Date Approved

1997

Graduate Degree Type

Thesis

Degree Name

Physical Therapy (M.S.)

Degree Program

Physical Therapy

Abstract

This study examined the efficacy of Neurodevelopmental Treatment (NDT) with primary focus on seated dynamic postural control (DPC) in a chronic stroke individual. Secondarily, the relationship between postural control and upper extremity function was examined. An 11 week ABAB single subject design was utilized. DPC was measured using the Modified Functional Reach Test (MFRT) and DPC Checklists (DPCCs). The MFRT had high interrater reliability (> 0.97) for the four reach directions and therefore could be clinically useful. Data was graphically analyzed using the two standard deviation band width method. During treatment phase 1, significant upward trends were noted in anterior overhead and diagonally posterior MFRT graphs. DPCC scores for lateral shoulder and diagonally posterior reaches were significant. Anterior shoulder reach showed upward trends in the MFRT and DPCC graphs. Gains in MFRT distances and DPCC scores were maintained in phase II. In conclusion, NDT was efficacious in improving functional reach.

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