NDT – Neurodevelopmental treatment is based on the premise that the presence of normal postural reflex mechanisms is fundamental to a motor skill’s performance. The normal postural reflex mechanisms consist of righting and equilibrium reactions, reciprocal innervation, and coordination patterns. The release of abnormal tone and tonic reflexes seen in CP interfered with the development of righting and equilibrium reaction.
It is an interactive problem-solving approach that focuses on continuing reassessment with attention to individual goals, developing working hypotheses, treatment plans, and relevant objective measures to evaluate interventions.
- Regardless of severity, individuals of any age with damage to their CNS can be handled with this approach. This makes the approach different from other forms of treatment, like motor relearning or constraint-induced movement therapy, which can only work on high functioning individual
- It is congruent with the International Classification of Functioning, Disability, and Health. It lays emphasis on two interdependent aspects important for optimizing motor recovery following stroke:
- integration of postural control and task performance and
- Selective movement control for the production of coordinated sequences of movements.
- In addition, the contribution of sensory inputs to motor control and motor learning.