Neurofacilitation of Developmental Reaction (NFDR) Approach: A Practice Framework for Integration / Modification of Early Motor Behavior (Primitive Reflexes) in Cerebral Palsy

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• 作者：Meenakshi Batra (1)
  Vijai Prakash Sharma (1)
  Vijay Batra (1)
  Gyanendra Kumar Malik (2)
  Ravindra Mohan Pandey (3)
  
• 关键词：Cerebral palsy (CP) ; Postural reactions ; Dynamics of postural control ; Gross Motor Function Measure (GMFM) ; Neurofacilitation of Developmental Reaction (NFDR)
• 刊名：The Indian Journal of Pediatrics
• 出版年：2012
• 出版时间：May 2012
• 年：2012
• 卷：79
• 期：5
• 页码：659-663
• 全文大小：80KB
• 参考文献：1. Zafeiriou DI. Primitive reflexes and postural reactions in the Neurodevelopmental examination. J Pediatr Neurol. 2004;31:1-. CrossRef
  2. Horak FB. Mechanistic and physiological aspects postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls. Age Ageing. 2006;35-S2:ii7–ii11.
  3. Batra M, Sharma VP, Malik GK, Batra V. Targeting postural reaction deficits in children with cerebral palsy—A case study. Sri Lanka J Child Health. 2010;40;78-.
  4. Batra M, Sharma VP, Malik GK, Batra V. Intervention based on dynamics of postural control in children with Cerebral palsy—An intergral approach. Ind J Phy Occ therapy (Accepted on 7th May 2010) (In Press).
  5. Hadders-Algra M. Development of postural control during the first 18 months of life. Neural Plasticity. 2005;12:99-08. CrossRef
  6. Ting LH, Macpherson JM. Ratio of shear to load ground-reaction force may underlie the directional tuning of the automatic postural response to rotation and translation. J Neurophysiol. 2004;92:808-3. CrossRef
  7. Ting LH, McKay JL. Functional muscle synergies constrain force production during postural tasks. J Biomech. 2008;41:299-06. CrossRef
  8. Torres-Oviedo G, Macpherson JM, Ting LH. Muscle synergy organization is robust across a variety of postural perturbations. J Neurophysiol. 2006;96:1530-6. CrossRef
  
• 作者单位：Meenakshi Batra (1)
  Vijai Prakash Sharma (1)
  Vijay Batra (1)
  Gyanendra Kumar Malik (2)
  Ravindra Mohan Pandey (3)
  
  1. Department of Physical Medicine and Rehabilitation, Rehabilitation and Artificial Limb Centre (RALC), Chhatrapati Shahuji Maharaj (CSM) Medical University (Erstwhile King George Medical College and University), Nabiullah Road, Near Daliganj Bridge, Lucknow, Uttar Pradesh, India
  2. Department of Pediatrics, Chhatrapati Shahuji Maharaj (CSM) Medical University (Erstwhile King George Medical College), Lucknow, Uttar Pradesh, India
  3. Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
  

文摘

A Randomized Controlled trial was done on 30 (CP) children of age range 6?mon to 2?y with an objective to see the efficacy of Neurofacilitation of Developmental Reaction (NFDR) approach over Neurodevelopmental Therapy (NDT) for integration / modification of early motor behavior (Primitive Reflexes) in Cerebral Palsy (CP). The baseline evaluation was done for tone, postural reactions and GMFM. The subjects were randomly allocated to two groups. With group A, NFDR and group B, conventional approach (NDT) was used for 3?mon followed by re-evaluation. Between groups analysis was done and p value was found to be significant. It was concluded that NFDR approach is more effective than NDT for integration / modification of early motor behavior in children with CP.