NDT/ Bobath approach workshop for 3rd Year BPTh on 22 August 2015


NDT workshop for 3rd Year BPTh

Course instructor Dr. Gajanan Bhalerao MPT Neuro, C/NDT

Assisted BY Dr. Sayali Thuse MPT Neuro, C/NDT

Neuro developmental therapy (NDT) is one of the most important approaches in neuro rehabilitation. In third student of BPT learn introduction about all neuro therapeutic approaches in neuro rehabilitation. Till last few years they need to answer the theory question related to the neuro approaches. From last year it also given importance in practical’s also. Now they need to show the demos of these approaches in practical exam.

So there was need of in details training of students related to treatment and practical demonstration and training instead of regular class room training. So from this year we have started training them in workshop format where students will be training for assessment, planning treatment and treatment techniques on patients instead of training them on models in class room training.

On 22nd august we have conducted the NDT workshop. In this workshop 4 patients participated for training of students with different severity of impairment and disability. I have done demonstration of assessment and treatment using NDT concept on two patients. Then students were allowed to do assessment and treatment of patients in groups. After I guided and corrected their assessment and treatment plan.  Few masters of physiotherapy candidate were there to assist me in the workshop.

Content of workshop

  1. Intrduction to Bobath approach.
  2. Intrduction to NDT approach
  3. Similarities and differences between Bobath approach and NDT approach
  4. NDT Principles
  5. Demonstration of assessment & Treatment of patient by course instructor (on patients)
  6. Assessment &Treatment of patient by participants in group.
  7. Group discussion
  8. PPT with patient’s photograph Of videos of different treatment in ADL.
  9. Feedback

At the end of workshop feedback was collected from the students.

They were asked reply on three questions.

  1. What did i learned today?
  2. What was good in the workshop?
  3. What was bad in the workshop?

Feedback of student’s

Student no 1: Krisha Parekh

What did I learned today?

  • it made me learning about how the neuro patient have to be evaluated and accordingly how the task related activity should be done, which helps the patient to do his ADL’s efficiently.
  • I learned about the trick movements which patients perform and how to correct it.
  • New innovative ideas taught which helped the patient to perform his ADL’s. e.g. instead of giving reach out we can give reach out by giving/telling patient to pick up the object from therapist’s hand.

What was good in the workshop?

  • The way GB sir taught that instead of giving normal exercises, task of the patient should be known and accordingly goals should be set up which should make it interesting rather than making it boring b doing same exercises every day.
  • “Always have reason for every single thing you do.”

What was bad in the workshop? : None

Student no 2: Simran Ostwal

What did i learned today?

  • The most important thing today I learnt was that instead of focusing on strength of muscles, work first more on control of movement and posture and making the patient independent enough to make him carry on his ADL’s smoothly.
  • The treatment should always be goal oriented and task specific than just simply doing it. The treatment in the initial part should be more encouraging (KR – knowledge of result) than focusing on the correcting things (KP-Knowledge of performance).

What was good in the workshop?

  • Good thing was that the patients were brought and our interaction (active participation) was made, which made us learn more.

What was bad in the workshop? : There was nothing bad about the workshop.

Student 3: Name not written

What did i learned today?

  • Today I learned that how to give task and not exercises and which task can be used. I knew that exercises become boring but which task to be given to eliminate boredom of exercises I learnt.

What was good in the workshop?

  • Photographs of patient activity show was good

What was bad in the workshop? Nothing

Student no 4: Karan Bansode

What did i learned today?

  • Basic of Bobath’s approach
  • What skills are needed to evaluate neuro cases
  • Treatment criteria
  • Patient psychology
  • Goal setting for patient
  • We learnt basic assessment of neuro patients

What was good in the workshop?

  • Full of practical’s
  • Explanations
  • Answers to each question
  • What was bad in the workshop? Nothing

Students no 5: Divya Devmurari

What did i learned today?

  • In workshop, today I learned how to handle patients.
  • We come to know where I am lacking.
  • Many doubts were cleared.
  • Instructions should be clear to the patients
  • Handling of patients should be proper & there should not be harm to patients

What was good in the workshop?

  • The good thing was to know methods to handle the patients

What was bad in the workshop? None

Students no 6: Pari Doiphode

What did I learned today?

  • The principles of Bobath and NDT were taught to us very well.
  • Practical sessions were there which made us remember the techniques even better.
  • Characteristics of hemiplegia and the way it can be improved.

What was good in the workshop?

  • There were in all 4 patients on whome we practically saw the deformities and the way it would be treated.
  • It will thus help us to remember well.
  • Each and every technique was discussed in details.
  • Good effort by GB sir.

What was bad in the workshop?

  • Technical how to treat patients and the techniques were taught. But in theory what to be written, how and which type of questions can be asked in university exam and how should we answered them is still not known!

Student no 6: Mansi Gala

What did i learned today?

  • Neurological examination.
  • How to asses, eval and check according to ADL’s
  • Write patients different components & methods in which we can assess patients problem and put up a treatment regime according to it.
  • NDT, ICF and Bobath

What was good in the workshop?

  • There was good interaction with patients.
  • It was an interactive seminar.
  • We got a chance to see. Assess, evaluate, treat and help patient by ourselves with supervision.

What was bad in the workshop?

  • Nothing just a little lengthy but pretty good and interesting & interactive.

Student no 7: Ishita Rambhia

What did i learned today?

  • Some of the concepts of NDT, Bobath.
  • How only some small changes in the task can be effective
  • Change in the task can change the movement of patient

What was good in the workshop?

  • To see things done on the patients rather than imagining

What was bad in the workshop?

  • The workshop should aim at individual handling of patients.

Student no 7: Name not written

What did i learned today?

  • To be a better person (therapist)

What was good in the workshop?

  • It was more of understanding the techniques. It was practical oriented learning rather than just plain theory.

What was bad in the workshop?

  • Teaching same techniques (neuro only) for 8 straight hours becomes a bit tiring at the end.

Student no 8: Name not written

What did i learned today?

  • NDT & Bobath technique
  • Use functional ADL’s as goal setting
  • Every ADL progressions are objectives

What was good in the workshop?

  • We could ourselves assess the patients.
  • It was interactive
  • First theory part was cleared and then practically we could relate it

What was bad in the workshop?

  • Nothing

Student no 9: Devanshi Suchak

What did I learned today?

  • What I learnt is the most important thing is to make patient independent to do ADL’s and also concentrate on doing it in the right manner.

What was good in the workshop?

  • Practical based with patients in front.

It was the best part rather than monotonous lecture and class lecture.

  • We learnt more
  • Enjoyed a lot !!!!

What was bad in the workshop?

  • Bad only one thing that the pattern of learning was little vague.

Student no 10:

What did i learned today?

  • Basic concept of Bobath and NDT
  • Neuro treatment approaches were introduced.
  • How the treatment should be planned?
  • Task should be given more importance than strength, ROM etc.
  • Basic assessment (Task based) of hemiplegic patients

What was good in the workshop?

  • Better to learn at stretch rather than lecture once a week.
  • Better understanding as the patients were present

What was bad in the workshop?

  • Few concepts were repeated

 

Student no 11:

What did I learned today?

  • How to assess a hemiplegic patients
  • How to integrate varous daily activities in patients treatment
  • In short knowledge of NDT and Bobath approach
  • How to document the patients progress

What was good in the workshop?

  • Present of patient int the session & not just theoretical
  • Interactive session

What was bad in the workshop?

  • It was lengthy & few concepts were repeated time & again.

Students no 12:

What did i learned today?

  • Various complex task which can be carried out in a hemi.
  • NDT &Bobath concepts
  • Activity should be task specific
  • How to tackle patients problems

What was good in the workshop?

  • Patient were actually there for us to observe and understand well
  • What was bad in the workshop?

What was bad in the workshop?

  • The sentences were repeated a few times

Student no 13:

What did i learned today?

  • Bobath principles, NDT were taught very well and demonstrated also techniques of assessment and how to approach & modify is learned well
  • Demonstration; way of approach method of teaching helps to learn well

What was good in the workshop?

  • The way, method of teaching, demonstration, presentation was good.

What was bad in the workshop?

  • Nothing was bad

Student no 14:

What did i learned today?

  • New and interactive approaches in neuro developmental therapy

What was good in the workshop?

  • Very informative and interactive session with live demonstration on patients.

What was bad in the workshop?

  • Too lengthy

Student no 14:

What did i learned today?

  • Neuro approach Bobath approach and its progression NDT
  • How to apply treatment in functional activities

What was good in the workshop?

  • Patient interaction was good thing.
  • It helped us to learn better.

What was bad in the workshop?

  • It is difficult to concentrate for so long.

 

Student no 15: Nikita Shah

What did i learned today?

  • I learned lot many things like how to approach a patient, how to assess them, how to make an exercises plan like how a therapist should plan task specific training

What was good in the workshop?

  • Workshop was awesome.
  • This type of learning helps a lot to understand things
  • Patients were also there so it was very easy to learn.

What was bad in the workshop?

  • No bad things

Student no 16: Aishwarya Sancheti

What did i learned today?

  • Being physio out observation must be good. That doesn’t means we require very high level of thinking. I mean just we have to observe our daily activities and just use it in practical for our patient treatment. Our activity that we give to patient should be task specific so that it won’t create boredom in patient.

What was good in the workshop?

  • You (sir) in initial days of or 3 year you took workshop that will help us in future and we learn it practically in front of patient.

What was bad in the workshop?

  • Nothing

Student no 17: Riddhi Desai

What did i learned today?

  • Correct way, more precise way of handling patient and assessing the patient.
  • Patient treatment should be appropriate.
  • Consider all the weakness and strength of the patients

What was good in the workshop?

  • It was very interactive, informative, encouraging for patients as well as the therapist

What was bad in the workshop? Nothing

Student no 18: Shikha Vora

What did i learned today?

  • Thank you sir for amazing workshop we got to learn a lot in this workshop
  • We got to learn what basic things we are supposed to do while treating neuro patients & how to make the treatment enjoyable & effective.

What was good in the workshop?

  • I learnt how to make the patient do their daily activities with increasing complexity & not increasing the complications.

What was bad in the workshop? Please give us a break of 5 minutes after every 2 hours so that we get freshen up.

Student no 19: Poonam Aundhekar

What did i learned today?

  • From today’s workshop I did not learned only specific treatment techniques but I got a total different outlook of physiotherapy.
  • I learnt the physiotherapy is not about the concepts that are taught, I learnt that physiotherapy is more about your skills & that is a art.
  • What was good in the workshop? The workshop was beneficial
  • What was bad in the workshop? Nothing was bad.
  • Student no 20:
  • What did i learned today?
  • I learnt exercises to give hemiplegics which were task specific
  • Very interesting
  • What was good in the workshop?
  • We learnt all about Bobath& NDT, the differences between them and how to apply them in patients.
  • It would be good if we have workshops repetitively.
  • They are better than lectures.
  • What was bad in the workshop? Nothing was bad
  • Student no 21:
  • What did i learned today? NDT &Bobath Approach
  • What was good in the workshop?
  • Actual demonstration on patients
  • Teaching variation in treatment
  • To make patient functionally independent
  • Good session
  • What was bad in the workshop?
  • Small groups should be formed and in presence of sir, each & every assessment should be done.
  • Theory should not be that boring

Student no 21:

What did i learned today?

  • NDT &Bobath

What was good in the workshop?

  • Hands on learning
  • It is easier to learn on patients than with PPT
  • PPT also was creative with picture so we learn how to give task specific exercises
  • Everything was good and couldn’t have learn better

What was bad in the workshop? Nothing was bad

Student no 22:Shreya Modi

What did i learned today?

  • We learned to assess the patient
  • It was fantastic workshop where there was lot of interaction with the patient & lots of jokes by GB sir.
  • We learned to think in a new way i.e. creating more & more treatment for ADL of patients

What was good in the workshop?

  • It was a total new experience
  • The teaching was a lot practical

What was bad in the workshop? Sir should give enough breaks in between to freshen up

Student no 23:

What did i learned today?

  • Very informative
  • We got to assess and interact with the patient
  • Different patients were there so we could understand the condition of the disease in different patients.

What was good in the workshop?

  • More practical knowledge
  • Different type of functional exercises
  • Bobath& NDT technique
  • Modified closed chain
  • Pictorial presentation
  • Easy to understand

What was bad in the workshop? Lengthy program

Student no 24:

What did i learned today?

  • I learnt how important it is to set goals according to the patient’s lifestyle and his daily activities

What was good in the workshop?

  • Interaction with the patient helped me understand more about the patient and his problems.
  • Learned how to help him overcome his shortcomings

What was bad in the workshop? Too much time 9am – 5pm

Student no 25:

What did i learned today?

  • Nero approaches
  • Bobath approach & NDT
  • Patient psychology to be kept in mind

What was good in the workshop?

  • Student interaction was good about the workshop

What was bad in the workshop?

  • 9am – 5pm is long time to pay attention till the end of workshop

Student no 26: Shweta Naik

What did i learned today?

  • In today’s workshop, I leant how to approach a patient (neuro) not only concentrate on typical ROM & muscle strength assessment but to assess patients functional activities & his  requirements for ADL’s which will help to design treatment accordingly.

What was good in the workshop? We got patients exposure nicely. Got to know about handling of patients. How to communicate & instruct patients to perform the activity.

What was bad in the workshop? Nothing was bad as such to be mentioned.

Student no 27: Pranjal

What did i learned today?

  • Bobath& NDT
  • How to set task specific goal
  • Always give functional activity as exercise
  • Different types of permutations and combinations

What was good in the workshop?

  • We got a chance to meet patients (patients of different level of severity)
  • We got to do the assessment

What was bad in the workshop? None

Student no 28: Prajakta Volke

What did i learned today?

  • First thing I learnt how to handle the patient.
  • How to communicate with patients
  • We learned concepts of NDT, stroke related problems
  • The Bobath approach & NDT concept.
  • How to manage the patients, how the many work and exercises are done by the patients.

What was good in the workshop?

  • The main good thing is the practical session
  • Communication with patients
  • Because of patient we know the real fact & it is easy to understand better
  • Sayali maam helped us a lot for understanding the concepts

What is bad thing about the workshop

  • A bit lengthy

Student no 29:

What did i learned today?

  • Bobath& NDT approaches
  • It is better to give a task specific activities instead of simple exercises
  • Proper assessment would lead to better treatment

What was good in the workshop?

  • Interactive session
  • Real & practical situation
  • Different levels of recovery patients were assessed for better understanding

What was bad in the workshop? A bit lengthy workshop

Student no 30: Pankti Samani

What did i learned today?

  • NDT Approaches of treatment
  • Treatment should be task specific
  • Increase the complexities and challenges for the tasks
  • Be specific in training and do not treat only one part. Treat the body as a whole.

What was good in the workshop?

  • The way of teaching, practically on patients was the best part.

What was bad in the workshop? Nothing bad

One response to “NDT/ Bobath approach workshop for 3rd Year BPTh on 22 August 2015

  1. Pingback: JNV Alumni : DR. Gajanan Bhalerao(PT) MPT Neuro Physiotherapist – Gems of jawahar navoday vidhyalaya, india·

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