PNF of the Shoulder Girdle Flashcards
how should the pt be positioned
side lying
hips and knees at approx b/w 70-90 degrees of flexion
what should we be certain of with positioning
pt head is supported
bring the surface to the pt (not the pt to the surface)
what should we check for before getting started
any side shearing b/w the thoracic spine and lumbar spine
support should be given to what areas
neck
head
lumbar spine
thighs
how is the therapist positioned
in the line of the diagonal motion
“headlights”
ASIS
in direction of movement
what are we looking for when we set the scap
most efficient starting position
what should the movement of the scap during PNF be
one of rolling
anterior/posterior (10-15%)
elevation/depression (85-90%)
with rotation
what movements shouldn’t we have with PNF
rolling, skid or spin
what should we look for during pattern
completely balanced tension throughout the full ROM
same resistance throughout
no strain to cervical/thoracic spine/components
there should be…
almost no trunk motion
straight diagonal w/ arc
motion should follow a
pure pattern
superior to inferior &/or anterior to posterior
spring test
gentle stretch to elongate muscles
occurs at end range
emphasis is on rotation
looking to get further elongation
how many specific patterns are there for the scap
4
4 patterns
anterior elevation
posterior depression
anterior depression
posterior elevation
when do we use anterior elevation of the scap
when there is a bed rail
what is the emphasis on during anterior elevation
downward component
what does the pt want to do –> anterior elevation
roll forward
what does the PT need to do –> anterior elevation
keep the resistance down and back
fxnal activities –> anterior elevation
forward rolling
reaching in front of your body
what is the key of posterior depression
locking in stabalizers
primary stabilizers –> posterior depression
rhomboids
what should the pt do –> posterior depression
not let up on resistance
fxnal activities –> posterior depression
backward rolling
using crutches
trunk extension
what will we see –> posterior elevation
a lot of people w/ the dysfxn and elevated first or second rib which is causing pain
what should we make sure–> posterior elevation
mid-cervical region is well supported to avoid SBing during this pattern
fxnal uses –> posterior elevation
getting dressed
moving backward
anterior depression is
best possible pattern for rolling
especially w/o a bed rail
what should the PT do –> anterior depression
resistance up and back
what should we not do –> anterior depression
get stuck in the pts axilla region
fxnal uses –> anterior depression
rolling forward
taking off socks and shoes
reaching out before throwing an object
