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216 final > PNF > Flashcards

PNF Flashcards

1
Q

what is PNF used for

A

improve functional task performance by ^ strength, flexibility, rom

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2
Q

integration of gains help pt to:

A

head/trunk control
initiate/sustain movement
control COG shift
keep pelvis/trunk at midline w/ extremity mvmnt

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3
Q

10 essential components of PNF to enhance motor learning are:

A
  1. manual contacts
  2. body position/mechan
  3. stretch
  4. manual resistance
  5. irradiation
  6. joint facilitation
  7. timing of movement
  8. patterns of movement
  9. visual cues
  10. verbal input
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4
Q

manual contacts

A

stimulate pressure receptors, use lumbrical grip

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5
Q

body position

A

clinician inline with movement

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6
Q

stretch

A

quick-^ motor response
prolong-dc muscle activity
caution w/ spasticity

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7
Q

manual resistance

A

dc internal by alter neural firing patterns,

external for ^ motor recruitment

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8
Q

irradiation

A 
^ in activity in related muscles in response to external resistance (overflow/ reinforcement)
trunk flex=hip f, ankle df
trunk ext=hip/knee/
UE ext & add=trunk flex
hip add, flex, er=DFs
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9
Q

timing of movemnet

A

functional- distal-> prox

develop- cephaled-> caudal, prox->distal

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10
Q

UE D1 flexion

A 
FADER--scarf
scap- ant elevate, abd, UR
elbow- flex or /
RU- supinate
wrist- flex, RD
thumb add
(-feeding
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11
Q

UE D1 Extension

A 
EABIR-- (seatbelt) 
scap- postdepress, add, dr
elbow- flex or /
ru-pronate
wrist- ext, ulnar dev
protective reactions in sitting
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12
Q

UE D2 flexion

A

FABER
scap post elevate
wedding bouquet

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13
Q

UE d2 extension

A

EADIR
scap ant depression
sword in sheath

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14
Q

LE d1 flexion

A

FADER
bring foot to opp hand to take off shoe
ant elevation

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15
Q

LE d1 extension

A

EABIR
stance gait
post depress

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16
Q

LE d2 flexion

A

FABIR
fire hydrant
post elevate
not used but can be used for stroke for eversion w/ df

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17
Q

LE d2 extension

A

EADER
soccer kick
ant depress

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18
Q

what is best position for scap & pelvic patterns

A

side-lying

19
Q

upper trunk patterns

A

synchronized performance of UE pnfs (rotatores!)

20
Q

lifting pattern

A

lead arm is d2 flexion

21
Q

reverse lift

A

d2 extension

22
Q

chopping pattern*

A

upper trunk pattern by concurrent mvnt of UE—d1 ext= trunk flex, short trunk, weight shift–upward is d1 flex-reverse chop

23
Q

stages of motor control

A

mobility->stability->controlled mobility–>skill

24
Q

rhythmic initiation

A

mobility-prom, aarom, arom w/ resist for efficient rolling w/ hypertonic

25
Q

rhythmic rotation

A

mobility->total body relax or tone reduction by dc spasticity–trunk rotation in hooklying

26
Q

hold relax active movement

A

^ functionalmobility–recruit contracted lengthened agonist w/ light resistance

27
Q

hold relax

A

^passive mobility, dc pain (use active) (fatigue agonist move to agonist)–gradual change

28
Q

contract relax

A

^range &t issue length–effective for 2jt muscles & when pain isnt factor–fatigue agonist move to antagonist–abrupt changes

29
Q

alternating isometrics

A

stabilitycontract both ag and antag alternating–applied w/ developmental posture

30
Q

rhythmic stabilization

A

*stability**cocontraction surrounding jt–balance, dc pain, ^rom/ strength–trunk stability in unsupported sitting

31
Q

slow reversal

A

all stages concentric contraction in agonist pattern–minimize fatigue by rhythmically alternating between agonist and antagonists

32
Q

slow reversal hold

A

Stab, Skill,Cont Mobe

resisted isometric contraction at end range in each pattern–use w/ single extremity or trunk

33
Q

Agonistic reversals

A

stab, skill, cont mobe-functional movement thruout task–target agonist w/ concentric & eccentric–espesh controlled mobe—bridgeing

34
Q

resisted progression

A

skill crawl, creep, walk–use resistance for ^endurance, develop normal timing, reinforce motor learning

35
Q

developmental sequence

A

roll-supine-hook-side-one elbow prop-sit stand

36
Q

supine progression

A

hook–rhy. stabilizing–stability if ind

bridge-scoot–skilled

37
Q

rolling

A

antagonist patterns or right extremities to enhance roll to left–rhythmic initiation

38
Q

prone progression

A

prone–> on elbows– use rhythmic iniation for manual cues to transition–camando=skill

39
Q

quadraped

A

rhythmic stabilize trunk w/ slow reversal technique

40
Q

kneeling

A

first position to allow axial loading of spine/ hips

half-kneel last posture in prone progression & efficiency of transition from floor to standing

41
Q

sitting

A

functional task primary position

rhy initiation and hold relax active teach upright symmetry

42
Q

scooting

A

weight shift is key, use rhy initiation and hold relax active

43
Q

standing

A

manual contacts for resistance–stability==alt isos or rhy stabilization

44
Q

pregait activities

A

controlled mobility activities targeted at skills==slow reverse hold and agonistic reversals facilitate & reinforce types of muscle contractions & movement strategies

216 final (2 decks)

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