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Physical Rehabilitation > Lecture 6-PNF > Flashcards

Lecture 6-PNF Flashcards

1
Q

What does PNF stand for?

A

Proprioceptive Neuromuscular Facilitation

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2
Q

What are PNF patterns?

A

Extremity patterns of movement that are rotational and diagonal facilitating synergistic patterns which is the way we move

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3
Q

What are the components of positive approach?

A
  • no pain
  • achievable task
  • set up for success
  • direct and indirect treatment
  • start with the strong
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4
Q

What are the components of Highest functioning level?

A
  • Functional approach using ICF
  • include treatment of impairments
  • activity limitations
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5
Q

What are the components of mobilize potential?

A
  • Intensive action training
  • active participation
  • motor learning
  • self-training
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6
Q

What does consider to total human being mean?

A

The entire person with his/her environment, personal, physical, and emotional factors

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7
Q

How can you use motor control and motor leaning principles?

A

Repetition in different context, respect stages of motor control, variability of practice

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8
Q

how are PNF patterns named

A

What is happening at the proximal joint or by the diagonal

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9
Q

PNF patterns are ________, combining motions in all three planes

A

spiral and diagonal

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10
Q

What are the three planes

A
  • flexion/extension
  • Abduction/adduction
  • transverse rotation
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11
Q

What are the components of D1 flexion of UE?

A

Flexion, abduction, and ER

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12
Q

What are the cues for D1 UE flexion

A

squeeze my hand, turn, and pull up and across your face

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13
Q

What are the components of D1 extension of UE ?

A

extension, adduction and IR

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14
Q

What are the cues for D1 UE extension?

A

“Open your hand, turn, and push down and out toward me”

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15
Q

What are the components for D2 UE flexion

A

Flexion-abduction-external rotation

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16
Q

What are the cues for D2 UE flexion

A

“Open your hand, turn, and lift up and out toward me”

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17
Q

What are the components for D2 UE extension

A

extension-adduction-IR

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18
Q

What are the cues for D2 UE extension

A

“Squeeze my hand, turn, and pull down and across your body”

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19
Q

What are the components for D1 LE flexion

A

flexion-adduction-ER

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20
Q

What are the components for D1 LE extension

A

Extension- abduction-internal rotation

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21
Q

What are the components for D2 LE flexion

A

Flexion-abduction-internal rotation

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22
Q

What are the components for D2 LE extension

A

Extension-adduction-external rotation

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23
Q

What are the cues for D1 LE flexion

A

“Pull your foot up, turn your heel in, and pull your leg up and across your body”

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24
Q

What are the cues for D1 LE extension

A

“Push your foot down, turn your heel out, and push down and out toward me”

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25
Q

What are the cues for D2 LE flexion

A

“Foot up, turn and lift your leg up and out toward me”

26
Q

What are the cues for D2 LE extension

A

“Foot down, turn and push your leg down and across your body”

27
Q

What are the components and cues for chop

A
  • Lead arm moves in D1E

- “Push your arms down and toward me, turn and look down at your hands. Reach down towards your knee”

28
Q

What are the components and cues for reverse chop

A
  • lead arm moves in D1F
  • “Squeeze my hand, turn and pull your arms up and across your face, turn and look up at your hands. Reach up and around”
29
Q

What are the components and cues for lift

A
  • Lead arm moves in D2F

- “Lift your arms up and out toward me, turn and look up at your hands. Reach up and around”

30
Q

What are the components and cues for reverse lift

A
  • Lead arm moves in D2E

- “Squeeze my hand, turn, and pull your arms down and across your body. Lift and turn your head. Reach down and across”

31
Q

What are the 12 foundational procedures/principles

A
  • Timing
  • Timing for emphasis
  • Resistance
  • Overflow or irradiation
  • Manual contacts
  • Positioning
  • Therapist position and body mechanics
  • Verbal cues
  • Visual guidance
  • Stretch
  • Approximation
  • Traction
32
Q

What is rhythmic initiation

A
  • Therapist moves patient through range passively with appropriate speed/rhythm
  • Active-assisted movement through range
  • Light resistance through range
  • active movement by patient
33
Q

What is dynamic reversals

A
  • Resist contraction of one pattern, then at the end of the desired range a preparatory command is given to reverse the direction and therapist’s hand placements are switched
  • slow concentric followed by concentric
34
Q

What is stabilizing reversals

A
  • Allowing only very limited movement (small ROM)

- Don’t let me move you

35
Q

What is rhythmic stabilization

A
  • uses isometric contractions, focusing on co-contraction of muscles
  • don’t let me twist you
36
Q

What is repeated stretch

A

-Quick stretch enhanced by resistance

37
Q

what is combination of isotonics

A

-Resisted concentric contraction moving through the range followed by a stabilizing contraction (hold the position) and then eccentric contraction moving slowly back to starting position

38
Q

what is replication

A
  • Patient positioned in end range and the isometric contraction is resisted
  • Isometric contraction is resisted then voluntary relaxation
  • Patient is passively moved back to starting position and asked to actively move into end position again
39
Q

What is contract relax

A
  • At point of limited ROM an isometric contraction is held for 5 to 8 seconds followed by a resisted active movement into the new ROM
40
Q

what is hold relax

A
  • At point of limited ROM an isometric contraction is held for 5 to 8 seconds followed by therapist passively moving limb into the new ROM
41
Q

what is hold-relax-active contraction

A
  • Similar to HR expect movement into the newly gained range is active by the patient, not passive
  • Active contraction is always desirable as it serves to maintain the inhibitory influence through the effects of reciprocal inhibition
42
Q

What is rhythmic rotation

A
  • Relaxation is achieved using slow, repeated rotations of the limb or body segment
  • can be active or passive
43
Q

what is resisted progression

A
  • Stretch, approximation, and tracking resistance are applied manually to facilitate lower trunk/pelvic motion and progression during locomotion
  • resistance is light as to not disrupt momentum
44
Q

What are the goals of Rhythmic Initiation?

A
  • promote initiation of movement
  • teach the movement
  • improve coordination
  • promote relaxation
  • promote independent movement
45
Q

What are the goals for dynamic reversals?

A
  • improve coordination
  • improve strength
  • improve AROM
  • improve endurance
  • reduce fatigue
46
Q

What are the goals for stabilizing reversals

A
  • improve stability
  • improve coordination
  • improve strength
  • improve ROM
  • improve endurance
47
Q

what are the goals for rhythmic stabilization

A
  • improve stability
  • improve coordination
  • improve strength
  • improve ROM
  • improve endurance
  • promote relaxation
  • decrease pain
48
Q

what are the goals for repeated stretch

A
  • enhance initiation of motion
  • motor learning
  • increase agonist strength
  • increase endurance
  • increase coordination
  • increase ROM
  • reduce fatigue
49
Q

what are the goals of combination of isotonics

A
  • improve motor learning
  • improve coordination
  • increase strength
  • promote stability and eccentric control
50
Q

What is the goal for contract relax

A

improve ROM

51
Q

what are the goals of HRAC

A

improve ROM and decrease pain

52
Q

what are the goals for replication

A
  • promote motor learning

- improve coordination and control in the shortened range

53
Q

what are the indications for rhythmic initiation

A
  • inability to relax
  • hypertonicity
  • difficulty imitating movements
  • uncoordinated movement
  • motor planning or motor deficits
  • communication deficits
54
Q

what are the indications for dynamic reversals

A
  • impaired strength, range and coordination
  • inability to easily reverse directions between agonist and antagonist
  • fatigue
55
Q

What are the indications for stabilizing reversals

A
  • impaired strength, stability and balance

- impaired coordination

56
Q

what are the indications for rhythmic stabilizations

A
  • impaired strength and coordination
  • limitations ROM
  • impaired stabilization control and balance
57
Q

What are the indications for combination of istotonics

A
  • weak postural muscles
  • inability to eccentrically control body weight during movement transitions
  • poor dynamic postural control
58
Q

What is the indication for contract relax

A

limitations in ROM

59
Q

what are the indications for HRAC

A

limitations in PROM with pain

60
Q

What are the indications for Replication

A
  • marked weakness

- inability to sustain a contraction in the shortened range

61
Q

what are the indications for resisted progression

A
  • impaired timing and control of lower trunk/pelvic segments during locomotion
  • impaired endurance
62
Q

What are the indications for rhythmic rotation

A

-relaxation of hypertonia (spasticity/rigidity) combined with passive or active ROM of the range-limiting muscles

Physical Rehabilitation (18 decks)

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