Flashcards in Neurologic Rehabilitation PNF (Exam 3) Deck (27):
Use therapeutic exercises and neuromuscular facilitation techniques to decrease sensorimotor deficits and promote motor recovery and increase function.
Patient learns to control tone or movement through the use of patterns that promote normal selective movements during functional activities.
Neurodevelopment Treatment (NDT)
Patient learns movement control through structured activities that promote function; utilize reinforcement and repetitions.
Movement Therapy in Hemiplegia (Brunnstrom)
Select patterns to reinforce and develop selective patterns of control while avoiding synergy patterns.
Proprioceptive Neuromuscular Facilitation (PNF)
Promoting or hastening the response of the neuromuscular system through stimulation of proprioceptors.
Contraction of an agonist immediately followed by the contraction of the antagonist resulting in increased agonist activity which provides for stability of joint. (Alternating Isometrics)
A agonist muscle will relax when the opposite antagonist muscle is contracted. (Inhibition)
Under stress, muscle activity spread to other body parts, which supports movement and activity.
Process of Irradiation
Diagonals are more ______ patterns than traditional movement in anatomic planes.
Hand placement in line with direction of movement to facilitate muscles to be used.
Simple, concise, unidirectional commands used to reinforce the intended movement.
Max resist that can be applied and still allow full ROM.
Separation of joint surfaces, seems to promote mobility.
Compression of joint surfaces promotes stability, especially if more than BW.
Place body part in lengthened range of motion, manually stretch further into that range.
Rhythmical Rotation, Rhythmical Initiation, Hold Relax Active Movement, Hold Relax, Contract Relax.
Alternating Isometrics, Rhythmic Stabilization
Promoting Controlled Mobility
Slow Reversal Hold, Agonistic Reversal
Promoting Skilled Mobility
Slow Reversal, Resistance Progression
Indications for PNF
Acute and Chronic Pain.
Contraindications for PNF
Instability of Joints.
More basic life skill.
More advanced life skill.
Slow Reversal MMT Grade?
More often assoicated with self-care.
More often associated with reaching out to others.