What is the NDT?

The Neuro-Develpmental Treatment/Bobath approach is the mostimportant therapeutic approach for the rehabilitation of people with central nervous system damages e.g. tetraplegic, diplegic or hemiplegic children. It works by applying stress to central nervous and muscular system in order for the patient to create, maintain and reinforce the the sensorimotor pathways (neuronic network) and to attain satisfactory motor control in his/her desired environment.

The Neuro-Develpmental Treatment/Bobath approach is an advances therapeutic approach that is applied by specialized therapists. This therapy is applied by hand from the therapist to the patient during a one-to-one session, through a series of intervention (facilitating) techniques that simulate natural development. It is suitable for children and adults with pathophysiologies of the central nervous system which cause problems to the posture and movement of the patient, thus limiting his/her functional activities.

This approach is named after its inventors, Berta, a physical therapist and her husband, Karel, a psychiatrist/neurophysiologist who worked for the treatment of individuals with pathophysiology of the central nervous system in the 1940s. The Neuro-Developmental Treatment/Bobath is based on the brain’s ability to reorganize and recover after neurological insult (neuroplasticity). This approach to the neurological rehabilitation is interdisciplinary; it is primarily addressed to physical therapists but may also include occupational therapists and speech therapists. The therapists, after completing their specialized training in NDT work closely with patients suffering from brain pathologies (cerebral palsy, craniocerebral injury) in order to help them to live as nearly a normal life as their non-impaired counterparts.

The Neuro-Develpmental Treatment/Bobath approach continues to be enriched with the emergence of new theories, new models, and new information in the movement sciences that are centred around the human beings and their movement under the light of the principles set by international conventions and the NDT comittees. In addition, as the characteristics of the population with CNS pathophysiology change, the NDT approach continues to evolve.

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