What is the neurodevelopmental technique (NDT) to develop motor control in a hemiplegic shoulder?

Updated: Feb 08, 2019
  • Author: Robert Gould, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

Developed by the Bobaths for the treatment of cerebral palsy, the neurodevelopmental technique (NDT) is probably the most widely accepted method used in the development of motor control in patients with hemiplegia. According to Brennan, exercises that promote normal muscle tone and diminish excessive spasticity through the use of reflex-inhibiting postures allow the patient to feel normal movements while preventing the use of compensatory motions. [61] As Lorish and colleagues indicate, this facilitates higher-level reactions and patterns in order to attain normal automatic motor responses that eventually allow the performance of skilled voluntary movement. [47]

Brandstater suggests that reciprocal inhibition also be used to temporarily reduce tone in spastic antagonist muscles through the use of a vibratory stimulus. [60]


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