L3 Part 3: Proprioceptive Neuromuscular Facilitation Flashcards

(74 cards)

1
Q

What is the definition of Proprioceptive Neuromuscular Facilitation (PNF)? Who proposed this?

A

PNF is a technique of promoting or hastening the response of the neuromuscular system by stimulating its proprioceptors; This was proposed by Herman Kabat (not sure if kasama si Maggie Knott)

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2
Q

What are the five (5) philosophies of PNF?

A

No pain, functional approach, active
participation, motor learning, self-training

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3
Q

Principles Governing PNF: Which principle stated that the brain knows nothing of
individual muscle action but
knows only movement? (e.g. Ang alam lang ng brain ay may “taga-flex” pagfinofold yung elbow)

A

Beevor’s Axom

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4
Q

Principles Governing PNF: Which principle stated that the pattern of movement is
facilitated by the immediate
contraction of its antagonist?

A

Sherrington’s Law of Successive Induction

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5
Q

Principles Governing PNF: Which principle stated that when the agonist contracts,
the antagonist relaxes

A

Sherrington’s Law of Reciprocal Innervation

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6
Q

Principles Governing PNF: Which principle stated that 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?

A

Sherrington’s Law of Irradiation

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7
Q

Principles Governing PNF: Which principle stated that 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.

A

Autogenic Facilitation

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8
Q

What are the six (6) goals of PNF?

A

● To inc demands made by voluntary effort
● To initiate reflex actions and interaction with the antagonist
● To strengthen weak musculature
● To promote movement limited by pain
● To enhance functional activities
● To promote balance of tone

Suggested Mnemonic: PEPSII

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9
Q

What are the (4) overall objectives of PNF?

A

● To hasten the recovery of normal function
● To attempt to establish or reestablish optimum function as quickly as possible
● Mass movement patterns of facilitation are spiral and diagonal in character and closely resemble the movements used in sports and in work activities
● Each diagonal is made up of two patterns that are antagonistic to each other.

Suggested Mnemonic: HAMOD

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10
Q

What are the three major components of PNF?

A

● Flexion or Extension
● Motion towards and across (Adduction) or motion across and away (Abduction) from midline with reference to extremity pivots
● External rotation (supination and inversion) or internal rotation

Suggested Mnemonic: FEM

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11
Q

Pivots and PT’s Hand Placement: If PT puts their hands on the proximal segments of UE/LE, what does the PT want to facilitate or develop? And what are these proximal segments that we are referring to?

A

PT wants to develop stability through applying hand placement at the should or hip

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12
Q

Pivots and PT’s Hand Placement: If PT puts their hands on the intermediate segments of UE/LE, what does the PT want to facilitate or develop? And what are these intermediate segments that we are referring to?

A

PT wants to facilitate guided movement and practice correct movement; Elbow and Knee

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13
Q

Pivots and PT’s Hand Placement: If PT puts their hands on the distal segments of UE/LE, what does the PT want to facilitate or develop? And what are these distal segments that we are referring to?

A

PT wants to promote coordination; Wrist and ankle

This also directs the joint to coordinate the movements

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14
Q

Pivots and PT’s Hand Placement: If PT puts their hands on the digital segments of UE/LE, what does the PT want to facilitate or develop? And what are these digital segments that we are referring to?

A

PT wants to promote manipulation and grasping; Finger and toes

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15
Q

PELVIC MOTION DURING WALKING: What happens to the trunk when there is an elevation of the pelvic brim?

A

trunk flexion

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16
Q

PELVIC MOTION DURING WALKING: What happens to the trunk when there is an depression of the pelvic brim?

A

trunk extension

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17
Q

D1 and D2 LE Flex and Ext: What is the component of the knee?

A

Either Ext or Flex

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18
Q

D1 Flexion: Three Components of Scapulothoracic

A

Upward rotation
Abduction
Ant elevation

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19
Q

D1 Flexion: Three Components of Glenohumeral

A

ER
Add
Flexion

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20
Q

D1 Flexion: What is the component of elbow?

A

Flexion

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21
Q

D1 Flexion: What is the component of Radioulnar?

A

Supination

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22
Q

D1 Flexion: What are the two (2) components of wrist?

A

Flexion and Radial Dev

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23
Q

D1 Flexion: What are the two (2) components of Fingers?

A

Flexion and Adduction to the radial side

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24
Q

D1 Flexion: What are the two (2) components of the thumb?

A

Flexion and Adduction

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25
D1 Ext: Three (3) Components of Scapulothoracic?
Downward rotation Adduction Posterior Depression
26
D1 Ext: Three (3) Components of GH joint
IR Abd Extension
27
D1 Ext: Component of Elbow
Extension
28
D1 Ext: Component of Radioulnar
Pronation
29
D1 Ext: Component of Wrist
Extension and ulnar dev
30
D1 Ext: Two (2) Components of Fingers
Extension and abduction to ulnar side
31
D1 Ext: Two (2) Components of Thumb
Abduction and extension
32
D2 Flex: Three (3) components of Scapulothoracic
Upward Rotation Adduction Post elevation
33
D2 Flex: Three (3) components of GH joint
ER Abduction Flexion
34
D2 Flex: The component on elbow joint
Flexion
35
D2 Flex: Component of Radioulnar
Supination
36
D2 Flex: Two (2) Components of Wrist
Ext and Radial dev
37
D2 Flex: Two (2) Components of Fingers
Abduction to the Radial side and extension
38
D2 Flex: Two (2) Components of Thumb
Adduction and Extension
39
D2 Extension: Three (3) Components of Scapulothoracic
Downward rotation, abduction, anterior depression
40
D2 Ext: Three (3) Components of GH joint
IR Add Extension
41
D2 Ext: Component of Elbow
Ext
42
D2 Ext: Two components of Wrist
Flexion and Ulnar dev
43
D2 Ext: Two components of Fingers
Flexion and Add to ulnar side
44
D2 Ext: Two components of Thumb
Flexion and Abduction
45
D1 Flex: Three components of Hip
FADER: Flexion, Adduction, ER
46
D1 Flex: Component of Ankle
DF
47
D1 Flex: Component of Subtalar
Inversion
48
D1 Flex: Two (2) Components of Toes
Ext and Abduction to Tibial Side
49
D1 Ext: Three (3) Components of Hip
EXABIR: Ext, Abd, IR
50
D1 Ext: Component of Ankle
PF
51
D1 Ext: Component of Subtalar
Eversion
52
D1 Ext: Component of Toes
Flexion and Add to fibular side
53
D2 Flex: Components of HIP
FABIR: Flexion, Abducion, IR
54
D2 Flex: Component of Ankle
DF
55
D2 Flex: Component of Subtalar
Eversion
56
D2 Flexion: Two Components of Toes
Ext and Abd to fibular side
57
D2 Extension: Three (3) components of HIP
EXADER: Extension, Adduction, ER
58
D2 Ext: Component of Ankle
PF
59
D2 Ext: Component of Subtalar
Inversion
60
D2 Ext: Two (2) components of Toes
Flexion and Adduction to Tibial side
61
PRINCIPLE OF PNF: Early motor behavior is dominated by _______ _______. Mature motor behavior is reinforced or supported by a _____ _____ ______
reflex activity; postural reflex mechanism
62
PRINCIPLE OF PNF: The growth of motor behavior has _______ as evidenced by shifts between ________ dominance
cyclic trends; flexor-extensor
63
PRINCIPLE OF PNF: _______ activity is made up of ______ movement
Goal-directed; diverse
64
PRINCIPLE OF PNF: Normal movement and posture are dependent upon ______ and _____ interaction of ________
synergistic; balanced; antagonists
65
PRINCIPLES OF PNF: Developing _______ _______ is expressed in an orderly sequence of total patterns of ______ and _____
motor behavior; movement; posture
66
PRINCIPLES OF PNF: ______ motor development has an orderly sequence but lacks ______ quality.
Normal; step-by-step
67
PRINCIPLES OF PNF: Improvement of motor ability is dependent upon ______ ________. In PNF, done by _____.
motor learning; conditioning
68
PRINCIPLES OF PNF: ________ activities coupled with ______ of ______ are used to hasten the learning of total patterns of walking and self-care activities.
Goal-directed; techniques of facilitation
69
COMBINED MOVEMENTS: Paired Extremities perform like movements at the same time
Symmetrical
70
COMBINED MOVEMENTS: Paired Extremities perform movements towards one side at the same time
Asymmetrical
71
COMBINE MOVEMENTS: Paired Extremities perform movements in opposite directions at the same time
Reciprocal
72
COMBINED MOVEMENTS OF UE AND LE: Extremities of the same side move in the same direction at the same time
IPSILATERAL
73
COMBINED MOVEMENTS OF UE AND LE: Extremities of opposite sides move in the same direction at the same time
CONTRALATERAL
74
COMBINED MOVEMENTS OF UE AND LE: Contralateral extremities move in the same direction at the same time, while opposite contra-lateral extremities move in the opposite direction
Diagonal Reciprocal