Basic Neuro-Developmental Treatment (NDT Paeds) workshop in November -December 2012

Indian Association Of Physiotherapy Pune Branch &  Sancheti College Of Physiotherapy Pune

Organizing a workshop on

Basic Neuro-Developmental Treatment (NDT Paeds)

Course Instructor- DR. ASHA CHITNIS MPT, NDT paeds

This is an exciting and intensive training course for physical therapists, occupational therapists, and speech and language pathologists comprised of both theoretical and practical work. The material presented in the course is based upon the theoretical and practical concepts developed by Dr. Karel and Mrs. Berta Bobath and conforms to the standards established by the NDTA, Inc.

This course will be held at Sancheti Institute College of physiotherapy,Shivajinagar, Pune & Sancheti hospital Shivajinagar, Pune. Please note that this is an intensive weekend format (Saturday  & sunday) on 24th & 25th November and 8th & 9th December 2012. The number of days in class will total 4 days with class running between the hours of 8:30 am and 5:00 pm. This course curriculum is outlined to include a minimum of 24 hours, inclusive of lectures, group work and presentations, discussions, demonstrations, and patient treatment.

The course will cover: fundamentals of NDT philosophy; neurophysiology as it relates to NDT; typical and atypical movement development; fine motor development and sensorimotor aspects of development of functional skills, typical and atypical development of upper and lower extremity  and the progression through space, including gait; and treatment principles and application.

The course is limited to a total of 30 therapists, including physical therapists, occupational therapists,

The course contents 
(1) Motor control & it's clinical Reasoning
(2) Normal & Abnormal Development
(3) Evaluation of child with CP
(4) Guiding Principles of treatment
(5) sensory Processing & NDT
(6) handling treatment Principles & Demo

Who can attend?

1. All the clinical therapist interested in peads (PT &OT)

2. Interns BPT

3. Master of physiotherapy

4. Master of occupational therapy

Why to attend this course?

1. NDT bsci course will help the therapist interested in Neuro & peads in understanding motor control, normal and abnormal development, Evaluation of children with Cerebral Palsy.

2. This course helpfull for all the MPT/MOT students in the masters programe because each master has to study motor control, normal development and neurotherapeutic approches. This course will help them in better understanding.

3. The course in Pune is organised in a educational institute who has very good infrastucture with AC rooms which helps us in keeping the course cunduction cost less compared to the course organized in 3-5 star Hotel in Mumbai (cost of event and food is very high in Mumbai).

Numbar of seats awailable =30

Course fees = Rs 5000/-

Venue = Sancheti College Of Physiotherapy Pune

Contact : Apurv Shimpi (Treasure of IAP Pune branch) 9890183195, apurv008@gmail.com

Or Gajanan Bhalerao -9822623701 gajanan_bhalerao@yahoo.com

I got the best teachers award in the students survey conducted by sancheti healthcare academy for college of physiotherapy

First time  Sancheti Healthcare Academy  conducted  students survey for college of physiotherapy. this survey was done  by Dr. Priya Ramachandran Master’s degree Business management ( Gold medalist ) MA Economics. professor of PGP-HS (Post Graduate Programme in Healthcare Services) and PGA- HS (Post Graduate Advanced - Health Services). under the guidance  of Mrs. Manisha Sanghavi, executive director of Sancheti Healthcare Academy.

Sancheti  college of physiotherapy is third in India she wanted to find how who can make it number one in India. this one of the step in the process of it.

 Mrs. Manisha Sanghavi, Executive Director wanted to find out 

• how students learn in sancheti  college of physiotherapy. ?
• what methods of teaching they understand more and like more. ?
• what methods they want to incorporate in training and education of students. ?
• students suggestions
• There was students poll on the teachers teaching methods and their learning.  on the bases of students poll there was ranking done. 

Dr. Priya presented a full research report of 70 -80 pages with statistic. the result of research included what student's best methods of learning, what they feel most important and least important in training of physiotherapy.  Ranking of teachers according to students learning. 

In this survey

Dr. Gajanan Bhalerao got the First best teacher Award

Dr. seemi Retharekar got second  best teacher Award

 

Dr. Vivek Kulkarni got Third  best teachers Award  

Never plan the therapeutic management based on the medical diagnosis or cause of stroke

All students and the therapists who are treating patients with stroke must have thought or heard this kind of question in their practice.
What is the therapeutic management of frontal lobe bleed/infarction?
What is the therapeutic management of occipital bleed /infarction?
What is the therapeutic management of parietal bleed /infarction?
What is the therapeutic management of thalamic bleed?
Instead of answering these questions, we need to ask different questions
What are the sign & symptoms of these patients? What are the physical & perceptual impairments of patients?
What are the activity the patient is able to do and not able to do?
What impairments are limiting the activity? What are the contextual factors & personal and environmental factors are restricting his participation?
 Neurologist does the medical or neurological diagnosis of patient’s i. e. Stroke due to infarction or bleed. Bleed or infraction internal capsule, thalamus, basal ganglion, MCA territory etc. This different level of injury and severity will helps us in finding out the prognosis and planning of treatment according to level of lesion and severity of it.
 But for us as a physiotherapist we need to look at the movement dysfunction. We need to find the physiotherapeutic diagnosis of movement dysfunction. Such as hemiplegia, henianesthesia, cognitive and perceptual disorders, unilateral neglect, heminomus hemianopia, shoulder dislocation, genu recurvatum, hemiplegic hand, claw hand, fixed flexion deformity,
 “Stoke is Medical diagnosis, Hemilplegia is a Physical diagnosis ….!”
 We treat hemiplegia neurologist treats stroke.
We need to keep in mind that we as therapists don’t treat the cause of the stroke like the medical management. We don’t plan treatment directly with the causative factors of the stroke.
We treat physical & functional dysfunction –  “MOVEMENT DYSFUNCTION”.
We plan our management according to:-

• What are activities limitations?
• What impairments (signs and symptoms) of patients causing activity limitation
• What is the need of the patients according to their lifestyle, age and occupational demands (personal & environmental factors, contextual factors)?

Any patient of stroke with any medical diagnosis the physical functional demands from life are same. These demands doesn’t change with diagnosis ( the prognosis & the ability to achieve these target might be affected due to level of lesion and severity of lesion).
Every patient basic physical functional demands from life are: -

1. Bed mobility- rolling supine to sit, bed side sitting etc
2. Toilet training
3. Transfers from bed to chair or toilet transfers
4. Sit to stand
5. Standing with or without assistive devices
6. Walking with or without assistive devices
7. Upper limb function for hands skills & manipulations
8. Activities of daily living (ADL) & Instrumental Activities of daily living (IADL)- dressing, feeding, brushing, combing, reading writing & bathing etc
9. Indoor and outdoor ambulation with or without assistive devices
10. Stair climbing

 These activities will be required to train in patients. We need to ask questions how to achieve these activities with current level of impairments and contextual, personal & environmental factors. Plan the gaol according to the activity & participation restrictions. Train the patient for his desired activity. Involve him in planning the treatment program. Ask him which activity he wants to learn first. Take his view point in account and set realistic, challenging but achievable goals. And plan the management according to it & try to accomplice that activity. Treat those impairments which are limiting the activity and his participation in community. He may have multiple impairments but not all the impairment limits the desired activity of the patients and his physical and functional demands in his lifestyle.
 To get the right answer for the management you need to ask the right question….!
If you ask a right question you will get the right answer for it.
Your main objective should be changing the participation and activity limitation in community (based on ICF model).
 “Our treatment should bring some change in his life and not in the impairment…!”