Pediatric Physical Therapy

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Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e31815e8595
Research Report

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

Arndt, Sherry W. PT, DSc, PCS; Chandler, Lynette S. PT, PhD; Sweeney, Jane K. PT, PhD, PCS; Sharkey, Mary Ann PT, MS, PhD; McElroy, Jan Johnson PT, MS, PCS

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Purpose: This study was used 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. Infants who received a dynamic co-activation trunk protocol were compared with a control group who received a parent-infant interaction and play protocol.

Method: A repeated measures randomized block design was used. A masked reliable examiner assessed infants before, immediately after, and 3 weeks after intervention using the Gross Motor Function Measure (GMFM).

Results: The NDT-based protocol group made significantly (P = 0.048) more progress than the control group from pretest to posttest.

Conclusions: Cautious support was found for (1) sequenced, dynamic trunk co-activation intervention compared to generalized infant play; (2) high-frequency, short-term, task-specific intervention; and (3) direct service by NDT-trained pediatric therapists specializing in infant intervention.

© 2008 Lippincott Williams & Wilkins, Inc.


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