The Bobath concept – NDT is a broad and ever-evolving approach in neurological rehabilitation that is applied in patient assessment and treatment (such as with adults after stroke, or children with cerebral palsy) .
The fundamental principles of neurological development treatment (ndt) set by Karel and Berta Busse-Vobath (1943-1985).
O Simon Elwess was the first patient to whom was applied the neurological development treatment in 1940 hospitalized in Princess Louisse, where Berta Bobath was working. From that time begins the long history of NDT with the pioneers mentioned above and worthy successors later.
Couple on the life and work Karel and Berta withdrawn from the activities of the Bobath center in the 1987 transferring their powers to Jennifer Bryce, after 36 years of work. They died together in their home on January 20, 1991 a few months before the anniversary of 50 years of their marriage.
The Dr.Elizabeth Kong (special pediatrician) and Mary Quinton (physiotherapist) incorporated the principles of movement techniques in neonates and infants completing the intervention-kinesthetic development. With attention they focused on the normal sensory-supply feedback and the teaching of motor control.
-The NDT (Neurological development treatment) BOBATH-BABY is not a method or technique, but an entire philosophy and a way of life.
With a different approach to the problem of cerebral palsy and other sensorimotor dysfunction “therapy is operation and operation is therapy”.
Based on knowledge of normal growth and neurodevelopmental effects of pathology in:
- sensory motor deficits
- psychological and social development of the growing infant-child.
EVALUATION AND TREATMENT
Evaluation and treatment are closely related terming’s that are studied together.
Rating + target = therapeutic design
Rating + continue or adjust the therapeutic program + improvement = goals achievement.
The assessment approach the abilities of each child then analyze and explain what he is able to do (functional movement patterns) and how does he do it trying to devise and make targeted treatments.
Applied exclusively by the therapist’s hands on a fully individualized program for each child.
PRINCIPLES OF TREATMENT
Education of kinetic models (functional), not individual muscles training.
The sense of movement is taught.
Trying to make easier the normal motion (normal motor patterns) while is trying to overcome the pathological pattern (kinetic model).
Sets targets considering the operating motor level of the infant, his age and the child’s abilities, always in close cooperation with the family.
The objectives are trying to make easier and to prepare the normal development of the active motor abilities of the child and treats it with a holistic approach.
The success of the objectives directly influence the preparation of:
-the motor abilities (skillful hand movement)
Cooperation and family education is a necessary component of a proper treatment and a proper outcome of the treatment.
Treatment goals should be:
– feasible (achievable)
– adaptable to the specific conditions of life circumstances of each child
– dependable of the needs and expectations of the child and his environment