The NDT/Bobath (Neuro-Developmental Treatment/Bobath) Definition
NDT is a holistic and interdisciplinary clinical practice model informed by current and evolving research that emphasizes individualized therapeutic handling based on movement analysis for habilitation and rehabilitation of individuals with neurological pathophysiology. Using the ICF model, the therapist applies a problem-solving approach to assess activity and participation to identify and prioritize relevant integrities and impairments as a basis for the establishment of achievable outcomes with clients and caregivers. An in-depth understanding of typical and atypical development, and expertise in analysis of postural control, movement, activity, and participation throughout the lifespan, form the basis for examination, evaluation, and intervention. Therapeutic handling, used during evaluation and intervention, consists of a dynamic reciprocal interaction between the client and therapist for activation of optimal sensorimotor processing, task performance, and skill acquisition for achievement of participation in meaningful activities.
The Neuro-Developmental Treatment (NDT/Bobath) approach was developed for the treatment of individuals with Pathophysiology of the central nervous system (CNS), primarily children with cerebral palsy (CP) and adults with cerebral vascular accidents (CVA). Individuals with CNS Pathophysiology have dysfunction in posture and movement and subsequent functional activity limitations. The Bobaths developed the NDT/Bobath approach to address these problems. The NDT/Bobath approach continues to be enriched with the emergence of new theories, new models and new information in the movement sciences. In addition, as the characteristics of the population with CNS Pathophysiology change, the approach continues to evolve.
Cayo, C., Diamond, M., Bovre, T., Mullens, P., Ward, P., Haynes, M., … Franjoine, M.R. (2015). The NDT/Bobath (Neuro-Developmental Treatment/Bobath) Approach. NDTA Network, 22(2):1.
What is SANDTA – South African Neurodevelopmental Therapy Association (Bobath)
The South African Neurodevelopmental Association Therapy (SANDTA) is a voluntary association of therapists who have a special interest in Neurodevelopmental Therapy (NDT). SANDTA offers training in the NDT/Bobath approach to all allied health professionals with special interest in paediatric and adult neurological conditions. Through post-graduate training courses in the NDT/Bobath approach along with regional workshops, SANDTA offers opportunities for continued professional development. Furthermore, SANDTA supports community outreach in order to support caregivers and family members through community projects and caregiver training. SANDTA is an associate member of EBTA, the European Bobath Tutors Association.