PNF Techniques

Question 1

Rhythmic Rotation

Answer 1

Slow passive rotation to extremity or trunk to relax patient at stiff portion of range

Question 2

Stabilizing Reversals (Alternating Isometrics)

Answer 2

pt resists isometric contraction of one pattern then eases off–>pt immediately isometric contraction of antagonist pattern then eases off
Stability technique to be completed in all planes

Question 3

Rhythmic Stabalizations

Answer 3

Co-activation: recruiting all of the muscles around the joint with gradually increasing resistance

Question 4

Dynamic Reversals (slow reversals)

Answer 4

pt actively moves from one direction (agonist direction) into the opposite direction (antagonist direction) w/out pause or relaxation
-QS can be applied at beginning of range

Question 5

Combination of Isotonics (Agonist Reversal)

Answer 5

Begin with the concentric contraction into agonist direction then perform eccentric contraction into antagonist direction “don’t let me move you down fast. “ Begin in range were patient has the most Strength
-good for patients with choreoathetosis

Question 6

Replication (hold relax active movement)

Answer 6

Passively move patient into short in range–> patient holds against resistance–> passively move patient into lengthened range and apply a QS–> patient contracts concentrically through range of motion into shortened position
-facilitates active movement in and out of positions

Question 7

Contact-Relax

Answer 7

Passively move patient to range limitation–> PT provides a resistive force into the antagonist direction WITH rotation. Resistance is held for 8 to 10 counts
-helps increase ROM

Question 8

Hold relax

Answer 8

Patient positioned or actively moves to point of limitation and holds for 8 to 10 counts –>then patient actively moves into new range. repeat as needed

Question 9

Repeated stretch (Repeated Contractions)

Answer 9

Patient actively moves through week pattern and completes an isometric hold at the point of weakness in there range quick stretch is then applied as patient continues through the range. Once range is completed resistance is applied to antagonist with a quick stretch and isometric hold at end range

Question 10

Timing for emphasis

Answer 10

A week component of the pattern is emphasized in a quick stretch can be applied if needed resistance of the stronger (more proximal) component to promote your radiation and overflow typically at mid range

Question 11

Rhythmic Initiation

Answer 11

Slow rhythmic movements that are passive at first then advance to AAROM–>AROM