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PNF Information

QuestionAnswer
What does PNF stand for? Proprioceptive (input/stimulation from environment about location and mvmt) Neuromuscular Facilitation (from basic activation to strengthening)
What are the 5 goals of PNF? 1. Strengthening/Endurance(eg:s/p RTC repair) 2. Coordination 3. Improve flexibility 4. Facilitate motion (eg: s/p CVA) 5. Improve balance
What are the 3 sensory cues used to encourage PNF movement? 1. visual 2. cutaneous 3. Auditory
What is irradiation? Stronger muscle groups to improve weaker ones (overflow)
PNF movements are not standard osteokinematics. Instead, they are a combo of movements. What are the 4 movements? 1. multiplanar 2. diagonal 3. Rotational 4. Multijoint
What are the 3 major components each movement pattern has? 1. Flexion/Extension 2. Abduction/Adduction 3. IR/ER
How are the PNF patterns named? They are named for ending position of the most proximal joint. (shoulder, hip)
Flexion patterns are always paired with...(3) ER, Radial Deviation, and Supination
What are the 4 bilateral PNF pattern variations? 1. Symmetrical -same pattern,same direction on both sides 2. Symmetrical reciprocal- same pattern, opp directions 3. Asymmetrical -opp pattern, same direction(D1 one side,D2 on the other) 4. Asymmetrical reciprocal -opposite pattern, opposite direction
What are the 7 key elements of PNF? 1.Volume verbal q's 2.Normal timing of motion 3.Bdy position of therapist(in the diag) 4.Manual contacts(lumbrical grip) 5.Resistance if needed(allow motion to be completed;based on goals:strength v endurance) 6.irradiation(spread of mm activity) 7.vision
Extension patterns are always paired with...(3) IR, Ulnar deviation, and pronation
What is rhythmic initiation? PROM-->AAROM-->AROM Learning the pattern
What is the PNF technique: Combination of isotonics? concentric--> isometric --> eccentric w/isometric - we stop @ certain spots to perform isometric contraction --> this builds strength at that range (angle specificity)
Patient is unable to complete the full ROM of the D1 pattern. What is a PNF technique that could be used to help the patient work toward getting through the full range? Using a combination of isotonics would help. It will allow them to build strength.
What is repeated stretch (contractions)? Eliciting stretch reflex - can be performed at beginning of pattern (stretch) and/or t/o the pattern (contractions)
What is contract relax (hold relax)? Resist isometric contraction of muscles that are limiting motion. Hold ~5sec. Relax - Then move into increased ROM (PROM) - Continue to do this to increased ROM - works due to reflex relaxation
What is contract relax contract? Resist isometric con't of mm that r limiting motion; hold~5sec(knee/) -pt actively moves into incROM by activating antagonist of mm limiting motion(knee flexors) -Continue to incROM -works2/2reciprocal inhibition(when increasing mvmt,turn off antagonist)
What are the functional activities upper extremity D1 can be used for? Eating, putting on earrings, shaving, combing hair
What are the functional activities upper extremity D2 can be used for? Turning off light switch in supine in bed, reaching for seat belt, putting arm through coat sleeve
What are the functional activities lower extremity D1 can be used for? Baseball, soccer, rolling in bed
What are the functional activities lower extremity D2 can be used for? Karate, on/off a horse, in/out a car
What is the end position of upper extremity D1 flexion? extension? Flexion: end position when bowling Extension: playing tennis
What is the end position of upper extremity D2 flexion? extension? Flexion: Waiter position (Cheerleader V) Extension: pulling out a sword
What is the end position of lower extremity D1 flexion? extension? Flexion: guy sitting cross legged Extension: pushing a scooter
What is the end position of lower extremity D2 flexion? extension? Flexion: hacky sack extension: supine crossed leg
Describe the position of the patient's scapular, shoulder, elbow, forearm, wrist, and fingers in D1 flexion of the UE. Scapula elevation, protraction, upward rotation Shoulder flexion, adduction, ER Elbow flexion or extension Forearm supination Wrist flexion and radial deviation Fingers flexion
Describe the position of the patient's scapular, shoulder, elbow, forearm, wrist, and fingers in D1 extension of the UE. Scapula depression, retraction, downward rotation Shoulder extension, abduction, IR Elbow flexion or extension Forearm pronation Wrist extension and ulnar deviation Fingers extension
Describe the position of the patient's scapular, shoulder, elbow, forearm, wrist, and fingers in D2 flexion of the UE. Scapula elevation, retraction, upward rotation Shoulder flexion, abduction, ER Elbow flexion or extension Forearm supination Wrist extension and radial deviation Fingers extension
Describe the position of the patient's scapular, shoulder, elbow, forearm, wrist, and fingers in D2 extension of the UE. Scapula depression, protraction, downward rotation Shoulder extension, adduction, IR Elbow flexion or extension Forearm pronation Wrist flexion and ulnar deviation Fingers flexion
Describe the position of the patient's pelvis, hip, knee, ankle, and toes in D1 flexion of LE. Pelvis protraction Hip flexion, adduction, ER Knee flexion or extension Ankle dorsiflexion, inversion Toes extension
Describe the position of the patient's pelvis, hip, knee, ankle, and toes in D1 extension of LE. Pelvis retraction Hip extension, abduction, IR Knee flexion or extension Ankle plantarflexion, eversion Toes flexion
Describe the position of the patient's pelvis, hip, knee, ankle, and toes in D2 flexion of LE. Pelvis protraction Hip flexion, abduction, IR Knee flexion or extension Ankle dorsiflexion, eversion Toes extension
Describe the position of the patient's pelvis, hip, knee, ankle, and toes in D2 extension of LE. Pelvis retraction Hip extension, adduction, ER Knee flexion or extension Ankle plantarflexion, inversion Toes flexion
You want to use rhythmic stabilization (stabilizing reversals) with your patient, but she has shoulder instability. How should you position this patient? Have them lay supine with one arm straight up toward ceiling and push that are right to left, etc this is a non-provocative position for shoulders (vs ER = provocative)
What does the PNF technique "Reversals of antagonists" promote? What are the two types? - promotes balance and/or stability 2 types: Dynamic reversals and Rhythmic stabilization (stabilizing reversals)
Describe dynamic reversals. Reverse direction on cue & repeatedly t/o motion
Describe rhythmic stabilization (stabilizing reversals) trying to cause co-contraction of mm's to increase stability Eg: trunk: push someone from front, back,etc) Eg: shoulder: pts with chronic dislocation, this technique can help foster stabilization and strength around that joint
What is a good PNF technique to use on an individual with tight hamstrings? Contract Relax Contract - do an isometric contraction of mm's limiting motion then move through increased range position: supine hamstring stretch
Created by: srussel
 

 



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