over: generalization of mvmt.
Family education w/ facilitation techniques
Adapt techniques can they do the task in standing vs just sitting
Higher level tasks (ie. reaching into bag while walking)
Brunstrom Approach
Looks at the nervous system from a hierachial viewpoint
Reflexes & Synergist movements creat purposeful movement
Stages
Flacid Synergies (flexion/extension) Voluntary movemnt in synergy Some mvmt deviating from synergies Independence from synergies Isolated joint movements
Additional Brunstrum
Assumes s/p stroke pt. will be
Statrt w/ positioning
*tone and tonic reflexes on pts. movmt and postioning
Brunstrum : Souques Phionopinion
Pt. arm in ext over head = extension of fingers
Can open hand for hygine
Better w/ acute pt.
Homolateral Limb Synkinesis
Resist flexion of the strong side cause flexion of affected side.
Use resitance
Can be used for bridging in bed mobility
