presented by Linda A. Kliebhan
Intervention for children with cerebral palsy and other neuromuscular disorders is a dynamic process that requires constant problem solving because of the variety and complexity of impairments present in these children. Neurodevelopmental Treatment, or NDT, provides a foundation and structure for intervention that includes ongoing problem solving and allows the clinician to utilize NDT handling strategies, as well as other techniques, to promote function and participation. This course will discuss the operational definition of NDT and provide examples of NDT intervention strategies including facilitation and elongation. A case presentation will also be used to illustrate the intervention process.
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 will discuss the recently developed operational definition of NDT and explain the various components as they relate to clinical intervention with children who have cerebral palsy and other neuromuscular disorders.
This chapter will provide a foundation for intervention strategies used to enhance postural control and stability that are necessary for function. Dr. Kliebhan will describe and differentiate critical elements of posture and movement, discuss characteristics of musculature and central nervous system connections, and provide ideas for incorporating this information into intervention strategies.
This chapter will define facilitation, elongation, and inhibition and describe their role in NDT intervention to improve function for children with cerebral palsy and other neuromuscular disorders. A demonstration will be include, which will introduce facilitation of movement and transitions from prone to sitting, sitting to quadruped, and quadruped to tall kneel on an adult model.
This chapter will provide a video case example of a treatment for a child with cerebral palsy, which will include a pre-test of the session goal, examples of intervention strategies, and a post-test.