Neurodevelopmental Therapy Method-Bobath (NDT-B)

NDT-B is a therapeutic approach aimed at addressing movement and postural control disturbances in individuals with CP. It focuses on facilitating normal movement patterns and improving postural control through hands-on techniques and therapeutic exercises.

NDT-B is primarily used for individuals with neuro-motor dysfunctions, including children with CP. It aims to enhance motor function, improve postural control, and promote independence in daily activities.

NDT-B encompasses various techniques and approaches tailored to meet the unique needs of individuals with CP. While the core principles remain consistent, therapists may adapt the treatment based on the individual’s specific challenges and goals.

NDT-B has shown promise in improving motor function and quality of life for individuals with CP. While results may vary depending on factors such as the severity of the condition and individual response to treatment, many parents have reported positive outcomes from NDT-B interventions.

During NDT-B sessions, your child will engage in a series of therapeutic exercises and activities aimed at improving daily movements and postural control. The therapist will work closely with your child to address specific challenges and goals, providing guidance and support throughout the process.

NDT-B is typically provided by trained physiotherapists or occupational therapists with expertise in neurodevelopmental techniques. These professionals have undergone specialized training to deliver NDT-B interventions effectively.

The duration and frequency of NDT-B sessions may vary depending on the individual’s needs and treatment goals. Typically, sessions may be conducted weekly or bi-weekly, with each session lasting around 45 minutes to an hour. The overall treatment period may span several weeks or months, with ongoing assessment and adjustments as needed.

NDT-B is generally considered safe, with minimal risk of adverse effects. However, as with any therapeutic intervention, there may be some discomfort or fatigue associated with the exercises. Your therapist will closely monitor your child’s progress and adjust the treatment plan as needed to ensure their safety and well-being.

Deciding whether NDT-B is suitable for your child depends on various factors, including their specific needs, goals, and preferences. It’s essential to discuss your child’s condition and treatment options with healthcare professionals to determine the most appropriate approach for their unique circumstances.

One high-quality RCT (Acar et al., 2022) investigated the effects of the neurodevelopmental therapy method-Bobath (NDT-B) on trunk control in infants with CP. In this high-quality RCT, children were randomized to receive NDT-B + feeding and oral motor intervention strategies (OMIS) + nutrition-related caregiver training (NRCT) or OMIS + NRCT alone. Trunk impairment was assessed using the trunk impairment scale (TIS: Static sitting balance, Dynamic sitting balance, Coordination) at post-treatment (6 weeks). No significant between-group differences were found.

Conclusion: There is moderate evidence (Level 1b) from one high-quality RCT that NDT-B with OMIS + NRCT is as effective as the control intervention in improving trunk impairment in children with CP. 

One high-quality RCT (Acar et al., 2022) investigated the effects of the neurodevelopmental therapy method-bobath (NDT-B) on pediatric quality of life in infants with CP. In this high-quality RCT, children were randomized to receive NDT-B + feeding and oral motor intervention strategies (OMIS) + nutrition-related caregiver training (NRCT) or OMIS + NRCT alone. Quality of life was assessed using the PedsQL inventory post-treatment (6 weeks). No significant between-group differences were found.

Conclusion: There is moderate evidence (Level 1b) from one high-quality RCT that NDT-B with OMIS + NRCT is as effective as  the control group intervention in improving pediatric quality of life in children with CP.

One high-quality RCT (Acar et al., 2022) investigated the effects of the neurodevelopmental therapy method-bobath (NDT-B) on oral motor skills in infants with CP. In this high-quality RCT, children were randomized to receive NDT-B + feeding and oral motor intervention strategies (OMIS) + nutrition-related caregiver training (NRCT) or OMIS + NRCT alone. Oral motor skills were assessed using the Schedule for Oral Motor Assessment post-treatment (6 weeks). No significant between-group differences were found.

Conclusion: There is moderate evidence (Level 1b) from one high-quality RCT that NDT-B with OMIS + NRCT is as effective as  the control group intervention in improving oral motor skills in children with CP.