Propioceptive Neuromuscular Facilitation (PNF) Flashcards
What is PNF? (2)
Approach based on the premise that stronger parts of the body are utilized to stimulate and strengthen the weaker parts.
Normal movement and posture is based on a balance between control of antagonists and agonist muscle group
Define chopping.
A combination of bilateral UE asymmetrical patterns performed as a closed chain activity.
Define overflow.
Muscle activation of an involved extremity due to intense action of an uninvolved muscle or group of muscles.
Describe the D1 UE flexion PNF pattern.
Scapula: Elevation, abduction, upward rotation Shoulder: Flexion, adduction, ER Elbow: Flexion or extension Forearm: Supination Wrist: Flexion and radial deviation Thumb: Adduction
Describe the D2 UE flexion PNF pattern.
Scapula: Elevation, adduction, upward rotation Shoulder: flexion, abduction, ER Elbow: Flexion or extension Forearm: Supination Wrist: extension and radial deviation Thumb: extension
Describe the D1 UE extension PNF pattern.
Scapula: Depression, adduction, downward rotation Shoulder: Extension, abduction, IR Elbow: Flexion or extension Forearm: Pronation Wrist: Extension and ulnar deviation Thumb: Abduction
Describe the D2 UE extension PNF pattern.
Scapula: Depression, abduction, downward rotation Shoulder: Extension, adduction, IR Elbow: Flexion or extension Forearm: Pronation Wrist: Flexion and ulnar deviation Thumb: Opposition
Describe the D1 LE flexion PNF pattern.
Pelvis: Protraction
Hip: Flexion, adduction, ER
Knee: flexion or extension
Ankle/foot: Dorsiflexion, inversion
Describe the D2 LE flexion PNF pattern.
Pelvis: Elevation
Hip: Flexion, abduction, IR
Knee: flexion or extension
Ankle/foot: Dorsiflexion, eversion
Describe the D1 LE extension PNF pattern.
Pelvis: Retraction
Hip: Extension, abduction, IR
Knee: flexion or extension
Ankle/foot: Plantarflexion, eversion
Describe the D2 LE extension PNF pattern.
Pelvis: Depression
Hip: Extension, adduction, ER
Knee: flexion or extension
Ankle/foot: Plantarflexion, inversion
Describe agnostic reversals and indicate what levels of motor control they target.
Controlled mobility and skill
Isotonic concentric contraction performed against resistance followed by alternative concentric and eccentric contractions with resistance.
Describe alternating isometrics and indicate what levels of motor control they target.
Stability
Isometric contractions are performed alternating from muscles on one side of the joint to the other side without rest.
Describe contract relax and indicate what levels of motor control they target.
Mobility
Used to increase ROM. As the extremity reaches the point of limitation, the patient performs a maximal contraction of the antagonist muscle group. PT resists movement for 8-10 seconds with relaxation to follow.
Describe hold relax and indicate what levels of motor control they target.
Mobility
An isometric contraction used to increase ROM. Contraction is facilitated for all muscles groups at the limiting point in the ROM. Relaxation occurs and the extremity moves through the newly acquired ROM to the next point of limitation until no further increase of ROM occur.
