Evidence reviewed as of before 01-01-2021 Author(s): Ogourtsova, T. (PhD OT); Steven, E. (MSc App OT); Iliopoulos, G. (MSc App OT); & Majnemer, A. (PhD, OT, FCAHS)

Introduction

Neurodevelopmental Treatment (NDT) is a therapeutic approach used by occupational therapists, physiotherapists and speech language pathologists for the rehabilitation of people of all ages with cerebral palsy (CP), stroke, TBI and other related disorders.

Accessed on June 28, 2022 from http://associatedtherapies.com/neurodevelopmental-treatment/

Originally called the Bobath approach, NDT first focused on improving gross motor functioning and postural control by facilitating muscle activity through key points of control assisted by the therapist. Currently, NDT has expanded to reflect developments in the understanding of movement and movement dysfunction (including an understanding of typical and atypical development). NDT-trained therapists use this knowledge to analyze activity and participation throughout the lifespan. They use dynamic and reciprocal therapeutic handling techniques to guide the movement of the whole body while clients participate in functional activities.

NDT evaluation and treatments take a client-centered and problem-solving approach (as opposed to standardized methods). They emphasize participation in daily activities that are relevant to the individual and their family. Overall, NDT attempts to improve the quality of life of patients with neurological lesions by optimizing their level of activity and participation.

Parent & Family Information

Clinician Information

Children with spastic CP (mild/moderate)

CP level N/A

Children with diplegic CP

CP level N/A

References

  • Batra, M., Sharma, V. P., Batra, V., Malik, G. K., & Pandey, R. M. (2012). Neurofacilitation of Developmental Reaction (NFDR) approach: a practice framework for integration / modification of early motor behavior (Primitive Reflexes) in Cerebral Palsy. Indian journal of pediatrics79(5), 659–663. https://doi.org/10.1007/s12098-011-0545-3

  • Labaf, S., Shamsoddini, A., Hollisaz, M. T., Sobhani, V., & Shakibaee, A. (2015). Effects of neurodevelopmental therapy on gross motor function in children with cerebral palsy. Iranian journal of child neurology, 9(2), 36. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515339/

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