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TherEx > PNF & Stretching Checkout > Flashcards

PNF & Stretching Checkout Flashcards

1
Q

What is PNF?

A

-proprioceptive neuromusclular fascilitation
-functional diagonal and neuro facilitation to improve control and function

Improve: stabilization, strength, endurance, control, agonist/antagonish, trains nerves

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2
Q

D1 UE

A

-putting a seatbelt on

Flexion: reaching for seatbelt
-Shoulder: add, ER
-Scap: UR, abd
-Forearm: sup
-Wrist: flex, rad dev
-Fingers: flx, add

Extension: buckling it
-Shoulder: abd, IR
-Scap: DR, add
-Forearm: pronation
-Wrist: ext, ulnar dev
-Fingers: ext, abd

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3
Q

D2 UE

A

-Sword and waiter

Flexion: waiter holding a tray
-Shoulder: flx, abd, ER
-Scap: elevat, UR, abd
-Forearm: sup
-Wrist: ext, rad dev
-Fingers: ext, abd

Extension: reaching for sword
-Shoulder: ext, add, IR
-Scap: depress, DR, add
-Forearm: pronation
-Wrist: flex, ular dev
-Fingers: flx, add

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4
Q

D1 LE

A

-hacky sack and ballet

Flexion: hackey sack
-Hip: flx, ER, add
-Knee: flx
-Ankle: DF, inv
-Toes: extension

Extension: Ballet
-Hip: ext, ITR, abd
-Knee: ext
-Ankle: PF, ev
-Toes: flx

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5
Q

D2 LE

A

-dog peeing and curtsey

Flexion: dog peeing
-Hip: flx, IR, abd
-Knee: flx
-Ankle: DF, ev
-Toes: extension

Extension: curtsey
-Hip: ext, ER, add
-Knee: ext
-Ankle: PF, inv
-Toes: flx

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6
Q

Rhythmic Initiation

A

-PT guiding through ROM
-for pts with difficulting initiating
-improves controlled mmts
-AROM, PROM, AAROM

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7
Q

Repeated Contractions

A

-jerking motions
-PT stretches in jerks pt while going through the RROM
-strengthens weak agonists
-need AROM and RROM

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8
Q

Slow Reversal

A

-kind of reversal of antagonist
-function changes in agonist to antagonist mmt
-contant resistance applied through ROM
-strong concentric of agonist followed by less strong eccentric of antagonist

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9
Q

Slow Reversal Hold

A

-kind of reversal of antagonist
-function changes in agonist to antagonist mmt
-contant resistance applied through ROM with isometric hold at end of range
-better detection of joint/space tension

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10
Q

Alternating Isometrics

A

-most common
-isometric hold of agonist then antagonist
-alternatting resistance to opposite muscles
-no ROM, inproves stabilization

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11
Q

Rhythmic Stabilization

A

-isometric hold of agonist AND antagonist (co-contraation)
-simultaneous multidirectional resistance to opposite muscles
-no ROM, inproves rotary stabilization

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12
Q

Stretching Time

A

10-30s hold

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13
Q

Stretch: Upper Traps

A

Postition: Supine

Stabilize: Shoulder

Movement: LSB, flexion away

Home:
-flex head and rotate away with one hand

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14
Q

Stretch: Levator

A

Postition: Supine

Stabilize: Shoulder

Movement: Flex, LSB, Rotate away

Home:
-flexion and rotation away with one hand
-ipsi scap upward rotation and depression with other hannd

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15
Q

Stretch: SCM

A

Postition: Sitting up

Stabilize: Clavicular head

Movement:
-Stand behind pt
-Pt actively Ext, LSB away and Rotate toward

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16
Q

Stretch: Suboccipital

A

Postition: Supine

Stabilize: C2

Movement:
-lumbrical hold on C2
-Stabilize head @ shoulder
-touch chin
-slowly move back into stretch

Home:
-chin tuck with one hand
-slight flx of head with other hand

17
Q

Hold-Relax

A

-stretch msucle and maintain stretch
-isometrically contract against stetch

  1. Stretch muscle
  2. Isometrically Contract same muscle (being stretched)
  3. Hold and go into further stretch
18
Q

Contract-Relax

A

-stretch muscle and maintain stretch
-isotonically contract against stetch, moving

  1. Stretch muscle
  2. Isotonically Contract same muscle (being stretched)
  3. Hold and go into further stretch
19
Q

Hold-Relax w/ Agonist Contraction

A
  1. Stretch muscle
  2. Isometrically Contract same muscle (being stretched)
  3. Hold and go into further stretch
  4. Concentrically contract antagonist (move in opposite direction)
20
Q

Stretch: Pec Major

A

Postition: Supine

Stabilize: Anterior shoulder at pec insertion

Movement:
-abduct shoulder while adding pressure to pec insertion

Home: use wall to apply pressure and then rotate away for more stretch

21
Q

Stretch: Lats/Teres Major

A

Postition: Supine

Stabilize: Lower ribs and iliac crest (lats), inf angle of scap (teres major)

Movement:
-abduct shoulder while adding pressure on lat/teres major insertion

Home:
-Bilateral: prayer hands with elbows on table and sink down
-Unilateral: place arm up and adducted against wall, rotate torso in opp for more stretch
-Cat stretch with LSB away, ipsi shoulder abducted

22
Q

Stretch: Quadratus Lumborum

A

Postition: Side lying

Stabilize: Ribs and iliac crest with forearms

Movement:
-Stand in front of pt
-break the bread

Home:
-cat stretch with LSB away, ipsi shoulder abducted

23
Q

Stretch: ITB

A

Postition: Sidelying

Stabilize: Ribs

Movement:
-Stand behind pt
-extend and adduct leg off of table

Home:
-extend and adduct leg off of table
-use roller
also for QL

24
Q

Stretch: Hip Flexors

A

Postition: Supine or Prone (eliminates lordosis)

Stabilize: Anterior hip or Posterior hip

Movement:
-Flex contra hip and relax foot on pt
-extend ipsi leg off of table and stretch by pushing (or pull if prone) down on knee

Home:
-flex leg
-Lunge and stretch

also for quads

25
Q

Stretch: Piriformis

A

Postition: Supine

Stabilize: opp side flexed hip (still affect though)

Movement:
-Stand on opp side of pt
-Push flexed knee toward pt

Home:
-Supine: hip flexed and cross legs over with pressure
-Supine 2: hip flexed and foot held for stetch
-Prone: hip flexed and knee flexed and use body weight to stretch

26
Q

Stretch: Hamstrings

A

Postition: Supine

Stabilize: N/A

Movement:
-Stand in front of pt
-Flex hip with straight leg and push forward

Home: chair, wall, own arm

27
Q

Home Stretch: Scalene

A

-Cervical extension, rotation towards, and 1st rib depression

28
Q

Home Stretch: Biceps

A

-extension of shoulder with elbow extension

29
Q

Home Stretch: Triceps

A
  • touch back with hand (simulate washing)
    -flx shoulder further
30
Q

Home Stretch: Wrist Flexors

A

-stick arm out and extend elbow and wrist
-put more extension force on fingers with other hand

31
Q

Home Stretch: Wrist Extensors

A

-stick arm out and extend elbow and flex wrist
-put more flexion force on fingers with other hand

32
Q

Stretch: Thoracolumbar

A

Flexion: cat stretch
Extension: Cow stretch

33
Q

Stretch: Lumbar

A

Flexion: Supine, knees to chest
Extension: Prone, on elbows and push onto hand

34
Q

Home Stretch: Adductors

A

-ipsi side proped up while standing on contra leg
-drop ipsi pelvic for more stretch

or
-crossing legs and stretch

35
Q

Home Stretch: Gastroc/Soleus

A

-Long sit with towel behind foott
-stand against a wall tto stick leg out to stretch

36
Q

Stretching Contraindications

A

-hypermobile
-hypomobility provides stability
-bony block
-non union fracture
-inflammation
-pain
-tissue trauma
-

TherEx (20 decks)

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