As a paediatric OT I feel that NDT is very useful when working with children
with Neuro problems - CP and acquired head injuries. I can see this being just
as relevant to the Stroke team. In my opinion knowing the theory helps you to
structure your therapy intervention more effectively around the client, it
helps you to know more about contra-indications and positioning that would not
be in your client's best interest. I'm not saying that an OT's training is
incomplete without NDT or similar training, but I am saying that it compliments
the training that we have already received.
I hope this helps
Veronica
----- Original Message ----
From: "Johnson, Arley" <[EMAIL PROTECTED]>
To: OTlist@OTnow.com
Sent: Monday, 13 August, 2007 9:11:28 PM
Subject: Re: [OTlist] Neurofacilitation
Since I didn't get a response, then I shall assume that no one else has any
other strategies. That's good because I was close to engaging in a drawn out
debate with a PT with an APTA neuro specialty cert that felt an OT did not need
a practical understanding of NDT principles to deliver comprehensive care in
the acute rehab environment. I believe that her point of view was NDT did not
have much, if any, supportive literature proving its' effectiveness. Therefore,
NDT had failed the evidence based practice test and I should not require an OT
working on a Stroke unit to complete a competency on NDT principles and
application.
Evidence based practice makes sense, but to exclude a treatment option because
limited research exists, does not mean that it does not work. As always, the
research itself needs to be reviewed to determine if it measured relevant
areas. I'll get off my soapbox now ...
Please, I welcome any comments, because my debate isn't officially over.
Arley Johnson MS, OTR/L
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