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PNF Motor Contol

PNF Techniques (Not all notes included)

QuestionAnswer
What is mobility? Ability to initiate movement through a functional range of motion
What is stability? Ability to maintain a position or posture through contraction & tonic holding around a joint Ex: Unsupported sitting with midline control
What is controlled mobility? Ability to move within a weight-bearing position or rotate around a long axis Ex: Activities on prone on elbow or weight shifting in quadruped
What is skill? Ability to consistently perform functional tasks & manipulate the environment with normal postural reflex mechanisms & balance reactions Ex: ADLs & community locomotion
What is the goal of rhythmic rotation (RR)? Mobility
What are the indications for rhythmic rotation (RR)? Relaxation of excess tension in muscles (hypertonia)combined with PROM of the range-limiting muscles
What is the goal of rhythmic initiation (RI)? Mobility
What are the verbal cues used in rhythmic initiation (RI)? "Let me move you"; "Help me move you"; "Move against the resistance"; "Move on your own"
What are indications for rhythmic initiation (RI)? Inability to relax; Hypertonicity (spasticity/rigidity); Difficulty initiating mvmt; Motor planning deficits (apraxia/dyspraxia); Motor learning deficits; Communication deficits (aphasia); Mvmt too slow/fast
What are the goals of alternating isometrics (AI)? Stability Strength
What are indications for alternating isometrics (AI)? Weakness; Decreased ability to change direction of motion; Exercised mm begin to fatigue
What are goals of rhythmic stabilization (RS)? Mobility Stability
What are indications for rhythmic stabilization (RS)? Impaired strength & coordination; Limitations in ROM; Impaired stabilization, control, & balance
What is the goal of normal timing (NT)? Skill
What is the goal of joint distraction? Mobility
What are indications for joint distraction? Inability of flexor muscles to function in mobilizing or anti-gravity patterns
What are the goals of agonistic reversals (AR)? Controlled mobility Skill
What are indications for agonistic reversals (AR)? Weak postural mm; Inability to eccentrically control body weight during mvmt transitions; Poor dynamic postural control
What is the goal of contract-relax (CR)? Mobility
What are the indications for contract-relax (CR)? Limitations in ROM
What is the goal of hold-relax (HR)? Mobility
What are the indications for hold-relax (HR)? Limitations in PROM with pain
What is the goal of hold-relax active movement (HRAM)? Mobility
What are indications for hold-relax active movement (HRAM)? Marked weakness; Inability to sustain a contraction in the shortened range
What are the goals of repeated contractions (RC)? Mobility Strength
What are indications for repeated contractions (RC)? Impaired strength; Initiation of movement; Fatigue; Limitations in AROM
What is the goal of timing for emphasis (TE)? Strength
What are indications for timing for emphasis (TE)? Weakness &/or incoordination
What are the goals of resisted progression (RP)? Skill Strength
What are indications for resisted progression (RP)? Impaired timing & control of lower trunk/pelvic segments during locomotion; Impaired endurance
What are goals of slow reversal (SR)? Stability Controlled mobility Skill
What are indications for slow reversal (SR)? Impaired strength, stability, & balance
What are goals of SR hold (SRH)? Stability Controlled mobility Skill
What are indications for SR hold (SRH)? Impaired strength, stability, & balance
What is the goal of shortened held resisted contraction (SHRC)? Stability
What is the goal of slow reversal hold through decrements of range (SRHDR)? Stabiliity
What is the goal of slow reversal hold through increments of range (SRHIR)? Controlled mobility
When is SRHDR used? When pts have increased mobility; Helps move into mid-line for stability; Gradually ask for holds closer & closer to mid-line
When is SRHIR used? Done b/t agonists & antagonists without relaxation b/t patterns. Holds applied farther & farther from mid-line. Quick stretch may be applied to facilitate movement into more range.
What are mass movements? All joints flex or extend. Movements seen early in developmental sequence. Mass withdrawal from danger (flexion); protective supporting reflex (extension)
What are advanced movements? Same movement seen at the proximal and distal joint while the intermediate joint does the opposite movement. More advanced than mass movements.
What are associated reactions? Involuntary limb movements on the hemiparetic side of a CVA patient elicited when tension is developed in another part of the body
What is a contralateral reflex response? Isolated to flex/ext UEs- resisted mvmt evokes same mvmt that was resisted from contralateral UE LEs- resisted mvmt evokes opposite mvmt that was resisted
What is homolateral limb synkinesis? Flexion of the affected UE evokes flexion of the LE on the affected side
What is Raimiste's Phenomenon? Isolated to add/abd; Resistance to add of the hip on 1 side will evoke add in opposite hip. Same is true of resisted abduction. This also occurs at the shoulder
What if Souque's Phenomenon? Raising the involved UE above 100 degrees with elbow extension will produce extension & abduction of the fingers
Created by: 1190550002
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