PNF Flashcards

1
Q

what is the PNF approach

A
  • utilizes methods that pro9mote or hasten the response of the neuromuscular mechanism through stimulation of the proprioceptors
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2
Q

chopping:

A

combination of B UE asymmetrical patterns performed as a closed- chain activity

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3
Q

developmental sequence-

A
  • a progression of motor skill acquisition

- the stages of motor control include mobility, stability , controlled mobility and skill

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4
Q

mas smovement patterns

A
  • the hip, knee and ankle move into flexion and extension simulatenously
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5
Q

overflow

A
  • muscle activation of an involved extremity due to an intense action of an uninvolved muscle or group or muscles
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6
Q

UE D1 flexion

A
  • scapula elevation, AB, upward rotation
  • shoulder: flexion, adduction, ER
  • elbow: flexion or extension
  • radioulnar supination
  • wrist flexion radial deviation
  • thumb adduction
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7
Q

UE D1 extension

A
  • scapula depression, ADD and downward rotation
  • shoulder extension, ABD and IR
  • elbow extension
  • radioulnar pronation
  • wrist extension ulnar deviation
    thumb abduction
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8
Q

UE D2 flexion

A
  • scapula elevation ADD, upward rotation
  • shoulder flexion ABD and ER
  • elbow: flexion or extension
  • radioulnar supination
  • wrist extension radial deviation
  • thumb extension
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9
Q

UE D2 extension pattern

A
  • scapula depression, ABD, downward rotation
  • shoulder extension ADD, IR
  • elbow: extension
  • radioulnar pronation
  • wrist flexion ulnar deviation
  • thumb opposition
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10
Q

LE D1 flexion

A
  • pelvis protraction
    hip: flexion, ADD Er
  • knee flexion
  • ankle : DF and inversion
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11
Q

LE D1 extension

A
  • pelvis retraction
  • hip extension AB IR
  • knee extension
  • ankle or toes PF eversion
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12
Q

LE D2 flexion

A
  • pelvis: elevation
  • Hip: flexion Abd ir
  • KNEE flexion
  • ## ankle or toes: DF and eversion
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13
Q

LE D2 extension

A
  • pelvis: depression
  • Hip: extension, adduction, ER
  • knee extension
  • ankle PF inversion
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14
Q

-agonistic reversals

A
  • controlled mobility and skill
  • an isotonic concentric contraction performed against resistance followed by alternating concentric and eccentric contractions with resistance
  • AR requires use in a slow and sequential manner and may be used in increments throughout the range to attain maximum control
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15
Q

alternating isometrics

A
  • stability
  • isometric contractions are performed alternating from muscles on one side of the joint to the other side without rest
  • emphasizes endurance or strengthening
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16
Q

contract -relax

A
  • mobility
  • technique used to incr ROM
  • as the extremity approaches the point of limitation the patient performs a maximal contraction of the antagonistic muscle group
  • the PR resists movement for 8 to 10 sec with relaxation to follow
  • the technique is repeated until no further gains in ROM are noted during the session
17
Q

hold-relax

A
  • mobility
  • isometric contraction use dto incr ROM
  • the contraction is facilkitated for all muscle groups at the limiting point in the ROM
  • relaxation occurs and the extremity moves through the newly acquired range to the next point of limitation until no further incr in ROM< occur
  • technique used for pt that present with pain
18
Q

hold-relax active movement

A
  • mobility
  • technique used to improve initiation of movement to muscle groups tested at 1/5 or less
  • an isometric contraction is performed once the extremity is passively placed into a shortened range within the pattern
  • overflow and facilitation may be used to assist with the contraction
  • upon relaxation , the extremity is immediately moved into a lengthened position of the pattern with a quick stretch
  • pt asked to return to the shortened position through and isotonic contraction
19
Q

joint distraction

A
  • mobility
  • proprioceptive component used to incr ROM around the joint
  • consistent manual traction is provided slowly and usually in combination with mobilization techniques
  • it can also be used in combination with quick stretch to initiate movement
20
Q

normal timing

A
  • skill
  • technique to improve coordination of all components of a task
  • performed DISTAL TO PROXIMAL sequence
  • proximal components are restricted until the distal components are activated
21
Q

repeated contractions

A
  • mobility
  • technique used to initiate movement and sustain a contraction through the ROM
  • RC is used to initiate a movement pattern throughout a weak movement pattern or at a point of weakness within a pattern
  • therapist provides a quick stretch followed by isometric or isotonic contraction
22
Q

resisted progression

A

skill

  • a technique used to emphasize coordination or proximal components during gait
  • resistance is applied to an area such as the pelvis, hips or extremity during gait cycle in order to enhance coordination, strength or endurance
23
Q

rhythmic initiation

A
  • mobility
  • technique used to assist in initiating movement when hypertonia exists
  • movement progresses from passive, to AAROM to AROM with slight resistance
  • movement must be slow and rhythmical to reduce the hypertonia and allow for full ROM
24
Q

rhythmic stabilization

A
  • mobility, stability
  • technique used to increase the ROM and coordinate isometric contraction
  • requires isometric contractions of all muscles around a joint against progressive resistance
  • the patient should relax and move into the newly acquired range and repeat the technique
  • if stability is the goal, RS should be applied as a progression from AI in order to stabilize all muscle groups simultaneously around the specific body part
25
Q

Rhythmical rotation

A
  • mobility
  • passive technique use dto decrease hypertonia by slowly rotating an extremity around the longitudinal axis
  • relaxation of the extremity will increase ROM
26
Q

slow reversal

A
  • stability controlled mobility, skill
  • a technique of slow and resisted concentric contractions of agonists and antagonist around a joint without rest between reversals
  • this technique is used to improve control of movement and posture