PNF

Question 1

combines functionally based diagonal patterns of movement with techniques of neuromuscular facilitation to evoke motor responses and improve neuromuscular control and function

Answer 1

PNF
Proprioceptive
Neuromuscular
Facilitation

Question 2

What motions will PNF movements always include

Answer 2

1. Flexion or extension
2. Abduction or adduction
3. Internal or external rotation

Question 3

What motion enters a PNF movement first?

Answer 3

Rotation

Question 4

Where is manual contact placed during PNF?

Answer 4

• over agonist muscle groups or tendinous insertions

- close to the joint in which you want to emphasize movement

Question 5

How much resistance should you use during PNF?

Answer 5

Use greatest amount of resistance that still allows patient to move
- At a minimum, apply to the correct side of the extremity

Question 6

In PNF, this is used for facilitation and can also be used to inhibit pain

Answer 6

Traction

Question 7

When should the distal components of PNF be completed?

Answer 7

halfway through the pattern

Question 8

What do you use verbal commands for?

Answer 8

1. To get patient’s attention
2. To teach them the movements
3. Can be facilatory or inhibitory

Question 9

What is the starting position for D1 UE flexion?

Answer 9

Fingers and wrist and elbow extended; wrist ulnarly deviated;elbow pronated; shoulder extended, internally rotated and abducted

Question 10

What is the ending position for D1 UE flexion? what is this the starting position for?

Answer 10

Fingers, wrist and elbow flexed; wrist radially deviated; elbow supinated; shoulder flexed, adducted and externally rotated
-D1 extension

Question 11

What is the starting position for D2 UE flexion?

Answer 11

Fingers, wrist, flexed; wrist ulnar deviated; elbow pronated; shoulder adducted and internally rotated and extended (not hyperextended)

Question 12

What is the starting position for D2 UE extension?

Answer 12

Fingers, wrist extended, wrist radially deviated; shoulder abducted and flexed and externally rotated ( arm, 8-10” from ear, thumb pointing to floor)

Question 13

What is the starting position for D1 LE flexion?

Answer 13

Hip extended, abducted, and internally rotated; knee extended; ankle plantar flexed and eversion

Question 14

What is the ending position for D1 LE flexion?

Answer 14

Hip flexed, adducted, and externally rotated; knee flexed; ankle dorsiflexed and inversion

Question 15

What is the starting position for D2 LE flexion?

Answer 15

Hip extended, adducted, externally rotated, Knee extended; ankle plantar flexed and inverted

Question 16

What is the ending position for D2 LE flexion?

Answer 16

Hip flexed, abducted, and internally rotated, Knee flexed, ankle dorsiflexed and everted

Question 17

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

Answer 17

Rhythmic initiation

Question 18

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

Answer 18

Repeated contraction

Question 19

Concentric contractions in both directions of PNF pattern

Answer 19

Slow reversal of antagonist

Question 20

Add an isometric component to the reversal in the weakned range of PNF pattern

Answer 20

Slow reversal hold of antagonists

Question 21

At the end of the concentric agonist range of movement, reverse direction of movement, while facilitating an eccentric contraction of the agonist

Answer 21

Agonist reversal

Question 22

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

Answer 22

Alternating isometrics

Question 23

Designed to promote stability through co-contraction of proximal stabilizing muscles of trunk, shoulder, and pelvic regions; Performed in weight-bearing positions; Multidirectional resistance

Answer 23

Rhythmic stabilization

Question 24

What portion of the PNF is not advisable in the early stages of soft tissue healing or acute/active arthritic conditions

Answer 24

Streth reflex used to help initiate the pattern and recruit the targeted muscle