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N PNF

notes for quiz

TermDefinition
overflow (irradiation) resisting all mm's in the pattern
rebounding w/reversing (SR & AI) give resistance to opposite diagonal
autogenic inhibition w/stretching hold-relax
reciprocal inhibition w/stretching hold-relax agonist contract
always combine activity + technique + elements
activity dev postures, extremity diagonals, bilateral extremity patterns include trunk motions
technique slow reversal (SR), slow reversal hold (SRH), agonist reversal (AR), rhythmic initiation (RI), alternating isometrics (AI), hold-relax (HR), hold-relax agonist contract (HRAC)
elements cuing, sensory input. timing important. manual contacts: resistance, quick stretches. verbal cues. visual cues. other facilatory & inhibitory techniques
UE D1 F (eat) shd-flex, add, er/elbow-flex/wrist-flex, rad dev/fingers-flex/thumb-flex
UE D1 E (throw it away) shd-ext, abd, ir/elbow-ext/ wrist-ext, ulnar dev/fingers-ext/thumb-ext
UE D2 F (draw sword) shd-flex, abd, er /elbow-ext/ wrist-ext, rad dev/fingers-ext/thumb-ext
UE D2 E (thumb in pocket) shd- ext, add, ir/ elbow-flex /wrist-flex, ulnar dev/finger-flex/ thumb-opposition
LE D1 F (check shoe bottom) hip-flex, add, er/knee-flex /ankle-dorsiflex, inversion/toes-ext
LE D1 E (step in poo)hip-ext, abd, ir/knee-ext/ ankle-plantarflex, eversion/toes-flex
LE D2 F (foot up) hip-flex, abd, ir/ knee-flex/ ankle-dorsiflex, eversion/ toes-ext
LE D2 E (point toe on ground)hip-ext, add, er /knee-ext /ankle-plantarflex, inversion/ toes-flex
chop/reverse chop asymmetrical-D1-one hand does D1, other hand holds wrist of 1st hand w/thumb up. follow hand w/eyes for trunk flex/ext w/rotation
lift/reverse lift asymmetrical-D2-one hand does D2, other hand holds wrist of 1st hand. follow hand w/eyes for trunk flex/ext w/rotation
bilateral symmetrical UE D2 both hands do D2 at the same time- facilitates flex/ext of trunk
bilateral asymmetrical UE D1 (rowing)-pronate fwd hand, supinate other hand-can add resistance, but usually the rotation is more important than resistance
SR slow reversal- perform the direction that is opposite the weak mm actively, then perform the direction containing the weak mm actively. add resistance to the strong direction first. then same amount to weak. facilatory, strengthening
SRH slow reversal hold- DO SR & add isometric hold at end range before changing hand placement to go to the other direction. added regardless if arc is done active or w/resistance. isometric is submaximal. facilatory, strengthening
AR agonist reversal- concentric & eccentric of same diagonal component. use of weights & theraband. facilatory, strengthening
AR D1 & D2 ext tie theraband overhead-concentric coming down, eccentric going up
AR D1 & D2 flex step on theraband (same foot D1, opposite foot D2)- concentric going up, eccentric going down (can only work flexor components w/cuff wt or hand wt)
RI rhythmic initiation- PASSIVE, to ACTIVE-ASSISTED, to ACTIVE, to RESISTED. manual contacts supportive until ACTIVE then hand placement per PNF techniques. used to inhibit hypertonus then facilitate active use of limb
AI alternating isometrics- agonist to agonist w/o rest(must change manual contacts accordingly) can be used with closed or open chain ex. facilatory, strengthening
HR hold-relax- use PNF contacts-go to point of tightness-change contacts to change direction-back off-have pt try to move-hold(10sec)-stretch again-back off a little-hold-keep repeating until mm won't go any farther-resist pt back to start position
HRAC hold-relax agonist contract- uses reciprocal inhibition to increase ROM, use PNF contacts, medium isometric
before doing HR tell pt we're trying to wear out the tight mm w/ some resistance so it will give a little bit easier
Created by: jessigirrl4