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.
Christine Cayo, Monica Diamond, Tracy Bovre, Pamela Mullens, Pamela Ward, Margo Prim Haynes, Colleen Carey, Ann Heavey, Teresa Siebold, Katy Kerris, Debbie Evans-Rogers, Lois Bly, Jan McElroy, Marie Simeo, J. Lyndelle Owens, Kay Folmar, Jodi Renard, Marybeth Trapani-Hanasewych, and Mary Rose Franjoine.
To cite this definition, use one of the following formats.
Cayo C, Diamond M, Bovre T, et al. The NDT/Bobath (Neuro-Developmental Treatment/Bobath) Approach. NDTA Network. 2015;22(2):1.
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.
The Mission of NDTA
The purpose of the Association is to promote the unique qualities of the Neuro-Developmental Treatment (NDT) approach by:
Providing specialized clinical training to health care professionals
Supporting Clinical Research
Supporting client's and families with education, resources and information
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.
How NDT Has Changed My LIfe...
I took the 8-week course a few years ago. Things have been great since I have left the course and I think (my instructor) would be proud of my advancements. I hear (her) voice in my head all the time- (she) made a large impact in my career. I thank you for your time and such a large presence in my treatment- I have come so far because of you! AH/2007
I feel honored to have had the opportunity to participate in the 2007 NDT Certificate Training course. When I began in March, I had a limited knowledge base and understanding of children with cerebral palsy and motor disorders. However, now finishing up in September, I realize that I am a different therapist than when I began 7 months ago. I have a different outlook and understanding of both typical and atypical development, as well as a stronger foundation in treatment/facilitation techniques to make the children I serve more independent and successful in everyday life. I have truly enjoyed my time learning and value the experience and knowledge that I am learning with. You will probably see me in the future at another NDT class. Caroline Welch, Occupational Therapy, 2007