PNF Flashcards
PNF patterns
Mass movement patterns which are characteristic of normal motor behavior which involves integrated movement rather than individual mm action
Deficient neuromuscular system
limitations of movement in a number o ways such as weakness, incoordination, adaptive shortening or immobility of joints, mm spasm, or spasticity
__ diagonal patters per major part of body:
Two:
Goal of treatment
individual have ability to perform both diagonals in a coordinated manner through full range of motion with a balance of strength b/w the two antagonistic patterns in both diagonals
manual contact
Helps tell pt which direction you want them to move
Can be used to emphasize certain movement by contact prox/distal to specific joint
Commands
Voice makes a difference in pt response
Strong, firm for encouragement
Soft, subtle for relaxation, pain
stretch
Rotation is a key component of stretch
Quick stretch helps to facilitate a response
put patient in opposite direction you want them to move inβ lengthen mm that are going to work
Traction + approximation
Traction: Decrease compression I joint if pain.
- Promotes movement
Approximation:
- helpful when pt working on sitting or standing balance
- used when the motion is one of pushing
-
Maximal resistance
- Help facilitate the mm spindles and motor neuron response
- helps augment the alpha and gamma neuron responses
- Want to give pt max resistance possible while they are able to take full ROM
- Might be no resistance (gravity) or assisting
Normal timing
Sequence of mm contractions that results in coordinated movement.
Coordinated movement occurs distal β> proximal
- ex: picking up a cup & bringing it to mouth, rotation should occur first
Techniques
Reversal of antagonist
Stages of motor control + application of techniques
Mobility, stability, controlled mobility, skill
Extremity patterns: 3 different ways
- Intermediate joint is held extended throughout the movement
- Intermediate joint flexes during the movement
- Intermediate joint extends during the movement
D1 flexion
Hand:
- Finger flexion
- Thumb flexion + adduction
Wrist:
- Wrist flexion + radial deviation
Arm:
- Supination
- Minimal elbow flexion
Shoulder:
- Flexion, adduction, external rotation
Scapula:
-Elevated, abducted, and upwardly rotating
-Crosses the body
- Weak serratus anterior
D1 extension
Hands:
- Finger extension
- Thumb abduction + extension
Wrist:
- Extension (initially)
- Ulnar deviation
Shoulder:
- Extension
- Abduction
- Internal rotation
scapula is going into depression, adduction, and downwardly rotating