NDT and PNF Flashcards
what was NDT developed for?
as a reaction to teh ethos of the day - no recovery, compensations
who si NDt used for?
CVA, TBI, MS, CP
principles of NDT
- indentifying and correcting underlying impairments that intervene with movement
- emphasis on movement quality
-client s a partner
-rehab based on present level of function and personal context - rehab is 24?7
- void compensations when possible
how does treatment progress?
- understand clients movement
- prep for the movement
- perfom/practice movement
- preform in function
what does a wide bos do?
provide less activation
what does a narrow base of support do?
greater activation
why does alingmenet matter for NDT
neutral alingmnet is more optional - helps with movement prep and positioning
how do we prep for movement?
- change envrionment
- place objects where they need to be, postion client
- mobilize to address stiffness and allow for freedom of movement
how do we perform movmenet?
- ensure the client is in a proper alingment
- ensure readiness for movement
- facillate the movement through thoughtful placement of hands/body
- movement patterns should be graded to minimize use of compensation
- Fade ASAP
how do we perform in function?
- have the client use re-learnt movement patterns
- provide handling as required to support optimal movement
what is PNF?
Proprioceptive Neuromuscular Facilitation (PNF)
what is the PNF philosophy?
- everyone has potential
-integreated approach that address whole person - postive approach
- intervetnion must be toward a specfic functinal goal
- facilitate a maximal response
- use rep to promote new learning
- intesnive program is required
- optimize function
what is the history of PNF?
- developed for those with MS
- devloped for polo, but vaccine caused this to irrelevant
PNF basics are?
- patient patterns
- manual contacts
- OT body mehcanis
- appropriate resitance
- traction and approximantion
- quick stretch
- irridation
- visual and verbal input
lumbrical grip is
in the direction of movement
tration
faciliats movement
approximation
facilitates stability
what does approp resistance do?
results in a smooth, coordinated motor response