PNF Flashcards
combines functionally based diagonal patterns of movement with techniques of neuromuscular facilitation to evoke motor responses and improve neuromuscular control and function
PNF
Proprioceptive
Neuromuscular
Facilitation
What motions will PNF movements always include
- Flexion or extension
- Abduction or adduction
- Internal or external rotation
What motion enters a PNF movement first?
Rotation
Where is manual contact placed during PNF?
- over agonist muscle groups or tendinous insertions
- close to the joint in which you want to emphasize movement
How much resistance should you use during PNF?
Use greatest amount of resistance that still allows patient to move
- At a minimum, apply to the correct side of the extremity
In PNF, this is used for facilitation and can also be used to inhibit pain
Traction
When should the distal components of PNF be completed?
halfway through the pattern
What do you use verbal commands for?
- To get patient’s attention
- To teach them the movements
- Can be facilatory or inhibitory
What is the starting position for D1 UE flexion?
Fingers and wrist and elbow extended; wrist ulnarly deviated;elbow pronated; shoulder extended, internally rotated and abducted
What is the ending position for D1 UE flexion? what is this the starting position for?
Fingers, wrist and elbow flexed; wrist radially deviated; elbow supinated; shoulder flexed, adducted and externally rotated
-D1 extension
What is the starting position for D2 UE flexion?
Fingers, wrist, flexed; wrist ulnar deviated; elbow pronated; shoulder adducted and internally rotated and extended (not hyperextended)
What is the starting position for D2 UE extension?
Fingers, wrist extended, wrist radially deviated; shoulder abducted and flexed and externally rotated ( arm, 8-10” from ear, thumb pointing to floor)
What is the starting position for D1 LE flexion?
Hip extended, abducted, and internally rotated; knee extended; ankle plantar flexed and eversion
What is the ending position for D1 LE flexion?
Hip flexed, adducted, and externally rotated; knee flexed; ankle dorsiflexed and inversion
What is the starting position for D2 LE flexion?
Hip extended, adducted, externally rotated, Knee extended; ankle plantar flexed and inverted
What is the ending position for D2 LE flexion?
Hip flexed, abducted, and internally rotated, Knee flexed, ankle dorsiflexed and everted
Used to promote movement (facilitate); Move passively several times prior to having patient assist in the movement; Can be done in a functional pattern, such as rolling or coming to standing; Can also be done in a limb diagonal pattern
Rhythmic initiation
For Facilitation of strength and movement; Several contractions done in a certain point of the diagonal; Or, several contractions done in a certain pont of a functional movement; contractions in both directions within weak range
Repeated contraction
Concentric contractions in both directions of PNF pattern
Slow reversal of antagonist
Add an isometric component to the reversal in the weakned range of PNF pattern
Slow reversal hold of antagonists
At the end of the concentric agonist range of movement, reverse direction of movement, while facilitating an eccentric contraction of the agonist
Agonist reversal
For improvement of isometric strength and stability, primarily of the postural muscles of trunk or limbs; Patient holds position as resistance is alternated from one direction to the opposite direction; No joint movement should occur
Alternating isometrics
Designed to promote stability through co-contraction of proximal stabilizing muscles of trunk, shoulder, and pelvic regions; Performed in weight-bearing positions; Multidirectional resistance
Rhythmic stabilization
What portion of the PNF is not advisable in the early stages of soft tissue healing or acute/active arthritic conditions
Streth reflex used to help initiate the pattern and recruit the targeted muscle
