presented by Linda A. Kliebhan
Clinicians working with children diagnosed with cerebral palsy and other neuromuscular disorders need a thorough assessment in order to determine a baseline and develop a plan of care that leads to improved function. The Neurodevelopmental Treatment (NDT) framework provides the clinician with a problem solving approach, which incorporates the International Classification of Functioning, Disability, and Health Children and Youth Version (ICF-CY), with examination and evaluation.
Linda A. Kliebhan is a physical therapist with over 40 years of experience treating children and young adults with Cerebral Palsy and other Neuromuscular Disorders. Linda is a Coordinator-Instructor in Neuro-Developmental Treatment, teaching the NDT/Bobath Certificate Course in the Management and Treatment of Children with Cerebral Palsy and other Neuromuscular Disorders, Advanced NDT Courses, and workshops related to pediatric practice in the US and internationally. She is in private practice in the Milwaukee, Wisconsin area providing consultations and short-term intensive therapy. She also serves as Cerebral Palsy Consultant to the Medical College of Wisconsin Department of Orthopaedics, and is President of Partners For Progress, Inc., a nonprofit organization providing short-term intensive therapy.
This chapter will provide an overview of the ICF-CY model, its dimensions, and role in the overall assessment and development of a plan of care.
This chapter focuses on the process of examination including pertinent history, observation of functional activities and limitations, multi-system integrities and impairments, specific system review for determination of single-system integrities and impairments.This chapter will present an overview of some of the most commonly used tests and measures that are relevant for children with cerebral palsy and other neuromuscular disorders. Clinicians will be able to choose appropriate tests and measures based on age and type of information needed.
This chapter discusses the analysis of information and development of a plan of care including the NDT problem solving elements of this process. Prioritization of functional activity and participation limitations, and the multi and single system impairments which cause them will be discussed and linkages made to the development of a specific plan of care which includes measurable outcomes, frequency and duration, model of service delivery, and the role of family and other service professionals.
In the concluding chapter of this course, Linda provides an in-depth example of a patient assessment with a child with cerebral palsy.