PNF 1/8 Flashcards
PNF philosophy
hierarchical model establish gross motor patterns in CNS use stronger parts of body to stimulate and strengthen weaker parts use manual contacts and correct handing short, concise verbal commands resistance throughout movement pattern
what movement patterns used in PNF
diagonals toward and away from midline
developmental sequence
progress of acquiring motor skill
stages rare: mobility, stability, controlled mobility, and skill
what level of motor control is- Ability to initiate movement through functional range of
Mobility
what level of motor control is-Maintain position or posture through cocontraction and tonic holding around joint
Stability
what level of motor control is- Ability to move within weight bank position or rotate a long long access
Controlled mobility
what level of motor control is- Ability to consistently perform functional task and manipulate environment with normal postural reflex and balance reactions
skill
What type of motor control level is unsupported sitting with midline control
Stability
What type of motor control level is performing activity while prone on elbows
Control mobility
What type of motor control level is weight shifting in quadruped
Control mobility
What level of motor control is performing community ambulation
Skill
What type of muscle contractions are utilized
Isometric and isotonic
Balance between agonist and antagonistic muscles
What is muscle activation of involved extremity due to intense action of uninvolved muscles?
Overflow
Helps with strengthening or improving relaxation
what level of motor control-
Contract relax,
hold relax,
joint mobilization
Mobility by increasing range of motion
what level of motor control-
Rhythmical rotation
Rhythmic stabilization
Mobility by increasing range of motion
what level of motor control-
Hold relax active movement
Joint distraction
repeated contractions
Mobility by initiating movement
what level of motor control-
Rhythmic initiation
Rhythmical rotation
Mobility by initiating movement
what level of motor control-
Alternating isometrics
progress to Rhythmic stabilization
Stability
what level of motor control-
Slow reversal
Slow reversal Hold
Stability
what level of motor control-
Agonist reversals
Slow reversal
Slow rehearsal hold
controlled mobility
what level of motor control- Normal timing Slow reversal Slow reversal hold Timing for emphasis
Skill
Distal functional movement
what level of motor control-
Agonist reversal
Resisted progression
Scale
Proximal dynamic stability
what level of motor control- Alternating isometrics Repeated contractions Resisted progression Timing for
Strength
Isotonic concentric contraction performed against resistance followed by alternating concentric and eccentric contractions with resistance
Agonistic reversals
controlled mobility, skill
Isometric contractions performed alternating from muscle on one side a joint so other side without rest
Emphasizes endurance are strengthening
Alternating isometric
Stability- Progress to rhythmic stabilization
Mobility technique to increase range of motion
As extremity reaches point of limitation, patient max contracts antagonistic muscle group
Therapist resist movement for 8 to 10 seconds followed by relaxation
Repeat Until no further gains
Contract relax
Mobility
Isometric contraction to increase range of motion
Contract until limiting points, relax, move into new acquired range to next limit
Often used for pain
Hold relax
Mobility
Improve initiation to muscle group 1/5 or less
Hold relax active movement
Passively place extremity in shortened range in pattern, Isometric contraction, Overflow and facilitate contraction
When relax extremity immediately moved into length in position with quick stretch
Ask patient to return extremity to shorten position with isotonic contraction
Hold relax active movement
Mobility-initiate movement
Consistent manual traction provided slowly in combination with mobilization techniques
Can combine with quick stretch to initiate movement
Join distraction
Mobility - increase range of motion, initiate movement
Improve coordination of all components of a task
Proximal component restricted until distal components activated and then initiate movement
Perform distal to proximal sequence
Normal timing
Skill
Initiate movement and sustained contraction through range of motion
Initiate movement pattern through weak movement pattern or point of weakness within movement pattern
Therapist provides quick stretch
follow with isometric isotonic contraction
Repeated contractions
Mobility
Emphasize coordination of proximal components during gait
Resistance added to pelvis, hips, extremity during gait to enhance coordination, strength for
Resisted progression
Skill
Assist initiating movement with hypertonia
Tell patient let me move you for passive movement
Progress to help me move you active assistance
Progress to move against resistance
Rhythmic initiation
Mobility
what movement qualities of rhythmic initiation help produce hypertonia and allow for full range of motion
Slow and rhythmical
Increase range of motion and coordinate isometric contractions
Isometric contract All muscles around joint against progressive resistance
Patient relaxes and move into new range, repeat technique
Rhythmic stabilization
Mobility,
Passive technique to decrease hypertonia by slowly rotating extremity around longitudinal axis
Relaxation increase his range of motion
Rhythmical rotation
Slow and resisted concentric contraction around a joint without rest between reversals;
can add isometric contraction at end for more stability
Improve control movement and posture
Slow reversal
Slow reversal hold
Stability, control mobility, skill
Strengthen week component of a motor pattern
Isotonic an isometric contractions produce overflow too weak muscles
Timing for emphasis
Skill
