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PT 10117 - Neuro Eval and Interv > PNF > Flashcards

PNF Flashcards

1
Q

PNF

A

system of promoting and facilitating the response of the neuromuscular mechanism by stimulating the proprioceptors

use of spiral and diagonal movement patterns

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2
Q

Reciprocal Innervation

A

contraction of muscles is accompanied by the simultaneous inhibition of their antagonists

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3
Q

Successive Induction

A

increased excitation of the agonist muscles follows the stimulation and contraction of their antagonist

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4
Q

Irradiation

A

spreading of excitation leads to increased strength of the response

strength of the strongest can leak to the weakest to strengthen it

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5
Q

PNF Principles

A

Potentials that have not been fully developed
Rhythmic and reversing in character of movement
Orderly sequence of total patterns of movement and posture
Repetition for retention of motor learning
Goal-directed activities
Selection of appropriate sensory cues

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6
Q

UE D1 Flexion Pattern

A

ST: Elevation, Abd, UR
GH: FADER
Elbow: Flexion
RU: Supination
Wrist: Flexion, RD
Fingers: Flexion, Add
Thumb: Add

wearing seatbelt/picking apples

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7
Q

UE D1 Extension Pattern

A

ST: Depression, Add, DR
GH: EXABIR
Elbow: Extension
RU: Pronation
Wrist: Extension
Fingers: Extension
Thumb: Abd

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8
Q

UE D2 Flexion Pattern

A

ST: Elevation, Abd, UR
GH: FABER
Elbow: Flexion
RU: Supination
Wrist: Flexion
Fingers: Extension
Thumb: Extension

throwing a sword away

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9
Q

UE D2 Extension Pattern

A

ST: Depression, Add, DR
GH: EXADIR
Elbow: Extension
RU: Pronation
Wrist: Extension
Fingers: Flexion
Thumb: Flexion

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10
Q

LE D1 Flexion Pattern

A

Hip: FADER
Knee: Flexion
Ankle: DF, Inversion
Toes: Extension, Abd

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11
Q

LE D1 Extension Pattern

A

Hip: EXABIR
Knee: Extension
Ankle: PF, Eversion
Toes: Flexion, Add

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12
Q

LE D2 Flexion Pattern

A

Hip: FABIR
Knee: Flexion
Ankle: DF, Eversion
Toes: Extension, Abd

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13
Q

LE D2 Extension Pattern

A

Hip: EXADER
Knee: Extension
Ankle: PF, Inversion
Toes: Flexion, Add

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14
Q

Bilateral Patterns

A

Symmetric
Asymmetric
Reciprocal

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15
Q

Symmetric Patterns

A

paired extremities perform same movements at the same time

ex. rowing, weightlifting

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16
Q

Asymmetric Patterns

A

paired extremities perform movements towards the same side

ex. canoeing

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17
Q

Reciprocal Patterns

A

paired extremities perform movements towards opposite directions

18
Q

Upper & Lower Extremities Combined Movements

A

Ipsilateral Patterns
Contralateral Patterns
Diagonal Reciprocal Patterns

19
Q

PNF Progressions

A

total to individuated
proximal to distal, distal to proximal
mobile to stable
gross to selective
reflexive to deliberate
overlapping to integrative
incoordinate to coordinate

20
Q

PNF Basic Procedures

A

Manual Contact (MC)
Command and Communication
Stretch (STR)
Traction (TR) and Approximation (AP)
Maximal Resistance (MR)
Timing; Timing for Emphasis (TE)

21
Q

Manual Contact (MC)

A

tactile cues, stabilization, manual resistance

22
Q

Command and Communication

A

clear instructions and goals of itnervention
modulated voice depending on the situation (encouraging or relaxing)

23
Q

Stretch (STR)

A

proprioceptors should be stimulated

24
Q

Traction (TR) and Approximation (AP)

A

traction: mobility (pull away)
approximation: stability (stick together)

25
Q

T/F

Manual resistance is not common for neuro/stroke

A

False
it is more common

26
Q

Facilitation: Directed to Agonist Techniques

A

Repeated Contraction
Rhythmic Initiation
Hold Relax Active Motion
Alternating Isometrics

27
Q

Facilitation: Reversal of Antagonist Techniques

A

Slow Reversal
Slow Reversal Hold
Rhythmic Stabilization
Quick Reversal

28
Q

Relaxation Techniques

A

Contract Relax
Hold Relax
Slow Reversal Hold Relax
Rhythmic Rotation

29
Q

Repeated Contraction

A

Repeated isotonic contractions induced by quick stretches and enhanced by resistance performed through the range or part of the range at a point of weakness

Indications: Weakness, Muscle imbalances,
Lack of endurance

Procedure: Perform repeated isotonic contractions induced by quick stretches; Apply resistance through the range or part of the range at a point of weakness;10 reps per set

30
Q

Hold-Relax-Active Motion

A

Technique of emphasis provides repetition of isotonic contraction without sustained effort

Indications: inability to initiate movement, hypotonia, weakness

Procedure: Apply isometric contraction in the mid to shortened range of the target pattern (6 secs); Allow voluntary relaxation of the target pattern; Passively move the limb into the lengthened range of the target pattern;
Perform isotonic contraction of the target pattern

31
Q

Rhythmic Initiation (RI)

A

Used to improve the ability to initiate movement; similar to PROM towards the PNF pattern

Indications: spasticity, rigidity, inability to initiate movement (apraxia), motor learning deficits, communication deficits (aphasia)

Procedure: voluntary relaxation followed by passive movement through increasing ROM;
followed by active-assisted contraction progressing to tracking resistance (light, facilitatory resistance) to isotonic contractions

32
Q

Alternating Isometrics (AI)

A

alternating holding contractions of opposing muscle groups; used to increase sitting and standing balance of pt

Indications: instability in weight-bearing and holding, poor antigravity control, weakness, ataxia

Procedure: Isometric contraction is facilitated first on one side of the body or body part;
Followed by isometric contraction of other side

33
Q

Slow Reversal (SR)

A

involves an isotonic contraction of the antagonist, followed by an isotonic contraction of the agonist

Indications: inability to reverse directions, muscle imbalances, weakness, incoordination, lack of endurance

34
Q

Slow Reversal-Hold (SRH)

A

involves an isotonic contraction, followed by isometric contraction of the antagonist, followed by an isotonic contraction of the agonist

Indications: inability to reverse directions, muscle imbalances, weakness, incoordination, lack of endurance

35
Q

Quick Reversal (QR)

A

requires rapidly alternating isotonic contractions of antagonists

Indications: inability to reverse directions, muscle imbalances, weakness, incoordination, lack of endurance

36
Q

Rhythmic Stabilization (RS)

A

co-contraction of opposing muscle groups; simultaneous isometric contractions of both agonist and antagonist patterns and results in co-contraction of opposing muscle groups

Indications: instability in weight-bearing & holding, poor antigravity control, weakness, ataxia, LOM due to muscle tightness, painful muscle splinting

Procedure: Do simultaneous isometric contractions of both agonist and antagonist patterns; 6 sec hold x 10 reps per set

37
Q

Contract Relax (CR)

A

Indications: LOM caused by tightness, spasticity

Procedure: isom contraction of the antagonistic pattern against maximal resistance; allow a period of relaxation of the antagonistic pattern

38
Q

Hold-Relax (HR)

A

usually performed at the point of limited ROM in the agonist pattern

Indications: LOM caused by muscle tightness, muscle spasm and pain

Procedure: isom contraction of range-limiting antagonist pattern is performed; followed by voluntary relaxation and passive movement into the newly gained range of the antagonist pattern

39
Q

Slow Reversal – Hold – Relax (SRHR)

A

Procedure: isotonic contraction of the range-limiting pattern (antagonistic pattern); apply an isometric contraction of the antagonistic pattern; brief period of voluntary relaxation; finish with an isotonic contraction of the agonistic pattern

40
Q

Rhythmic Rotation (RRo)

A

Indication: hypertonia that results to LOM

Procedure: pt should be comfortably positioned to induce voluntary relaxation; apply slow, passive, rhythmic rotation of the body or body part around its longitudinal axis; passively move the part into the newly gained range

PT 10117 - Neuro Eval and Interv (12 decks)

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