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
2
Q
chopping:
A
combination of B UE asymmetrical patterns performed as a closed- chain activity
3
Q
developmental sequence-
A
- a progression of motor skill acquisition
- the stages of motor control include mobility, stability , controlled mobility and skill
4
Q
mas smovement patterns
A
- the hip, knee and ankle move into flexion and extension simulatenously
5
Q
overflow
A
- muscle activation of an involved extremity due to an intense action of an uninvolved muscle or group or muscles
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
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
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
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
10
Q
LE D1 flexion
A
- pelvis protraction
hip: flexion, ADD Er - knee flexion
- ankle : DF and inversion
11
Q
LE D1 extension
A
- pelvis retraction
- hip extension AB IR
- knee extension
- ankle or toes PF eversion
12
Q
LE D2 flexion
A
- pelvis: elevation
- Hip: flexion Abd ir
- KNEE flexion
- ## ankle or toes: DF and eversion
13
Q
LE D2 extension
A
- pelvis: depression
- Hip: extension, adduction, ER
- knee extension
- ankle PF inversion
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
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
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
