PNF of the Shoulder Girdle

Question 1

how should the pt be positioned

Answer 1

side lying

hips and knees at approx b/w 70-90 degrees of flexion

Question 2

what should we be certain of with positioning

Answer 2

pt head is supported

bring the surface to the pt (not the pt to the surface)

Question 3

what should we check for before getting started

Answer 3

any side shearing b/w the thoracic spine and lumbar spine

Question 4

support should be given to what areas

Answer 4

neck

head

lumbar spine

thighs

Question 5

how is the therapist positioned

Answer 5

in the line of the diagonal motion

Question 6

“headlights”

Answer 6

ASIS

in direction of movement

Question 7

what are we looking for when we set the scap

Answer 7

most efficient starting position

Question 8

what should the movement of the scap during PNF be

Answer 8

one of rolling

anterior/posterior (10-15%)

elevation/depression (85-90%)

with rotation

Question 9

what movements shouldn’t we have with PNF

Answer 9

rolling, skid or spin

Question 10

what should we look for during pattern

Answer 10

completely balanced tension throughout the full ROM

same resistance throughout

no strain to cervical/thoracic spine/components

Question 11

there should be…

Answer 11

almost no trunk motion

straight diagonal w/ arc

Question 12

motion should follow a

Answer 12

pure pattern

superior to inferior &/or anterior to posterior

Question 13

spring test

Answer 13

gentle stretch to elongate muscles

occurs at end range

emphasis is on rotation

looking to get further elongation

Question 14

how many specific patterns are there for the scap

Answer 14

4

Question 15

4 patterns

Answer 15

anterior elevation

posterior depression

anterior depression

posterior elevation

Question 16

when do we use anterior elevation of the scap

Answer 16

when there is a bed rail

Question 17

what is the emphasis on during anterior elevation

Answer 17

downward component

Question 18

what does the pt want to do –> anterior elevation

Answer 18

roll forward

Question 19

what does the PT need to do –> anterior elevation

Answer 19

keep the resistance down and back

Question 20

fxnal activities –> anterior elevation

Answer 20

forward rolling

reaching in front of your body

Question 21

what is the key of posterior depression

Answer 21

locking in stabalizers

Question 22

primary stabilizers –> posterior depression

Answer 22

rhomboids

Question 23

what should the pt do –> posterior depression

Answer 23

not let up on resistance

Question 24

fxnal activities –> posterior depression

Answer 24

backward rolling

using crutches

trunk extension

Question 25

what will we see –> posterior elevation

Answer 25

a lot of people w/ the dysfxn and elevated first or second rib which is causing pain

Question 26

what should we make sure–> posterior elevation

Answer 26

mid-cervical region is well supported to avoid SBing during this pattern

Question 27

fxnal uses –> posterior elevation

Answer 27

getting dressed

moving backward

Question 28

anterior depression is

Answer 28

best possible pattern for rolling

especially w/o a bed rail

Question 29

what should the PT do –> anterior depression

Answer 29

resistance up and back

Question 30

what should we not do –> anterior depression

Answer 30

get stuck in the pts axilla region

Question 31

fxnal uses –> anterior depression

Answer 31

rolling forward

taking off socks and shoes

reaching out before throwing an object