Irene Acevedo, MS, PT, Cert MDT

The NDT Neurological Rehabilitation

Effective neurological treatment is given by adequate knowledge base as well as much understanding in neuroscience.  Normal movements require a fine control and balance between facilitating the right muscle group (agonist) while inhibiting other muscle group (antagonist). 

If a patient suffers insult to one side or part of the brain, he or she is likely to exeperience weakness or even paralysis in one side of his body, it may be the right leg, arm, face, or eye.  This is known as "hemiparesis."  Weakness, or flaccidity, is due to lack of neuronal stimulation to facilitate the agonist muscle groups for a particular movement.  A patient may also have abnormally high tone (hypertonicity/ spasticity), which is the over-stimulation of a certain muscle group, causing that group of muscles to be involuntarily tight, or spastic.

Based on human developmental sequence and movement science, the Neurodevelopmental Treatment (NDT) is developed as a logically and scientific approach to systematically regain proper balance between facilitation and inhibition of all muscular control of the body.  It is the most effective treatment methodology for neurological dysfunctions, because it targets the root of the problem from the central nervous system to all the peripheral controls--the control of the trunk, arms, legs, etc.  The post-graduate certification training process to become a certified NDT therapist is lengthy and extensive.  This ensures the certified therapists to be competent in providing such rehabilitative process for their neurological patients.  Most importantly, this enables patients with neurological deficits to improve their quality of life by achieving optimal movement control for all activities of daily living.

Mechanical Diagnosis and Therapy

This is to target spinal symptoms and all peripheral musculoskeletal injuries to achieve effective long-term outcome within minimal amount of visits. Expertise in mechanical symptomology for effective patient education is essential, because it empowers an individual to recognize symptoms, apply appropriate regimen immediately and prevent recurrence.

The Myth of Low Back Pain

While the traditional, unscientific approach of physical therapy and manipulative therapy fail to give long-term relief to low back pain patients, many people resort to think that they have to live with their low back pain (LBP) for the rest of their lives.  Such myth has misled over milions of Americans to miss work, alter their quality of life, and even become addictive to pain-killer medications.

As a physical therapist (PT), I was in that midst for almost 5 years--applying hot or cold pack, electrical stimulation and/ or ultrasound, as well as some soft tissue or joint mobilization and giving exercises to my LBP patients, thinking that there was no certainty whether their symptoms would improve.  Until one day I came across a PT who was partially trained in the McKenzie system, the ambiguity of the efficacy of traditional LBP regimen began to subside.  It was surprising to see how his patients improved so quickly.  They were so excited and grateful that they would bring him gifts again and again.  Additionally, I was stunned by the fact that he could give logical answers to my questions in spinal analysis where none of my other colleagues in history could.  Since learning is the primary motivation for me to stay in this profession, I began the series of courses in the McKenzie methodology in 2002. 

The highlight of the McKenzie system is that it is entirely based on research and evidence-based principles.  Therefore it is logical and effective.  The consistent success in my practice using the McKenzie method brought me to become a certified credentialed practitioner.  Not only was it a life-changing experience to me, but also to my colleagues and patients.  At least a dozen of my fellow therapists began the McKenzie training, and some even reached certification.  The average number of visits required for LBP treated by the McKenzie systems is 6 nationally, and 4 in my professional statistics.  Most patients are painfree after 1-2 visits and began core training on the third or fourth visit to prevent recurrence.  Based on research science and my experience, I testify that there is no such thing that everyone with LBP would have to "live with it for the rest of his life", although they would have to live with it for as long as they wait to seek effective help.