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Interventions II > Lecture 18: PNF > Flashcards

Lecture 18: PNF Flashcards

1
Q

Propioceptive

A

receiving stimulation with the tissues of the body

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2
Q

Neuromuscular

A

pertaining to nerves and muscles

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3
Q

Faciliation

A

making it easer

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4
Q

Definition of PNF

A

an approach to therapeutic exercise that combines functionally based diagonal patterns of movement with techniques of neuromuscular facilitation to evoke a motor response and improve neuromuscular control and function

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5
Q

Indications of PNF

A
  • improve initiation of movement
  • improve coordination of movement
  • improve control of movement
  • improve stability and mobility
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6
Q

contraindications of PNF

A
  • wound/post-operative site
  • acute conditions/recent fx
  • acture cardiopulm conditions
  • joint traction with flaccidity
  • spasticity that increases with reps
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7
Q

general guidelines to PNF

A
  • total movement patterns
  • spiral or diagonal based patterns
  • focus on major body parts: UE/LE, trunk, head/neck

*LE and head/neck often dont use PNF

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8
Q

PNF patterns have __ dimensions

A

3

  • flexion/extension
  • abduction/adduction
  • rotation
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9
Q

PNF movement occurs in a ___ direction with ___ component

A

diagonal direction with rotatory component

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10
Q

D1 flexion pattern

A

flexion, adduction, external rotation

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11
Q

d1 extension pattern

A

extension, abduction, internal rotation

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12
Q

d2 flexion

A

flexion, abduction, external rotation

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13
Q

d2 extension pattern

A

extension, adduction, internal rotation

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14
Q

D1 flexion picture

A
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15
Q

D1 extension picture

A
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16
Q

D2 flexion picture

A
17
Q

D2 extension picture

A
18
Q

D1 flexion is functional for

A

combing hair

19
Q

d1 extension pattern is functional for

A

reaching back for something

20
Q

PNF application essentials

A
  • teach patterns start to finish
  • mechanics and body position are essential
  • begin pattern with distal component (fingers)
  • appropriate pressure
  • patient should look at limb
  • use verbal cues
  • rotation is pivotal
21
Q

therapist position for PNF

A
  • visualize diagnoal line of movement

- watch body mechanics (stay in diagnol - GROOVE)

22
Q

Manual contact of therapist

A
  • lumbrical grip used by therapist to control movement and resist rotation
  • pressure comes from flexion at MCP joints
  • therapist fingers conform to body part
  • do not cause pain due to squeezing or putting too much pressure on the bony body parts
23
Q

communication and demands

A
  • hand contact #1 form of communcation
  • verbal commands very important
  • vision theirs and yours
24
Q

techniques of faciliation

A
  • slow reversal
  • slow-reveral hold
  • quick stretch
  • repeated contractions
  • hold relax
  • contract relax
  • otthers
25
Q

quick stretch

A

utilization of the stretch reflex to facilitate a muscular response

26
Q

slow-reversal

A
  • isotonic contraction followed immediately by isotonic contraction of antagonist muscles
  • overflow from strong pattern to weaker pattern
  • purpose: increase strength and facilitate normal timing and coordination
27
Q

slow-reversal hold

A
  • isometric hold performed at the end of an isotonic diagnol pattern
  • purpose: increase strength in a particularly weak or uncoordinated portion of range
28
Q

related contractions

A
  • repeated concentric contractions (often initiated with quick stretches)
  • can be used at any point in the range of motion when more weakness is noted
  • principle of irradiation
29
Q

wrist finger flexion 1/5 - which PNF pattern would be best

A

D2 extension
D1 flexion
-both positions require wrist and fingers to be in flexion

30
Q

go-to technique for administering PNF

A

slow-reversal

quick stretch may come in handy if not initiating well at the beginning (may be probable for stroke patients)

31
Q

do not perform PNF on patients who have difficulty

A

following multi-level commands

Interventions II (11 decks)

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