Effects of a Neurodevelopmental Treatment-Based Trunk Protocol for Infants with Posture and Movement Dysfunction

Arndt, S.W., Chandler, L.S., Sweeney, J.K., Sharkey, M.A., McElroy, J.J

The purpose of the study was to evaluate the efficacy of a neurodevelopmental treatment (NDT)-based sequenced trunk activation protocol for change in gross motor function of infants aged 4 to 12 months with posture and movement dysfunction. The researchers compared infants who received a dynamic co-activation trunk protocol with a control group who received a parent-infant interaction and play protocol using a repeated measures randomized block design. A masked reliable examiner assessed infants before, immediately after, and 3 weeks after intervention using the Gross Motor Function Measure (GMFM).

The NDT-based protocol group made significantly (P = 0.048) more progress than the control group from pretest to posttest. In conclusin, cautious support was found for sequenced, dynamic trunk co-activation intervention compared to generalized infant play; high-frequency, short-term, task-specific intervention; and direct service by NDT-trained pediatric therapists specializing in infant intervention.

Pediatic Physical Therapy 2008 20(1):11-22

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