Developing Mid-Range Control and Function in Children With Fluctuating Muscle Tone

Author Regi Boehme, a certified occupational therapy instructor in neuro-developmental treatment (NDT), offers practical treatment ideas in this revised edition of her workshop manual. The material in this 58-page book is designed to support the clinician in assessment and treatment of children who exhibit fluctuating muscle tone. Generally, such children are able to initiate muscle activity but are unable to sustain it with graded mid-range control, and may not be able to terminate it in a way that is appropriate to the function. This text offers suggestions to improve postural control, movement, and function when fluctuation in muscle tone is a presenting problem. Postural control and functional movement are focal points of NDT, a therapeutic approach created for the management of cerebral palsy in 1942 by physiotherapist Berta Bobath and her physician-husband Karl Bobath. Because the material in this text is based on the work of the Bobaths, Ms. Boehme, in her insightful introductio