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CP2 > Proprioceptive Neuro > Flashcards

Proprioceptive Neuro Flashcards

1
Q

PNF utilize what input to produce functional improvement in motor output?

A

Proprioceptive
Cutaneous
Auditory

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2
Q

PNF combines what two things to improve muscle control and function?

A
  1. function based diagonal patterns

2. techniques to facilitate the neuro motor units

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3
Q

PNF utilized across populations to improve what 3 things?

A
  1. Muscle endurance
  2. Stability
  3. Control
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4
Q

How would you progress level of difficulty of PNF?

A

Beginning with PROM -> isometrics -> active assisted movement -> higher velocity resisted movements

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5
Q

T/F PNF requires skilled application of tactile and verbal cues to achieve desired patterns and facilitate quality contractions

A

True

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6
Q

Overflow (irradiation):

A
  • Spread of a muscle response from stronger to weaker muscles
  • Primarily achieved through applying resistance
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7
Q

Manual contact:

A

stimulates the muscle to reinforce the movement AND guide the direction of the movement

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8
Q

Therapist position:

A

Needs to be directly in line with the desired motion and should be facing the direction of the desired movement

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9
Q

Approximation:

A

May facilitate increased stability, may be applied either manually or facilitated by gravity in upright, weight bearing positions

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10
Q

Traction:

A

Applied manually during PNF patterns to facilitate muscle contraction

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11
Q

verbal cues -

A

both preparatory (to explain what is about to occur and why), as well as energetic, strong and active verbal cues during movement when require strong recruitment

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12
Q

Encourage visual attentiveness by the patient -

A

watching the distal segment, mirrors, etc.

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13
Q

timing -

A

encouraging movement of distal segments first, then moving to proximal; rotation occurs throughout the entire movement

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14
Q

resistance -

A

facilitates the contraction by recruiting motor units

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15
Q

Diagonal patterns -

A
  • Composed of multi-joint, multi-planar, diagonal, and rotational movements of the extremities, trunk, and neck.
  • D1 Flexion or D1 Extension
  • D2 Flexion or D2 Extension
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16
Q

UE D1 Flexion:

A

Shoulder flex, add, ER
Forearm supination
Wrist radial deviation
Fingers flexed

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17
Q

UE D1 Extension:

A

Shoulder ext, abd, IR
Forearm pronation
Wrist ulnar deviation
Fingers extended

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18
Q

UE D2 Flexion:

A

Shoulder flex, abd, ER
Forearm supination
Wrist radial deviation
Fingers extended

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19
Q

UE D2 Extension:

A

Shoulder ext, add, IR
Forearm pronation
Wrist ulnar deviation
Fingers flexed

20
Q

How are diagonal patterns identified?

A

Patterns are identified by the position of the shoulder or hip when the diagonal pattern has been completed (flexion or extension)

21
Q

T/F Motions of body segments distal to the shoulder or hip also occur simultaneously during each diagonal pattern

A

True

22
Q

LE D1 Flexion:

A

Hip flex, add, ER
Dorsiflexion
Inversion
Toes extended

23
Q

LE D1 Extension:

A

Hip ext, abd, IR
Plantar flexion
Eversion
Toes flexed

24
Q

LE D2 Flexion:

A

Hip flex, abd, IR
Dorsiflexion
Eversion
Toes extended

25
Q

LE D2 Extension:

A

Hip ext, add, ER
Plantar flexion
Inversion
Toes flexed

26
Q

Rhythmic Initiation -

A
  • used to promote the ability to initiate a movement pattern

- Utilized for treatment of dysfunctions which affect initiation, speed, direction, or quality of contraction

27
Q

Goal of rhythmic initiation -

A

allow the patient to become familiar with the sequence of movement and the rate at which movement is to occur

28
Q

Steps of rhythmic initiation:

A

Step 1: Therapist moves patient passively through pattern
Step 2: Therapist asks patient to perform active assisted movement
Step 3: Active movement
Step 4: Active movement against manual resistance

29
Q

Indications for rhythmic initiation -

A
  • Improves coordination
  • May “break up” tone
  • Improves motor planning
  • Beneficial for people who respond better to tactile than verbal cues
30
Q

Alternating isometrics -

A

Technique to improve isometric strength and stability of the postural muscles of the trunk or proximal stabilizing muscles of the shoulder girdle and/or core

31
Q

Steps for alternating isometrics -

A
  1. Manual resistance is applied in a single plane on one side of a body segment and then on the other
  2. The patient is instructed to “hold” his or her position as resistance is alternated from one direction to the opposite direction.
32
Q

T/F No joint movement should occur when doing alternating isometrics

A

True

33
Q

T/F Alternating isometrics strengthens agonists and antagonists, and it can be applied to one extremity, to both extremities simultaneously, or to the trunk.

A

True

34
Q

T/F Alternating isometrics can be applied with the extremities in weight-bearing or non weight-bearing positions.

A

True

35
Q

Rhythmic stabilization -

A
  • isometric contractions “from all sides”

- Focus is on eliciting co contractions for stability

36
Q

Technique of rhythmic stabilization:

A
  1. Progression of alternating isometric
  2. Co-contractions of agonist and antagonist performed by placing hands on opposite sides of body and applying simultaneous resistance
  3. No motion is allowed
  4. “build” your resistance to allow patient build a strong contraction
  5. Shift hand placement opposite to the muscles you were just recruiting
37
Q

Indications for rhythmic stabilization:

A
  • Impaired strength and coordination
  • Can work through limited ROM
  • Appropriate for patients who have issues with postural stability and balance
  • Appropriate for patients with decrease stability at a given joint
38
Q

rhythmic stabilization exercises can provide therapists what information?

A

on patient’s ability to reinforce and maintain contractions

39
Q

Dynamic (slow) reversals -

A

agonist -> antagonist contractions eliciting bidirectional movement from patient

40
Q

Technique for Dynamic (slow) reversals:

A

Step 1 - Elicit contraction and movement of the muscle you desire to recruit first
Step 2 - When patient has almost completed first movement, switch hand placement and ask the patient to move in the opposite direction

41
Q

Indication for Dynamic (slow) reversals:

A
  • Improve coordination specifically for those patients who demonstrate co contractions
  • Can be modified to work through limited ROM
  • Can improve strength and coordination
42
Q

Goal with dynamic (slow) reversals is to do what so not to confuse your patient with “mixed up hand placement”?

A

to cue the muscle you want to be active.

43
Q

Due to dynamic (slow) reversals continuous nature, what is it improving?

A
  • Improves muscle endurance due to continuous nature
44
Q

Fast/quick stretch -

A
  • Provide a quick stretch of the agonist when changing directions
  • Produces a relatively short-lived contraction of the agonist’s muscle and short-lived inhibition of the antagonist muscle which facilitates a muscle contraction (muscle spindle)
45
Q

Repeated contraction/stretch -

A
  • Move through a pattern pausing and applying a quick stretch, press through more motion, pause, quick stretch, push.
  • Emphasizes strengthening in specific ranges throughout the motion
46
Q

Dynamic (slow) reversal hold -

A
  • Same as dynamic reversals but with an isometric hold at end of the motion prior to changing directions
47
Q

Agonist reversals -

A

Reversing the type of contraction you are eliciting from your patient, working concentrically, isometrically, and eccentrically

CP2 (20 decks)

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