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Neurodevelopmental Treatment Clinical Practice Model’s Role in the Management of Children with Cerebral Palsy

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Cerebral Palsy

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Abstract

The neurodevelopmental treatment (NDT) approach to clinical practice with individuals with cerebral palsy and other neuromotor disorders is a holistic approach to their examination and treatment towards functional shifts in their lives. The client, their caregivers/parents, and team members work together to identify those functional goals that will allow and encourage them to participate with their family and community to the greatest extent possible. The child’s areas of strength and need are categorized according to the ICF model and using task analysis of the goal, the identified components of the goal are synthesized with the child’s ability to reach their functional goals. In this manner, well-sequenced treatment strategies help to develop a more efficient and effective treatment session. Therapeutic handling is used to aid the child’s movement, to redirect unwanted and ineffective movements, and to assist the child in learning patterns of movement that are more efficient and will lead to improved function. NDT should be playful and collaborative with shared control of the sessions between the client and the clinician. The NDT approach is functional, fun, efficient, effective, and collaborative with positive effects noted through the ages. While recognizing their personal improvements, clients enjoy their sessions and willingly return to improve their function and participation in life.

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References

  • Bailes AF, Reder R, Burch C (2008) Development of guidelines for determining frequency of therapy services in a pediatric medical setting. Pediatr Phys Ther 20:194–198. https://doi.org/10.1097/PEP.0b013e3181728a7b

    Article  PubMed  Google Scholar 

  • Bain K (2011) The impact of neuro-developmental treatment on the performance of daily living tasks by children with cerebral palsy-pilot studies in measuring NDT outcomes. The Sydney eScholarship Repository, The University of Sydney, Sydney

    Google Scholar 

  • Bierman J (2008) Does treatment intensity make a difference? NDTA Netw 15(5):1–18

    Google Scholar 

  • Bierman J (2016a) Neuro-developmental treatment: definitions and philosophical foundations. In: Bierman JC et al (eds) Neuro-developmental treatment a guide to NDT clinical practice. Thieme, Stuttgart, pp 4–5

    Google Scholar 

  • Bierman J (2016b) Neuro-developmental treatment practice and the ICF model. In: Bierman JC et al (eds) Neuro-developmental treatment a guide to NDT clinical practice. Thieme, Stuttgart, pp 27–38

    Google Scholar 

  • Bierman J, Franjoine MR, Hazard C, Howle J, Stamer M (2016a) Neuro-developmental treatment a guide to NDT clinical practice. Thieme, Stuttgart

    Google Scholar 

  • Bierman J et al (2016b) Neuro-developmental treatment intervention- a session view. In: Bierman JC et al (eds) Neuro-developmental treatment a guide to NDT clinical practice. Thieme, Stuttgart, pp 150–191

    Google Scholar 

  • Boenig B (2005) NDT in a nutshell. NDTA Netw 12:5

    Google Scholar 

  • Bovend’Eerdt TJH, Botell RE, Wade DT (2009) Writing SMART rehabilitation goals and achieving goal attainment scaling: a practical guide. Clin Rehabil 23:352–361. https://doi.org/10.1177/0269215508101741

    Article  PubMed  Google Scholar 

  • Cayo C, Diamond M, Bovre T (2015) The NDT/Bobath (Neuro-developmental treatment/Bobath) approach. NDTA Netw 22:1. Updated by The Instructors Group of the NDTA May 2, 2016

    Google Scholar 

  • Chapparo C, Heard R, Bain K, Reddihough D, Davis S, Treacy S, Burritt L, Donelly M (2017) Moving and doing: promoting the performance of daily living tasks by children with cerebral palsy-preliminary findings. Occupational Therapy Australia, 27th National Conference and Exhibition July, 2017, Perth, Australia

    Google Scholar 

  • Evans-Rogers DL, Sweeney JK, Holden-Huchton P, Mullens PA (2015) Short-term, intensive neurodevelopmental treatment program experiences of parents and their children with disabilities. Pediatr Phys Ther 27:61–71. https://doi.org/10.1097/PEP.0000000000000110

    Article  PubMed  Google Scholar 

  • Evans-Rogers DL, Cayo C, Haynes M, Bain K, Alexander R (2017) Collaborative update on Neuro-Developmental Treatment (NDT) research. NDTA Netw 24(1):8–14

    Google Scholar 

  • Franki I, Desloovere K, Cat J, Feys H, Molenaers G, Calders P, Vanderstraeten G, Himpens E, Broeck C (2012) The evidence-base for conceptual approaches and additional therapies targeting lower limb function in children with cerebral palsy: a systematic review using the ICF as a framework. J Rehabil Med 44:396–405. https://doi.org/10.2340/16501977-0984

    Article  PubMed  Google Scholar 

  • Ganley K (2014) Review of neurodevelopmental treatment. Dev Med Child Neurol 56:1026–1027. https://doi.org/10.1111/dmcn.12557

    Article  PubMed  Google Scholar 

  • Haynes M (2015) Developing the GAS as part of and NDT advanced baby course. NDTA Netw 22(2):12–16

    Google Scholar 

  • Haynes MP, Phillips D (2012) Modified constraint induced movement therapy enhanced by a neuro-development treatment-based therapeutic handling protocol: two case studies. J Pediatr Rehabil Med Interdiscip Approach 5:117–124. https://doi.org/10.3233/PRM-2012-0203

    Article  Google Scholar 

  • Howle J (2002) Neuro-developmental treatment approach theoretical foundations and principles of clinical practice. NDTA, Laguna Beach

    Google Scholar 

  • Howle J (2005) NDT in the United States. NDTA Netw 12(1):16–20

    Google Scholar 

  • Howle J (2016) Motor control. In: Bierman JC et al (eds) Neuro-developmental treatment a guide to NDT clinical practice. Thieme, Stuttgart, p 248

    Google Scholar 

  • Kolobe THA, Christy JB, Gannotti ME, Heathcock JC, Damiano DL, Taub E, Majsak MJ, Gordon AM, Fuchs RK, O’Neil ME, Caiozzo VJ (2014) Research summit III proceedings on dosing in children with an injured brain or cerebral palsy: executive summary. Phys Ther 94:907–920. https://doi.org/10.2522/ptj.20130024

    Article  PubMed  PubMed Central  Google Scholar 

  • Law M, Darrah J (2014) Emerging therapy approaches: an emphasis on function. J Child Neurol 29:1101–1107. https://doi.org/10.1177/0883073814533151

    Article  PubMed  Google Scholar 

  • Palisano RJ, Begnoche DM, Chiarello LA, Bartlett DJ, McCoy SW, Chang H-J (2012) Amount and Focus of Physical Therapy and Occupational Therapy for Young Children with Cerebral Palsy. Physical & Occupational Therapy In Pediatrics 32, 368–382. https://doi.org/10.3109/01942638.2012.715620

  • Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan B, Jacobsson B (2007) A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 109:8–14

    PubMed  Google Scholar 

  • Stamer M (2016a) Examination. In: Bierman JC et al (eds) Neuro-developmental treatment a guide to NDT clinical practice. Thieme, Stuttgart, pp 74–118

    Google Scholar 

  • Stamer M (2016b) Evaluation and developing the plan of care. In: Bierman JC et al (eds) Neuro-developmental treatment a guide to NDT clinical practice. Thieme, Stuttgart, pp 119–149

    Google Scholar 

  • World Health Organization (2001) International classification of functioning, disability health(ICF). World Health Organization, Geneva

    Google Scholar 

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Author information

Authors and Affiliations

  1. Gait Lab, Nemours Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    Faithe R. Kalisperis

  2. NDT and Aquatic Therapy, Upper Darby, PA, USA

    Jane Styer-Acevedo

  3. Physical Therapy Department Arcadia University, Glenside, PA, USA

    Jane Styer-Acevedo

  4. Neuro-Developmental Treatment Association (NDTA), Laguna Beach, CA, USA

    Jane Styer-Acevedo

  5. Therapy Services, Nemours Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    Jeanne-Marie Shanline

Authors
  1. Faithe R. Kalisperis
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  2. Jeanne-Marie Shanline
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  3. Jane Styer-Acevedo
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Corresponding author

Correspondence to Faithe R. Kalisperis .

Editor information

Editors and Affiliations

  1. Alfred I. duPont Institute, Wilmington, DE, USA

    Freeman Miller

  2. Cerebral Palsy Program, AI DuPont Hospital for Children , Wilmington, DE, USA

    Steven Bachrach

  3. AI DuPont Hospital for Children , Wilmington, DE, USA

    Nancy Lennon

  4. Drexel University, PHILADELPHIA, PA, USA

    Margaret O'Neil

Section Editor information

  1. Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    Nancy Lennon

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© 2019 Springer Nature Switzerland AG

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Kalisperis, F.R., Shanline, JM., Styer-Acevedo, J. (2019). Neurodevelopmental Treatment Clinical Practice Model’s Role in the Management of Children with Cerebral Palsy. In: Miller, F., Bachrach, S., Lennon, N., O'Neil, M. (eds) Cerebral Palsy. Springer, Cham. https://doi.org/10.1007/978-3-319-50592-3_216-1

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  • DOI: https://doi.org/10.1007/978-3-319-50592-3_216-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50592-3

  • Online ISBN: 978-3-319-50592-3

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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