S1_L5: PNF Flashcards
Determine the PNF Principle.
The brain knows nothing of individual muscle action but knows only movement.
BEEVOR`S AXIOM
Determine the PNF Principle.
A pattern of movement is facilitated by the immediate contraction of its antagonist
SHERRINGTONG`S LAW OF SUCCESSIVE INDUCTION
Determine the PNF Principle.
When the agonist contracts, the antagonist relaxes
SHERRINGTON`S LAW OF RECIPROCAL INNERVATION
Determine the PNF Principle.
A pattern of movement is facilitated when resistance is applied to that motion so that contraction from the stronger muscles flow to the weak muscles
SHERRINGTON`S LAW OF IRRADIATION
Determine the PNF Principle
When a muscle is put on stretch for a prolonged amount of time or contracts isometrically, the GTO is activated and inhibits the tension, allowing the muscle to relax and elongate. This elongation during a stretch or extreme tension helps prevent the possible tearing of a tendon or muscle.
AUTOGENIC FACILITATION
Mass movement patterns of facilitation are (1)______ and (2)_____ in character and closely resemble the movements used in sports and in work activities
- spiral
- diagonal
In PNF, each diagonal is made up of (1)_____ patterns that are (2)______ to each other.
- two
- antagonistic
Determine which movements are part of the following PNF techniques. 2 answers may be chosen per number.
- Elbow flexion
- FA pronation
- GH ER, Add, Flexion
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- A & C
- B & D
- A
Determine which movements are part of the following PNF techniques.
- Scapulothoracic upward rot, abd, & ant elevation
- Thumb flexion, add
- Wrist flexion, ulnar dev
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- A
- A
- D
Determine which movements are part of the following PNF techniques.
- GH IR, Abd, Extension
- Thumb flexion, aBd
- Scapulothoracic upward rot, add, & post elevation
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- B
- D
- B
Determine which movements are part of the following PNF techniques. 2 answers may be chosen per number.
- Scapulothoracic downward rot, abd, & ant depression
- Elbow extension
- FA supination
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- D
- B & D
- A & C
Determine which movements are part of the following PNF techniques.
- GH ER, Abd, Flexion
- Scapulothoracic downward rot, add, & pos depression
- Thumb extension, add
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- C
- B
- C
Determine which movements are part of the following PNF techniques.
- Finger flexion, Add
- Wrist extension, ulnar dev
- GH IR, Add, Extension
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- A
- B
- D
Determine which movements are part of the following PNF techniques.
- Wrist flexion, radial dev
- Finger flexion, Abd
- Finger extension, Add
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- A
- D
- C
Determine which movements are part of the following PNF techniques.
- Finger extension, abduction
- Wrist extension, radial dev
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- B
- C
Determine which movements are part of the following PNF techniques. 2 answers may be chosen per number.
- Hip ER, add, flexion
- Ankle DF
- Ankle PF
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- A
- A & C
- B & D
Determine which movements are part of the following PNF techniques.
- Toe extension, abd to tibial side
- Subtalar inversion
- Hip IR, abd, extension
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- A
- A & D
- B
Determine which movements are part of the following PNF techniques.
- Hip ER, add, extension
- Toe extension, abd to fibular side
- Toe flexion, abd to tibial side
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- D
- C
- D
Determine which movements are part of the following PNF techniques.
- Toe flexion, add to fibular side
- Subtalar eversion
- Hip IR, abd, flexion
A. D1 Flexion
B. D1 Extension
C. D2 Flexion
D. D2 Extension
- B
- B & C
- C
Who is the proponent of the PNF Technique?
Herman Kabat
Determine the combined movements in PNF.
Paired extremities perform like movements at the same time
SYMMETRICAL
Determine the combined movements in PNF.
Extremities of opposite sides move
in the same direction at the same time
CONTRALATERAL
Determine the combined movements in PNF.
Paired extremities perform movements in opposite directions at the same time
RECIPROCAL
Determine the combined movements in PNF.
Extremities of the same side move
in the same direction at the same time
IPSILATERAL
Determine the combined movements in PNF.
Paired extremities perform movements towards one side at the same time
ASYMMETRICAL
Determine the combined movements in PNF.
Contra-lateral extremities move in the same direction at the same time, while opposite contra-lateral extremities move in the opposite direction
DIAGONAL RECIPROCAL
What is the philosophy of PNF?
- No Pain
- Functional Approach
- Active Participation
- Motor Learning
- Self Training
The following are goals of using PNF, EXCEPT:
A. To initiate pathologic reflex actions and interaction with the antagonist
B. To promote balance of tone
C. To promote movement limited by pain
D. To enhance functional activities
E. None
A. To initiate pathologic reflex actions and interaction with the antagonist
PNF is given to pts whom a PT wants to increase (1)_____, (2)_____, and (3)______. It is used in the (4)_____ stage
- balance
- coordination
- tone
- recovery
What are the 3 major components of PNF?
- Flexion or extension
- Adduction or Abduction
- ER (supination and Inversion) or IR
What are the joints involved in the digital pivot?
Fingers and Toes
What are the joints involved in the distal pivot?
Wrist and ankle
What are the joints involved in the proximal pivot?
shoulder and hip
What are the joints involved in the intermediate pivot?
elbow and knee
TRUE OR FALSE: PTs give distal pivots stabilization to facilitate guided movement. PTs give intermediate pivots stabilization to promote coordination
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
B. Both statements are false
TRUE OR FALSE: Head and neck patterns are the key to upper trunk patterns. Bilateral symmetrical LE pattern are the key to lower trunk patterns.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
C. Only the 1st statement is true
LE pattern must be asymmetrical
This is when one side of the pelvis is elevated and one is depressed
Pelvic obliquity
In performing PNF patterns, the initial starting position must be in a ______ stage
elongated
_______ is necessary to develop or establish habit patterns that do not require voluntary effort but occur automatically in the performance of a motor task
Repetition
For optimum development or restoration of a pts neuromuscular abilities, _______ is necessary
coordination
TRUE OR FALSE: All human beings have potentials that are not fully developed
True
Early motor behavior is dominated by (1)______. Mature motor behavior is reinforced or supported by a (2)______ mechanism
- reflex activity
- postural reflex
TRUE OR FALSE: Normal movement and posture are dependent upon synergistic and balanced interaction of agonist muscles
False
There must a a balance between antagonists
In what position is chop and lift done?
sitting or supine
Determine the basic procedure done in PNF.
Performed to increase power and guide motion with grip and
pressure
Manual Contact
Determine the basic procedure done in PNF.
Facilitate motion, aid in elongation
Traction
Determine the basic procedure done in PNF.
Promote stabilization, facilitate WB
and upright reactions
Approximation
Determine which technique for facilitation is being described.
Focuses on improving the strength and coordination of a
target movement or pattern
A. Directed to agonist
B. Reversal of antagonist
C. Relaxation
A. Directed to agonist
Determine which technique for facilitation is being described.
Trains the patient to have control over hypertonia,
spasticity and muscle spasm
A. Directed to agonist
B. Reversal of antagonist
C. Relaxation
C. Relaxation
Determine which technique for facilitation is being described.
Emphasizes the importance of coordinated agonist and
antagonist muscle contractions
A. Directed to agonist
B. Reversal of antagonist
C. Relaxation
B. Reversal of antagonist
Determine which PNF technique is being described.
Aid in initiation of motion
A. Repeated Contraction (RC)
B. Rhythmic Initiation
C. Both
D. Neither
C. Both
Determine which PNF technique is being described.
Indicated for Spasticity and Rigidity
A. Repeated Contraction (RC)
B. Rhythmic Initiation
B. Rhythmic Initiation
Determine which PNF technique is being described.
Increase AROM and strength
A. Repeated Contraction (RC)
B. Rhythmic Initiation
A. Repeated Contraction (RC)
Determine which PNF technique is being described.
Indicated when pts exhibit movements that are too slow or too fast
A. Repeated Contraction (RC)
B. Rhythmic Initiation
B. Rhythmic Initiation
Determine which PNF technique is being described.
Indicated when pts exhibit decreased awareness of motion
A. Repeated Contraction (RC)
B. Rhythmic Initiation
A. Repeated Contraction (RC)
Determine which PNF technique is being described.
Contraindicated when pts exhibit joint instability and pain
A. Repeated Contraction (RC)
B. Rhythmic Initiation
A. Repeated Contraction (RC)