Neurodevelopmental Treatment (NDT)

Neurodevelopmental treatment (NDT) is a hands-on treatment approach used by physical therapists, occupational therapists, and speech-language pathologists. During treatment interventions by a skilled therapist, providing repeated experience in movement ensures that a particular pattern is readily accessible for motor performance and enhances overall function/movement patterns. The more a person performs certain movements with repetition, the easier the task becomes.

The aim of the treatment for children with disabilities due to brain damage is to prepare and guide them towards their greatest possible independence and to prepare them for as normal adolescences and adult lives as can be achieved. This treatment approach makes it possible for therapists each to play an important part in the team, as well as parent participation in education and guidance.

Early NDT treatment is essential to start as early as possible and considered to be the treatment most effective that is before anti-gravity voluntary movements emerge and abnormal movement patterns begin to be predominant. With early treatment skilled therapists can help integrate active normal sensory-motor experiences before abnormal movement patterns have become a habit.

NDT treatment strategies can target and improve, but are not limited to, the following areas:
  • Bed mobility
    • Rolling
    • Bridging
  • Transitioning between laying and sitting
  • Sitting
    • Reaching control
    • Weight shifting
    • Trunk rotation
  • Transitioning between sitting and standing
  • Standing
  • Gait (walking)