Intervention Theories Flashcards
Who developed NDT? And in what year?
Bobaths
40s and 50s
NDT: based on the current scientific theory at the time, which was what?
Hierarchical Theory of NS
NDT: The _____ concept has been modified over the years
Living
_______ comes from NDT
Facilitation
Now we use a blend of ____ and ____ _____/_____
NDT
Motor learning/control
Initial beliefs: ______ and ________ postural reflex system
Normal and abnormal
If abnormal system, abnormal movement
Initial beliefs: RIPs/inhibition then ________
Facilitation
Currently, we do both at the same time
Initial beliefs: Discourage _____ and ______ movement
Effort
Abnormal
(Discouraged to walk, too much effort… so crawled, which is not functional)
Initial beliefs: Facilitation of righting and ______ ______
Equilibrium reactions
Inhibition of primitive reflexes
Initial beliefs: _______ sequence
Developmental
Initial beliefs: Provide _______ components of movement
Missing
Do a task analysis
Aims of Treatment:
Facilitate normal movement patterns with _______ input
Proprioceptive
Aims of Treatment: Modify _____ through _____ movement
CNS
Normal
Aims of Treatment: Breaking up ______ ______
Abnormal synergies
Aims of Treatment: Inhibit _____ ____ and ______ ______
Abnormal tone
Primitive reflexes
Aims of Treatment: Prevent CNS from learning ______ patterns
Abnormal
Assumptions w/ NDT:
Central program control movement…. why is this wrong?
CPGs do
Assumptions w/ NDT: Top down model, why is this wrong?
Cortex is not responsible for all movements
Assumptions w/ NDT: Separation of voluntary and reflex; Why is this wrong?
Wiring is based on reflexes and is not eliminated from volitional movement
Limitations w/ NDT: ______ center response for locomotion
LOWER
Limitations w/ NDT: Development is not ______
Step like
Limitations w/ NDT: Blurred separation btw _____ and _______
Voluntary
Reflex
Limitations w/ NDT: Some movement can have ______ ______
Different activation
What are four reasons that there was dissatisfaction with the model?
- No carryover to functional activities
- Clients are PASSIVE recipients
- Fails to consider the musculoskeletal and environmental effects
- Inhibition of primitive reflexes does not release normal movements
Current beliefs: Simultaneous ______ and ______
Facilitation
Inhibition
Current beliefs: Client as _______ participant and problem solver/Self initiation
ACTIVE