A Detailed Outline of Neurorehabilitation Technique for Post-Stroke Symptoms

            A Comparison of Neurorehabilitation Techniques Used to Treat the Effects of Cerebrovascular Accidents
Neurodevelopmental Technique (NDT)/ Bobath Approach Movement Therapy/ Brunstrom Approach Sensorimotor Approach/ Rood Approach Proprioceptive Neuromuscular Facilitation/ Kabat & Knott Approach
Underlying Theory To normalize tone, inhibit primitive patterns of movement, and to facilitate automatic, voluntary reactions and subsequent normal patterns.



*Opposite of Brunnstrom

Using primitive synergistic patterns to attempt to improve motor control via central facilitation

  • A damaged CNS regressed to an older pattern of movements
    • Synergies, primitive reflexes, and other abnormal movements are normal parts of recovery before normal movement is obtained


*Opposite of Bobath


Modifying muscle tone and voluntary motor activity using cutaneous sensorimotor stimulation


Stimulation of nerve, muscle, and sensory receptors through manual stimulation via spiral and diagonal movement patterns promotes more functionally relevant movement patterns than movements in the traditional cardinal planes.


  • Therapeutic Handling is primary intervention with NDT
  • Facilitatory inputs
  • Inhibitory inputs
  • Key Points of Control


  • Enhances specific synergies
  • Process of Recovery


Modifying Sensory/ Motor Input via the following systems:

  • Proprioception
  • Exteroceptive
  • Vestibular
  • Vision
  • Auditory
  • Olfactory
  • Gustatory
  • SI Training
  • Reversal of Antagonists
  • Repeated Contractions
  • Combination of Isotonics
  • Rhythmic Initiation
  • Contract-Relax
  • Hold-Relax
  • Replication (hold-relax active motion)
  • Resisted Progression
  • Rhythmic Rotation
Effectiveness of Approach
  • There are differences in each of the underlying theories of these approaches; however, there are no consistent significant differences in motor or functional improvement of one approach over another.




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