Staff View: Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study

Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study

Background: Stroke is the second leading cause of death and a significant contributor to disability worldwide. The prevalence of stroke is highest in developing countries, with ischemic stroke being the most common type. Considerable progress has been made in our understanding of the pathophysiology...

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Main Authors:	Md. Abdul Alim, Amina Akter, Abdur Razzaque, Afroza Akter Mim, Eishita Alam, Md. Rejaul Karim, Md. Saifur Rahman, Md. Sherajul Haque, Khin, Nyein Yin, Md. Rayhan Rakib, Md. Feroz Kabir
Format:	Article
Language:	English English
Published:	Islamic Azad University 2024
Subjects:	RC346-429 Neurology. Diseases of the nervous system Including speech disorders RM950 Rehabilitation technology
Online Access:	https://eprints.ums.edu.my/id/eprint/39172/1/ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/39172/2/FULL%20TEXT.pdf https://eprints.ums.edu.my/id/eprint/39172/
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spelling	my.ums.eprints.391722024-07-15T04:00:43Z https://eprints.ums.edu.my/id/eprint/39172/ Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study Md. Abdul Alim Amina Akter Abdur Razzaque Afroza Akter Mim Eishita Alam Md. Rejaul Karim Md. Saifur Rahman Md. Sherajul Haque Khin, Nyein Yin Md. Rayhan Rakib Md. Feroz Kabir RC346-429 Neurology. Diseases of the nervous system Including speech disorders RM950 Rehabilitation technology Background: Stroke is the second leading cause of death and a significant contributor to disability worldwide. The prevalence of stroke is highest in developing countries, with ischemic stroke being the most common type. Considerable progress has been made in our understanding of the pathophysiology of stroke and the underlying mechanisms leading to ischemic insult. Stroke therapy primarily focuses on restoring blood flow to the brain and treating stroke-induced neurological damage. Pre-clinical and clinical care improvements will likely underpin successful stroke treatment, recovery, rehabilitation and prevention. The Bobath approach, also known as neurodevelopmental treatment (NDT), is a widely used concept in the rehabilitation of stroke patients with hemiparesis in many countries. This technique has been operated for years worldwide; however, strong evidence of its usefulness remains absent. Methodology: In this case study, by applying the Bobath approach, the researcher saw a significant change in his patient regarding movement, posture, balance, and coordination. Results: After seven (07) days of therapeutic intervention, the goal was achieved as reasonable postural control in sitting and standing, which was not during the assessment day. Now, the patient has been walking with minimum support and less compensatory movement present on the opposite side, but during the assessment, he required maximum support and could not walk. He needs more therapeutic intervention for independent walking. He also had limited movement in his Right upper limb. Conclusion & Recommendation: Neurodevelopmental Treatment (NDT) is a practical treatment approach for stroke rehabilitation, especially for improving movement, posture, balance and coordination. For this case, the Physiotherapist must be more involved in his gait reeducation and upper Limb complications to achieve optimal levels of functional and ADLs status like grasping objects with his hand, carrying objects while maintaining proper alignment, etc. Islamic Azad University 2024 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/39172/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/39172/2/FULL%20TEXT.pdf Md. Abdul Alim and Amina Akter and Abdur Razzaque and Afroza Akter Mim and Eishita Alam and Md. Rejaul Karim and Md. Saifur Rahman and Md. Sherajul Haque and Khin, Nyein Yin and Md. Rayhan Rakib and Md. Feroz Kabir (2024) Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study. Journal of Chemical Health Risks, 14. pp. 1963-1970. ISSN 2251-6719
institution	Universiti Malaysia Sabah
building	UMS Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaysia Sabah
content_source	UMS Institutional Repository
url_provider	http://eprints.ums.edu.my/
language	English English
topic	RC346-429 Neurology. Diseases of the nervous system Including speech disorders RM950 Rehabilitation technology
spellingShingle	RC346-429 Neurology. Diseases of the nervous system Including speech disorders RM950 Rehabilitation technology Md. Abdul Alim Amina Akter Abdur Razzaque Afroza Akter Mim Eishita Alam Md. Rejaul Karim Md. Saifur Rahman Md. Sherajul Haque Khin, Nyein Yin Md. Rayhan Rakib Md. Feroz Kabir Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study
description	Background: Stroke is the second leading cause of death and a significant contributor to disability worldwide. The prevalence of stroke is highest in developing countries, with ischemic stroke being the most common type. Considerable progress has been made in our understanding of the pathophysiology of stroke and the underlying mechanisms leading to ischemic insult. Stroke therapy primarily focuses on restoring blood flow to the brain and treating stroke-induced neurological damage. Pre-clinical and clinical care improvements will likely underpin successful stroke treatment, recovery, rehabilitation and prevention. The Bobath approach, also known as neurodevelopmental treatment (NDT), is a widely used concept in the rehabilitation of stroke patients with hemiparesis in many countries. This technique has been operated for years worldwide; however, strong evidence of its usefulness remains absent. Methodology: In this case study, by applying the Bobath approach, the researcher saw a significant change in his patient regarding movement, posture, balance, and coordination. Results: After seven (07) days of therapeutic intervention, the goal was achieved as reasonable postural control in sitting and standing, which was not during the assessment day. Now, the patient has been walking with minimum support and less compensatory movement present on the opposite side, but during the assessment, he required maximum support and could not walk. He needs more therapeutic intervention for independent walking. He also had limited movement in his Right upper limb. Conclusion & Recommendation: Neurodevelopmental Treatment (NDT) is a practical treatment approach for stroke rehabilitation, especially for improving movement, posture, balance and coordination. For this case, the Physiotherapist must be more involved in his gait reeducation and upper Limb complications to achieve optimal levels of functional and ADLs status like grasping objects with his hand, carrying objects while maintaining proper alignment, etc.
format	Article
author	Md. Abdul Alim Amina Akter Abdur Razzaque Afroza Akter Mim Eishita Alam Md. Rejaul Karim Md. Saifur Rahman Md. Sherajul Haque Khin, Nyein Yin Md. Rayhan Rakib Md. Feroz Kabir
author_facet	Md. Abdul Alim Amina Akter Abdur Razzaque Afroza Akter Mim Eishita Alam Md. Rejaul Karim Md. Saifur Rahman Md. Sherajul Haque Khin, Nyein Yin Md. Rayhan Rakib Md. Feroz Kabir
author_sort	Md. Abdul Alim
title	Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study
title_short	Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study
title_full	Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study
title_fullStr	Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study
title_full_unstemmed	Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study
title_sort	neurodevelopmental treatment (ndt) approach for improving balance in the hemiplegic stroke patient: a comprehensive case study
publisher	Islamic Azad University
publishDate	2024
url	https://eprints.ums.edu.my/id/eprint/39172/1/ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/39172/2/FULL%20TEXT.pdf https://eprints.ums.edu.my/id/eprint/39172/
_version_	1805887923700105216
score	13.211869

Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study

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