Proprioceptive Neuromuscular Facilitation (PNF) - PPT QUIZ!!

Question 1

What are the 4 Levels of Motor Control?

Answer 1

1. Mobility
2. Stability
3. Controlled Mobility
4. Skill

Question 2

What is the ability to initiate movement through a functional range of motion?

Answer 2

mobility

Question 3

What is the ability to maintain a posture or posture through contraction and tonic holding around a joint.

Answer 3

Stability

Question 4

What is the ability to move within a weight bearing position or rotate around a long axis?

Answer 4

Controlled mobility

Question 5

What is the ability to consistently perform functional tasks and manipulate the environment with normal postural reflex mechanims and balance reactions?

Answer 5

Skill

Question 6

what is the developmental sequence?

Answer 6

pattern of movement developed from birth which can be used to relearn movements in rehab

Question 7

What is muscle activation of an involved extremity due to intense action of an univolved muscle or group of muscles?

Answer 7

Overflow

Question 8

How should verbal commands be given with PNF?

Answer 8

short and concise

Question 9

When should resistance be given with PNF?

Answer 9

if goal is stability provide resistance

if goal is mobility then give less resistance

Question 10

The goal of PNF is to progress patients through what stages?

Answer 10

Stages of Motor Control

1. Mobility
2. Stability
3. Controlled Mobility
4. Skill

Question 11

what is an isotonic concentric contraction performed against resistance followed by alternating concentric and eccentric contractions with resistance?

Goal?

Answer 11

Agonist Reversals

Controlled mobility, skill

Question 12

What is Alternating Isometrics? Goal?

Answer 12

Isometric contraction performed alternating form muscles on one side of joint to the other side without rest

Stability

Question 13

What is Contract Relax? Goal?

Answer 13

As extremity reaches point of limitation, patient performs max contraction of ANTAGONISTIC muscle group for 8-10 seconds, then relax, DOING THIS ISOTONICALLY. Repeat

Mobility

Question 14

What is Hold-Relax? Goal?

Answer 14

ISOMETRIC contraction for all muscle groups at the limiting point in ROm. Relaxation occurs and the extremity moves through new ROM

Mobility - often used for pain

Question 15

What is Hold-Relax Active Movement? Goal?

Answer 15

Isometric performed once extremity is placed into shortened range within pattern. Upon relaxation the extremity is immediatley moved into a lengthened position of pattern with quick stretch. Pt returns to shortened position with isotonic contraciton

Mobility, used to improve initiation of muscle groups tested at 1/5 or less

Question 16

What is Joint Distraction? Goal?

Answer 16

Manual traction provided slowly

Mobility

Question 17

Normal Timing? Goal?

Answer 17

Performed in distal to proximal sequence. Proximal components are restricted until distal components are activated and initiate movement

Skill - trying to produce coordinated movements

Question 18

Repeated Contractions? Goal?

Answer 18

Therapist provides quick stretch followed by isometric or isotonic contractions

Mobility - initiate a movement pattenr

Question 19

Resisted Progression? Goal?

Answer 19

Resistance applied to the pelvis hips or extremity during gait cycle

Skill - enhance coordination, strength, or endurance

Question 20

Rhythmic Stabilization? Goal?

Answer 20

isometric contractions of all muscles around a joint against progressive resistance

Mobility, stability

Question 21

Rhythmical Rotation? Goal?

Answer 21

passive technique by slowly rotating an extremity around the longitudinal axis

mobility - decrease hypertonia

Question 22

Slow Reversal? Goal?

Answer 22

slow and resisted concentric contractions of agonists and antagonists around a joint without rest between reversals

Stability, controlled mobility, skill

Question 23

Slow Reversal Hold? Goal?

Answer 23

using slow reversals (slow and resisted concentric contractions of agonists and antagonists around a joint without rest between reversals) with the addition of isometric contraction at the end of each movement to gain stability

Stability, controlled mobility, skill

Question 24

Timing for Emphasis? Goal?

Answer 24

Isotonic and isometric contractions to produce overflow to weak muscles

Skill

Question 25

How to remember UE D1 Flexion?

Answer 25

Bring up a shield

Question 26

How to remember UE D1 Extension?

Answer 26

Put down your shield

Question 27

How to remember UE D2 Flexion?

Answer 27

Draw your sword

Question 28

How to remember UE D2 Extension?

Answer 28

Put your sword back

Question 29

How to remember LE D1 Flexion?

Answer 29

Bring your foot up and in

Question 30

How to remember LE D1 Extension?

Answer 30

Push foot down and out

Question 31

How to remember LE D2 Flexion?

Answer 31

lift foot up and out

FIRE HYDRANT

Question 32

How to remember D2 Extension?

Answer 32

Push foot down and in

FIRE HYDRANT FOR D2 FLEXION

Question 33

Whats the difference between Agonist Reversals and Slow Reversals?

Answer 33

Agonist Reversals: same muscle resisting eccentric/concentric isotonically. So hands stay on same side of joint

Slow Reversals: concentric for agonist and antagonist so you flip hand placement each time

Question 34

What is Rhytmic Initiation? goals?

Answer 34

used for hypertonia

movement progress form passive to active assistive to slighty resistive. Movesments are slow and thythmical to reduce hypertonia

Mobility