Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Neuro Developmental Therapy Based Trunk Protocol on Gross Motor Development of Sitting Posture and Functional Reach Ability in Cerebralpalsychildren


Affiliations
1 College of Physiotherapy SVIMS,Tirupati, India
     

   Subscribe/Renew Journal


Introduction: Trunk muscle co-activation that is necessary for development of sitting postural control is delayed in cerebral palsy children which is a common developmental disability that is caused by to brain damage before, during (or) after birth, prevalence of cerebral palsy is 3.3 per 1000 (or) 1 in 303 children are affected by C.P. Damage to Brain motor control centers, leading to impairment of abnormal posture and movement which may change as child grows resulting in developmental delay and give rise to importance of rehabilitation for correction of impairment.

AIM: To know the efficacy of NDT based trunk protocol on Gross motor function in children with Cerebral palsy.

Objective: To evaluate the efficacy of NDT Trunk protocol on sitting postural control by GMFM and functional reach test.

Methodology: 30 C.P Children were divided in to the groups, Group 1 received NDT Trunk Coactivation protocol (n=15). It contains Trunk (Sagittal) flexion - extension, side flexion and weight shifts (Frontal) and Trunk Rotations (Transverse) for a period of 30-45 minutes for 4 weeks. Group 2 received conventional physiotherapy with activities for a period of 30-45 min, for 4 weeks.

Statistical analysis: Unpaired t-test has been carried out to observe the treatment impact between groups before and after the treatment.

Results: After 4 weeks treatment period, subjects in group 1 (NDT Trunk protocol) compared with subjects in group II (conventional therapy) had a statistically significant improvement with outcome measures at 0.05 level

Conclusion: NDT trunk activation protocol was found to be effective in improving sitting postural control and helps in enhancing functional reach ability in cerebral palsy children.


Keywords

Trunk Postural Control, Reflex Inhibitory Patterns, Cerebral Palsy, Neuro Developmental Therapy, Gross Motor, Functional Reach Balance Scale, Key Points of Control
Subscription Login to verify subscription
User
Notifications
Font Size


  • Laura K. Vogtle : Cerebral palsy the Neuro developmental treatment approach and paediatric therapy role of performance components and the Relation of posture to upper extremity function.

  • Rita snell (1977) : Gross motor development in infants with multiple impairments

  • Kyrakane, John Barden : Contributions of trunk muscles to anticipatory postural control in children with and with out developmental coordination disorder.

  • Heidis veistrup : Effectiveness of Task Oriented Intervention and trunk restrain on upper limb movement quality in children with cerebral palsy, Dev ned child neurol ; 2010 ; 52; 242-53.

  • Shumway – Cook, C.P. Definition, classification, etiology and early diagnosis. woolacott – Normal postural control, Development of Postural control and Abnormal postural control

  • Russell D, Rosenbaum P, Gowland c : GMFM Manual : a measures of Gross motor function cerebral palsy, 2nd Edi Hamilton, Canada :

  • www. Neuro Rehab measures. Org : A scale for functional Reach test and modified functional Reach test

  • Sherry W.Arudt, Lynette S.chandler, effects of Neuro developmental treatment based Trunk protocol for Infants with posture and movement days function.

  • Howle – 2002. Cateaor …. In NDT enablement classification of health and disability Table 2.1, Pg, 82, NDT Treatment Approach.

  • Chitra Sankar, Nandini Mundkur – Indian Journal of pediatric 2005; 72: 865-868 : C.P. Definition, classification, etiology and early diagnosis

  • Sophie Levilt - Campbell – Treatment of Cerebral palsy and Motor delay -Paediatric physical therapy .

  • Bobath k, Boboth B (1984) – NDT, In scruttors D Management motor disorders of children

  • Janet M Howle, NDTA Theory committee Neuro developmental treatment approach theoretical foundations and principles of clinical practice.


Abstract Views: 903

PDF Views: 0




  • Effect of Neuro Developmental Therapy Based Trunk Protocol on Gross Motor Development of Sitting Posture and Functional Reach Ability in Cerebralpalsychildren

Abstract Views: 903  |  PDF Views: 0

Authors

Y. Ramya
College of Physiotherapy SVIMS,Tirupati, India
V. Sri Kumari
College of Physiotherapy SVIMS,Tirupati, India
K. Madh
College of Physiotherapy SVIMS,Tirupati, India

Abstract


Introduction: Trunk muscle co-activation that is necessary for development of sitting postural control is delayed in cerebral palsy children which is a common developmental disability that is caused by to brain damage before, during (or) after birth, prevalence of cerebral palsy is 3.3 per 1000 (or) 1 in 303 children are affected by C.P. Damage to Brain motor control centers, leading to impairment of abnormal posture and movement which may change as child grows resulting in developmental delay and give rise to importance of rehabilitation for correction of impairment.

AIM: To know the efficacy of NDT based trunk protocol on Gross motor function in children with Cerebral palsy.

Objective: To evaluate the efficacy of NDT Trunk protocol on sitting postural control by GMFM and functional reach test.

Methodology: 30 C.P Children were divided in to the groups, Group 1 received NDT Trunk Coactivation protocol (n=15). It contains Trunk (Sagittal) flexion - extension, side flexion and weight shifts (Frontal) and Trunk Rotations (Transverse) for a period of 30-45 minutes for 4 weeks. Group 2 received conventional physiotherapy with activities for a period of 30-45 min, for 4 weeks.

Statistical analysis: Unpaired t-test has been carried out to observe the treatment impact between groups before and after the treatment.

Results: After 4 weeks treatment period, subjects in group 1 (NDT Trunk protocol) compared with subjects in group II (conventional therapy) had a statistically significant improvement with outcome measures at 0.05 level

Conclusion: NDT trunk activation protocol was found to be effective in improving sitting postural control and helps in enhancing functional reach ability in cerebral palsy children.


Keywords


Trunk Postural Control, Reflex Inhibitory Patterns, Cerebral Palsy, Neuro Developmental Therapy, Gross Motor, Functional Reach Balance Scale, Key Points of Control

References