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PT10117 Neurological Evaluation and Intervention > L3 Part 3: Proprioceptive Neuromuscular Facilitation > Flashcards

L3 Part 3: Proprioceptive Neuromuscular Facilitation Flashcards

1
Q

What is the definition of Proprioceptive Neuromuscular Facilitation (PNF)? Who proposed this?

A

PNF is a technique of promoting or hastening the response of the neuromuscular system by stimulating its proprioceptors; This was proposed by Herman Kabat (not sure if kasama si Maggie Knott)

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2
Q

What are the five (5) philosophies of PNF?

A

No pain, functional approach, active
participation, motor learning, self-training

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3
Q

Principles Governing PNF: Which principle stated that the brain knows nothing of
individual muscle action but
knows only movement? (e.g. Ang alam lang ng brain ay may “taga-flex” pagfinofold yung elbow)

A

Beevor’s Axom

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4
Q

Principles Governing PNF: Which principle stated that the pattern of movement is
facilitated by the immediate
contraction of its antagonist?

A

Sherrington’s Law of Successive Induction

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5
Q

Principles Governing PNF: Which principle stated that when the agonist contracts,
the antagonist relaxes

A

Sherrington’s Law of Reciprocal Innervation

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6
Q

Principles Governing PNF: Which principle stated that a pattern of movement is
facilitated when resistance is
applied to that motion so
that contraction from the
stronger muscles flow to the
weak muscles?

A

Sherrington’s Law of Irradiation

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7
Q

Principles Governing PNF: Which principle stated that when a muscle is put on
stretch for a prolonged
amount of time or contracts
isometrically, the GTO is
activated and inhibits the
tension, allowing the muscle
to relax and elongate. This
elongation during a stretch
or extreme tension helps
prevent the possible tearing
of a tendon or muscle.

A

Autogenic Facilitation

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8
Q

What are the six (6) goals of PNF?

A

● To inc demands made by voluntary effort
● To initiate reflex actions and interaction with the antagonist
● To strengthen weak musculature
● To promote movement limited by pain
● To enhance functional activities
● To promote balance of tone

Suggested Mnemonic: PEPSII

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9
Q

What are the (4) overall objectives of PNF?

A

● To hasten the recovery of normal function
● To attempt to establish or reestablish optimum function as quickly as possible
● Mass movement patterns of facilitation are spiral and diagonal in character and closely resemble the movements used in sports and in work activities
● Each diagonal is made up of two patterns that are antagonistic to each other.

Suggested Mnemonic: HAMOD

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10
Q

What are the three major components of PNF?

A

● Flexion or Extension
● Motion towards and across (Adduction) or motion across and away (Abduction) from midline with reference to extremity pivots
● External rotation (supination and inversion) or internal rotation

Suggested Mnemonic: FEM

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11
Q

Pivots and PT’s Hand Placement: If PT puts their hands on the proximal segments of UE/LE, what does the PT want to facilitate or develop? And what are these proximal segments that we are referring to?

A

PT wants to develop stability through applying hand placement at the should or hip

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12
Q

Pivots and PT’s Hand Placement: If PT puts their hands on the intermediate segments of UE/LE, what does the PT want to facilitate or develop? And what are these intermediate segments that we are referring to?

A

PT wants to facilitate guided movement and practice correct movement; Elbow and Knee

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13
Q

Pivots and PT’s Hand Placement: If PT puts their hands on the distal segments of UE/LE, what does the PT want to facilitate or develop? And what are these distal segments that we are referring to?

A

PT wants to promote coordination; Wrist and ankle

This also directs the joint to coordinate the movements

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14
Q

Pivots and PT’s Hand Placement: If PT puts their hands on the digital segments of UE/LE, what does the PT want to facilitate or develop? And what are these digital segments that we are referring to?

A

PT wants to promote manipulation and grasping; Finger and toes

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15
Q

PELVIC MOTION DURING WALKING: What happens to the trunk when there is an elevation of the pelvic brim?

A

trunk flexion

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16
Q

PELVIC MOTION DURING WALKING: What happens to the trunk when there is an depression of the pelvic brim?

A

trunk extension

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17
Q

D1 and D2 LE Flex and Ext: What is the component of the knee?

A

Either Ext or Flex

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18
Q

D1 Flexion: Three Components of Scapulothoracic

A

Upward rotation
Abduction
Ant elevation

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19
Q

D1 Flexion: Three Components of Glenohumeral

A

ER
Add
Flexion

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20
Q

D1 Flexion: What is the component of elbow?

A

Flexion

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21
Q

D1 Flexion: What is the component of Radioulnar?

A

Supination

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22
Q

D1 Flexion: What are the two (2) components of wrist?

A

Flexion and Radial Dev

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23
Q

D1 Flexion: What are the two (2) components of Fingers?

A

Flexion and Adduction to the radial side

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24
Q

D1 Flexion: What are the two (2) components of the thumb?

A

Flexion and Adduction

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25
Q

D1 Ext: Three (3) Components of Scapulothoracic?

A

Downward rotation
Adduction
Posterior Depression

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26
Q

D1 Ext: Three (3) Components of GH joint

A

IR
Abd
Extension

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27
Q

D1 Ext: Component of Elbow

A

Extension

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28
Q

D1 Ext: Component of Radioulnar

A

Pronation

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29
Q

D1 Ext: Component of Wrist

A

Extension and ulnar dev

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30
Q

D1 Ext: Two (2) Components of Fingers

A

Extension and abduction to ulnar side

31
Q

D1 Ext: Two (2) Components of Thumb

A

Abduction and extension

32
Q

D2 Flex: Three (3) components of Scapulothoracic

A

Upward Rotation
Adduction
Post elevation

33
Q

D2 Flex: Three (3) components of GH joint

A

ER
Abduction
Flexion

34
Q

D2 Flex: The component on elbow joint

A

Flexion

35
Q

D2 Flex: Component of Radioulnar

A

Supination

36
Q

D2 Flex: Two (2) Components of Wrist

A

Ext and Radial dev

37
Q

D2 Flex: Two (2) Components of Fingers

A

Abduction to the Radial side and extension

38
Q

D2 Flex: Two (2) Components of Thumb

A

Adduction and Extension

39
Q

D2 Extension: Three (3) Components of Scapulothoracic

A

Downward rotation, abduction, anterior depression

40
Q

D2 Ext: Three (3) Components of GH joint

A

IR
Add
Extension

41
Q

D2 Ext: Component of Elbow

A

Ext

42
Q

D2 Ext: Two components of Wrist

A

Flexion and Ulnar dev

43
Q

D2 Ext: Two components of Fingers

A

Flexion and Add to ulnar side

44
Q

D2 Ext: Two components of Thumb

A

Flexion and Abduction

45
Q

D1 Flex: Three components of Hip

A

FADER: Flexion, Adduction, ER

46
Q

D1 Flex: Component of Ankle

A

DF

47
Q

D1 Flex: Component of Subtalar

A

Inversion

48
Q

D1 Flex: Two (2) Components of Toes

A

Ext and Abduction to Tibial Side

49
Q

D1 Ext: Three (3) Components of Hip

A

EXABIR: Ext, Abd, IR

50
Q

D1 Ext: Component of Ankle

A

PF

51
Q

D1 Ext: Component of Subtalar

A

Eversion

52
Q

D1 Ext: Component of Toes

A

Flexion and Add to fibular side

53
Q

D2 Flex: Components of HIP

A

FABIR: Flexion, Abducion, IR

54
Q

D2 Flex: Component of Ankle

A

DF

55
Q

D2 Flex: Component of Subtalar

A

Eversion

56
Q

D2 Flexion: Two Components of Toes

A

Ext and Abd to fibular side

57
Q

D2 Extension: Three (3) components of HIP

A

EXADER: Extension, Adduction, ER

58
Q

D2 Ext: Component of Ankle

A

PF

59
Q

D2 Ext: Component of Subtalar

A

Inversion

60
Q

D2 Ext: Two (2) components of Toes

A

Flexion and Adduction to Tibial side

61
Q

PRINCIPLE OF PNF: Early motor behavior is dominated by _______ _______. Mature motor behavior is reinforced or supported by a
_____ _____ ______

A

reflex activity; postural reflex mechanism

62
Q

PRINCIPLE OF PNF: The growth of motor behavior has _______ as evidenced by shifts between ________ dominance

A

cyclic trends; flexor-extensor

63
Q

PRINCIPLE OF PNF: _______ activity is made up of ______
movement

A

Goal-directed; diverse

64
Q

PRINCIPLE OF PNF: Normal movement and posture are dependent upon
______ and _____ interaction of ________

A

synergistic; balanced; antagonists

65
Q

PRINCIPLES OF PNF: Developing _______ _______ is expressed in an orderly sequence of total patterns of ______ and _____

A

motor behavior; movement; posture

66
Q

PRINCIPLES OF PNF: ______ motor development has an orderly sequence but lacks ______ quality.

A

Normal; step-by-step

67
Q

PRINCIPLES OF PNF: Improvement of motor ability is dependent upon ______ ________. In PNF, done by _____.

A

motor learning; conditioning

68
Q

PRINCIPLES OF PNF: ________ activities coupled with ______ of ______ are used to hasten the learning of total
patterns of walking and self-care activities.

A

Goal-directed; techniques of facilitation

69
Q

COMBINED MOVEMENTS: Paired Extremities perform like movements at the same time

A

Symmetrical

70
Q

COMBINED MOVEMENTS: Paired Extremities perform movements towards one side at the same time

A

Asymmetrical

71
Q

COMBINE MOVEMENTS: Paired Extremities perform movements in opposite directions at the same time

A

Reciprocal

72
Q

COMBINED MOVEMENTS OF UE AND LE: Extremities of the same side move in the same direction at the same time

A

IPSILATERAL

73
Q

COMBINED MOVEMENTS OF UE AND LE: Extremities of opposite sides move in the same direction at the same time

A

CONTRALATERAL

74
Q

COMBINED MOVEMENTS OF UE AND LE: Contralateral extremities move in the same direction at the same time, while opposite contra-lateral extremities move in the opposite direction

A

Diagonal Reciprocal

PT10117 Neurological Evaluation and Intervention (5 decks)

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