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 in– 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 –> 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
D2 extension
Scapula is protracted (depressed, ABducted, downward rotation),
D2 flexion
Scapula is retracting (elevating, ADducting, upwardly rotating)
LE D1 flexion
pelvis: retraction
