PNF Patterns and Techniques

Question 1

UE D1 Flexion

Answer 1

Flexion, Adduction, Ext. Rotation of shoulder
(Flexion of elbow)
Flexion of wrist and fingers

Question 2

UE D1 Extension

Answer 2

Extension, Abduction, Int. Rotation of shoulder
(Extension of elbow)
Extension of wrist and fingers

Question 3

UE D2 Flexion

Answer 3

Flexion, Abduction, ER of shoulder
(Flexion of elbow)
Wrist and finger extension

Question 4

UE D2 Extension

Answer 4

Extension, Adduction, IR of shoulder
(Extension of elbow)
Wrist and finger flexion

Question 5

LE D1 Flexion

Answer 5

Flexion, Adduction, Ext. Rotation of hip
(Flexion of knee)
DorsiFlexion and Inversion of foot

Question 6

LE D1 Extension

Answer 6

Extension, Abduction, Int. Rotation of hip
(Extension of knee)
Plantarflexion (Extension) and Eversion of foot

Question 7

LE D2 Flexion

Answer 7

Flexion, Abduction, Int. Rotation of hip
(Flexion of knee)
Ankle DF and Eversion

Question 8

LE D2 Extension

Answer 8

Extension, Adduction, Ext. Rotation of hip
(Extension of knee)
Ankle PF and Inversion

Question 9

Pelvic Patterns

Answer 9

Anterior Elevation and Posterior Depression

Question 10

Anterior Elevation

Answer 10

Swing phase

Question 11

Posterior depression

Answer 11

Initial contact/midstance (Stance phase)

Question 12

Head and Trunk Patterns:

Chop:

Answer 12

D1 Extension of lead arm.

Bilateral asymmetrical UE extension with neck flexion and rotation to right or left

Question 13

Reverse Chop:

Answer 13

D1 Flexion of lead arm.
Opposite direction of chop.
(Bilateral asymmetrical UE flexion with neck extension and rotation to right or left)

Question 14

Lift

Answer 14

D2 Flexion pattern of lead arm.

Question 15

Reverse Lift

Answer 15

D2 Extension pattern of lead arm.

Question 16

(quick) Stretch

Answer 16

Makes use of length-tension relationship of muscle.

Lengthened range and stretch reflex are used to facilitate muscles contraction.

Question 17

Dynamic Reversals (DR)

Answer 17

Isotonic contractions of agonist followed by antagonist.

No pause or relaxation between motions

Question 18

Resisted Progression (RP)

Answer 18

Stretch, approximation, and tracking resistance applied to manually facilitate pelvic motion and progression during gait.

Question 19

Rhythmic Stabilization

Answer 19

Isometric contractions of antagonist patterns with co-contraction of muscles. No patient movement allowed.

E.g., therapist right hand pulling on shoulder and left hand pushes on pelvis. “Don’t let me twist you.”

Question 20

Combination of Isotonics

Answer 20

Resisted concentric contraction (e.g., D1 flexion) followed by stabilizing contraction (hold position) and then by eccentric contraction, moving slowly back to start position (e.g., D2 extension).