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
T/F Manual resistance is not common for neuro/stroke
False it is more common
26
Facilitation: Directed to Agonist Techniques
Repeated Contraction Rhythmic Initiation Hold Relax Active Motion Alternating Isometrics
27
Facilitation: Reversal of Antagonist Techniques
Slow Reversal Slow Reversal Hold Rhythmic Stabilization Quick Reversal
28
Relaxation Techniques
Contract Relax Hold Relax Slow Reversal Hold Relax Rhythmic Rotation
29
Repeated Contraction
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
Hold-Relax-Active Motion
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
Rhythmic Initiation (RI)
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
Alternating Isometrics (AI)
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
Slow Reversal (SR)
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
Slow Reversal-Hold (SRH)
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
Quick Reversal (QR)
requires rapidly alternating isotonic contractions of antagonists Indications: inability to reverse directions, muscle imbalances, weakness, incoordination, lack of endurance
36
Rhythmic Stabilization (RS)
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
Contract Relax (CR)
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
Hold-Relax (HR)
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
Slow Reversal – Hold – Relax (SRHR)
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
Rhythmic Rotation (RRo)
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