Brain Neurorehabil.  2012 Sep;5(2):68-74. 10.12786/bn.2012.5.2.68.

Survey on Clinical Application of 'Neurodevelopmental Treatment'

Affiliations
  • 1Department of Rehabilitation Medicine, CHA University College of Medicine, Korea.
  • 2Department of Rehabilitation Medicine, Inha University School of Medicine, Korea. rmjung@inha.ac.kr
  • 3Department of Physical Medicine and Rehabilitation, Kyunghee University College of Medicine, Korea.
  • 4Department of Rehabilitation Medicine, Konkuk University School of Medicine, Korea.
  • 5Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea.
  • 6Department of Rehabilitation Medicine, Korea University College of Medicine, Korea.
  • 7Department of Rehabilitation Medicine, National Rehabilitation Center, Korea.

Abstract

OBJECTIVE: To investigate the recognition about clinical application of "neurodevelopmental treatment (NDT)". METHOD: We surveyed on the recognition for Bobath and NDT concepts and its training programs provided by Korean Academy of Rehabilitation Medicine from Jan 2009 to Feb 2009. The survey was made for physiatrists and physical therapists (PTs), separately. One hundred twelve physiatrists and 322 PTs have participated.
RESULTS
In physiatrist, interest in NDT was very high (98%), and the need for further knowledge of NDT was also high (95%). Though the NDT was mainly used techniques in neuro-rehabilitation setting, the expectation about effectiveness of it was moderate (56%) and the requirement of changing concepts of the NDT was very high (93%). PTs have carried out NDT most frequently with Bobath's concepts, but they also did not regard NDT as the best procedure. PTs emphasized the importance of their handling technique in NDT practices and also had high interest in the other maneuvers beside Bobath's.
CONCLUSION
Physiatrists and PTs regard NDT as one of the most important treating method for patients with brain lesions, but it is not approved as the most effective method yet. Nowadays NDT is changing or adapting, with discarding some of the old Bobath's concepts and adding new modern scientific knowledge. Therefore we suggest that physiatrists to give PTs the revised NDT concepts and evidence based the other therapeutic methods. And the NDT needs to be verified its therapeutic efficacy with evidence based view points through proper studies.

Keyword

bobath concept; neurodevelopmental treatment; physiatrist; physical therapist
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