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Therapeutic Exercise > PNF > Flashcards

PNF Flashcards

1
Q

What does PNF stand for

A

Proprioceptive neuromuscular facilitation

P- sensory receptors concerning movement and position
N- nerves and muscles
F- makes it easier

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2
Q

What are the PNF procedures and principles

A 
Resistance 
Irradiation
Manual contact
Body position
Verbal command
Vision
Stretch
Traction and approximation
Timing
Patterns
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3
Q

Resistance-

A

Apply resistance when appropriate and it will facilitate movement, use as an ASSESSMENT tool

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4
Q

Irradiation is

A

Overflow and recruitment

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5
Q

What kind of manual contact

A

Lumby grip and direction

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6
Q

Body position

A

Diagonal

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7
Q

Stretch should be

A

A reflex

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8
Q

Traction and approx

A

Movement. Vs stability

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9
Q

T/f principles can be applied without patterns

A

True

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10
Q

Techniques can be applied without patterns t/f

A

True

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11
Q

What are the patterns for D1 UE

A

Flex/add/Er

Ext/abd/Ir

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12
Q

D2 UE

A

Flex/abd/Er

Ext/add/Ir

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13
Q

D1 LE

A

Flex/add/Er/DF/inv

Ext/abd/ir/PR/ev

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14
Q

WHat are the therapeutic goals of optimal resistance

A

Facilitate ability of muscle to contract
Increase motor control and improve motor learning
Help the patient gain awareness of motion and direction
Increase strength
Help pt relax muscle (reciprocal inhibition)

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15
Q

Define optimal resistance

A

Intensity of resistance provided during an activity is dependent on capabilities of pt as well as on the goal of activity

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16
Q

Functional example of resistance

A

Learning how to STS or going down stairs to guide resistance to teach pts to control activity

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17
Q

Define irradiation

A

Spread of response of nerve impulses of given stimulation

Seen as increased facilitation (contraction) or inhibition (relaxation)

18
Q

Traction

A

Elongation of trunk or extremity by PT

19
Q

Therapeutic goals of traction

A

Facilitate motion, esp pulling and anti-gravity motions
Aid in elongation of muscle tissue when using the stretch reflex
Resist some part of motion (use at beginning of shoulder flexion to counteract or to facilitate scap elev)

20
Q

Approximation

A

Compression of trunk or extremity
(Muscle contractions followed by approximation is due to stim of jt receptors.
Also increased muscular response to counteract disturbance of position/posture)

21
Q

Therapeutic goals of approximation

A

Promote stabilization
Facilitate WB and contraction of antigravity muscles
Help upright rxns
Resist some component of motion, use approx at end of shoulder flexion to resist scap elevation and to increase irradiation or reinforcement of other parts of body

22
Q

Someone with spasticity what would you use?

A

Use the stretch reflex and can be used to initiate movement

Can be used to inhibit spasticity by allowing movement in direction opposite spastic pattern

23
Q

Timing ther goals

A

Normal timing provides continuous coordinated motion until task is acccomplished
Timing for emphasis redirects energy of a strong contraction into weaker muscles

24
Q

Rhythmic initiation is characterized as

A

Motion of the limb or body thru desired range, starting with passive motion and progressing to active resisted

25
Q

Goals of RI

A 
Aid in initiation of motion
Improve coordination and sense of motion
Normalize rate of motion 
Teach
Muscle tension to help pt relax
26
Q

When would you use RI

A 
Trouble initiating motion
Movement too slow or fast
Uncoordinated, ataxia rigidity
Muscle tone
General tension
27
Q

CI is

A

Combo of conc, ecc, and stab contractions of 1 group of muscles without relaxation

28
Q

Goals of CI

A 
Active control of motion
Coordination
Increase AROM
Strength
Fxnal training in ecc movement
29
Q

Reversal

A

Activeresisted and conc motion change from one direction to opp without pause or relaxation

30
Q

Goals of reversals

A 
increase AROM
Strength
Coordination
Reduce fatigue
Increase endurance 
Decrease muscle tone
31
Q

Rhythmic stab

A

Alernating isometric contractions against resistance, no motion

32
Q

Goals of rhym stab

A

Increase AROM/PROM
Strength stability and balance
Decrease pain

33
Q

Contra for RS

A

Too diffu=icult with cerebellar involvement

Unable to follow instructions

34
Q

Repeated stretch

A

Repeated use of stretch reflex to elicit active muscle recruitment from muscles under tension of elongation

35
Q

Contra for repeated stretch

A

Jt instability
Pain
Unstable bones due to cx or osteoporosis
Damaged muscle or tendon

36
Q

Contract relax

A

Resisted isotonic followed by relaxation and movement into increased range

37
Q

Goal of contract relax

A

Increase PROM

38
Q

Hold relax

A

Resisted isometric contraction of antagonistic muscles followed by relaxation

39
Q

Goal of hold-relax

A

Increase PROM

Decrease pain

40
Q

Replication

A

Facilitate motor learning. Of fxnal activities teach pt outcome of movement or activity is important for fxnal work and self care

Therapeutic Exercise (6 decks)

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