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OT in Peds > NDT Tx Peds > Flashcards

NDT Tx Peds Flashcards

0
Q

NDT basic rationale

A

Normal mvmt is dependent on a normal postural reflex mechanism

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1
Q

Basic premise of NDT

A

Acquisition of motor skills occurs in a certain progression

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2
Q

NDT tx concepts: progression of control (3)

A
  1. Hold position before assume position
  2. Provide controlled sensory experience of mvmt before ct moves ind.
  3. Specific techniques to enhance sensory experience: handling
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3
Q

NDT tx concepts: progression of tx (5)

A
  1. Symmetrical weight shift
  2. Asymmetrical weight shift
  3. Righting reactions
  4. Rotation
  5. Equilibrium reactions
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4
Q

Concepts of handling (4)

A
  1. Focus on energetic conservation to improve the efficiency of mvmt during functional tasks
  2. Handling support & guides the body part for a functional task
  3. Wherever you place your hands you are fostering improved efficiency of mvmt
  4. Wherever you do not place your hands your ct needs to control that body part or you provide external support
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5
Q

Facilitatory handling (3) & ct pathology

A
  1. Light intermittent placement & use of hands
  2. Compression greater then body wt
  3. Fast mvmt through positions

Ct: ataxia, athetosis

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6
Q

Inhibitory handling (3) & ct pathology

A
  1. Firm placement & use of hands
  2. Slow mvmt thru positions
  3. Compressions less than body wt

Ct: spasticity

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7
Q

Rhythmic mvmt is for

A

Children with fluctuating tone/disorganized mvmts

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8
Q

Arhythmic (irregular) mvmt is beneficial for…

A

Children with spasticity

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9
Q

NDT tapping..

A
  1. Used with weakness - produces increase in tone & contractability of muscles
  2. Do not use with hypertonicity
  3. Repetition builds up tone so ct may hold position
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10
Q

To decrease tone (6)

A
  1. Passive mvmt
  2. Stretch
  3. Weight-bearing/weight shifts
  4. Traction
  5. Alignment
  6. Rotation in trunk
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11
Q

To increase tone (6)

A
  1. Biomechanical alignment
  2. Active mvmt in all planes - challenge balance reactions
  3. Compression
  4. Tapping
  5. Resistance
  6. Weight-bearing/weight shifts thru small ranges
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12
Q

Athetoid vs ataxic

A

Athetoid:
Enjoys mvmt, fluctuations of tone, difficult to get normal tone in tx, spasticity more in UE & toward extension

Ataxic:
Hypotonic - use RR/ER to get more normal tone, spasticity in LE & toward flexion

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13
Q

Tx for ataxia (4)

A
  1. Increase mvmt thru trunk
  2. Move in wider ranges & on more movable surfaces
  3. Tapping - heavier & more hands off
  4. Compressions - with lg range of mvmt
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14
Q

Tx for athetoid (4)

A
  1. Increase trunk control
  2. Move in smaller ranges using less movable surface
  3. Tapping - light, don’t take off body much
  4. Pressure tapping w/o mvmt
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OT in Peds (7 decks)

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