Therapeutic Benefits of Forward Flexion
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Encouraging forward flexion is extremely beneficial to stroke survivors and can be used during any stage of recovery. I begin as soon as my patient is medically stable.

It lays the foundation for better function including transfers, sit to stand and self care. It also encourages better ROM of the hips and shoulders.

Begin by providing a good base of support with both feet flat on the floor. Position yourself on their weak side, resting your hand on their scapula or trunk.

Ask them to come forward, only to the point of any discomfort and NO further. Do not do this activity if they have had a hip replacement, other orthopedic considerations or a history of back pain.

Three or four times is usually enough. If your patient is fearful or can't flex as far forward, a therapy ball can be helpful.

Giving your patient a goal such as "reach for your shoe laces" can also make a difference. Making this a part of each treatment sessions will help your patient be more functional and less fearful.

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I have received several emails from therapists recently re: confusion about "NDT 3 week certification courses" which are being offered throughout the USA.

If you are looking for an NDT (NeuroDevelopmental Treatment) course, the treatment method originally developed by Dr. and Mrs. Bobath, be sure to ask the instructor or sponsoring agency before registering for the course. Several courses are being advertised as "NDT certification courses" and they are not approved by the NeuroDevelopmental Treatment Association.

Go to www.ndta.org for a list of all approved 3 week courses.

CEU approval in 15 states! The Physical Therapy licensing boards of 15 states have now approved our series "Functional Treatment Ideas & Strategies in Adult Hemiplegia" and "Teaching Independence: A Therapeutic Approach" for 15 contact hours.

If you have something you would like to share related to the treatment of stroke and adult hemiplegia, or if there are suggestions for future topics, please contact Jan Davis.

International Clinical Educators, inc.