PNF

Question 1

what is PNF used for

Answer 1

improve functional task performance by ^ strength, flexibility, rom

Question 2

integration of gains help pt to:

Answer 2

head/trunk control
initiate/sustain movement
control COG shift
keep pelvis/trunk at midline w/ extremity mvmnt

Question 3

10 essential components of PNF to enhance motor learning are:

Answer 3

1. manual contacts
2. body position/mechan
3. stretch
4. manual resistance
5. irradiation
6. joint facilitation
7. timing of movement
8. patterns of movement
9. visual cues
10. verbal input

Question 4

manual contacts

Answer 4

stimulate pressure receptors, use lumbrical grip

Question 5

body position

Answer 5

clinician inline with movement

Question 6

stretch

Answer 6

quick-^ motor response
prolong-dc muscle activity
caution w/ spasticity

Question 7

manual resistance

Answer 7

dc internal by alter neural firing patterns,

external for ^ motor recruitment

Question 8

irradiation

Answer 8

^ in activity in related muscles in response to external resistance (overflow/ reinforcement)
trunk flex=hip f, ankle df
trunk ext=hip/knee/
UE ext & add=trunk flex
hip add, flex, er=DFs

Question 9

timing of movemnet

Answer 9

functional- distal-> prox

develop- cephaled-> caudal, prox->distal

Question 10

UE D1 flexion

Answer 10

FADER--scarf
scap- ant elevate, abd, UR
elbow- flex or /
RU- supinate
wrist- flex, RD
thumb add
(-feeding

Question 11

UE D1 Extension

Answer 11

EABIR-- (seatbelt) 
scap- postdepress, add, dr
elbow- flex or /
ru-pronate
wrist- ext, ulnar dev
protective reactions in sitting

Question 12

UE D2 flexion

Answer 12

FABER
scap post elevate
wedding bouquet

Question 13

UE d2 extension

Answer 13

EADIR
scap ant depression
sword in sheath

Question 14

LE d1 flexion

Answer 14

FADER
bring foot to opp hand to take off shoe
ant elevation

Question 15

LE d1 extension

Answer 15

EABIR
stance gait
post depress

Question 16

LE d2 flexion

Answer 16

FABIR
fire hydrant
post elevate
not used but can be used for stroke for eversion w/ df

Question 17

LE d2 extension

Answer 17

EADER
soccer kick
ant depress

Question 18

what is best position for scap & pelvic patterns

Answer 18

side-lying

Question 19

upper trunk patterns

Answer 19

synchronized performance of UE pnfs (rotatores!)

Question 20

lifting pattern

Answer 20

lead arm is d2 flexion

Question 21

reverse lift

Answer 21

d2 extension

Question 22

chopping pattern*

Answer 22

upper trunk pattern by concurrent mvnt of UE—d1 ext= trunk flex, short trunk, weight shift–upward is d1 flex-reverse chop

Question 23

stages of motor control

Answer 23

mobility->stability->controlled mobility–>skill

Question 24

rhythmic initiation

Answer 24

mobility-prom, aarom, arom w/ resist for efficient rolling w/ hypertonic

Question 25

rhythmic rotation

Answer 25

mobility->total body relax or tone reduction by dc spasticity--trunk rotation in hooklying

Question 26

hold relax active movement

Answer 26

^ functionalmobility--recruit contracted lengthened agonist w/ light resistance

Question 27

hold relax

Answer 27

^passive mobility, dc pain (use active) (fatigue agonist move to agonist)--gradual change

Question 28

contract relax

Answer 28

^range &t issue length--effective for 2jt muscles & when pain isnt factor--fatigue agonist move to antagonist--abrupt changes

Question 29

alternating isometrics

Answer 29

**stability**contract both ag and antag alternating--applied w/ developmental posture

Question 30

rhythmic stabilization

Answer 30

*stability**cocontraction surrounding jt--balance, dc pain, ^rom/ strength--trunk stability in unsupported sitting

Question 31

slow reversal

Answer 31

**all stages** concentric contraction in agonist pattern--minimize fatigue by rhythmically alternating between agonist and antagonists

Question 32

slow reversal hold

Answer 32

**Stab, Skill,Cont Mobe** | resisted isometric contraction at end range in each pattern--use w/ single extremity or trunk

Question 33

Agonistic reversals

Answer 33

**stab, skill, cont mobe*-functional movement thruout task--target agonist w/ concentric & eccentric--espesh controlled mobe*---bridgeing

Question 34

resisted progression

Answer 34

**skill** crawl, creep, walk--use resistance for ^endurance, develop normal timing, reinforce motor learning

Question 35

developmental sequence

Answer 35

roll-supine-hook-side-one elbow prop-sit stand

Question 36

supine progression

Answer 36

hook--rhy. stabilizing--*stability if ind* | bridge-scoot--skilled

Question 37

rolling

Answer 37

antagonist patterns or right extremities to enhance roll to left--rhythmic initiation

Question 38

prone progression

Answer 38

prone--> on elbows-- use rhythmic iniation for manual cues to transition--camando=skill

Question 39

quadraped

Answer 39

rhythmic stabilize trunk w/ slow reversal technique

Question 40

kneeling

Answer 40

first position to allow axial loading of spine/ hips | half-kneel last posture in prone progression & efficiency of transition from floor to standing

Question 41

sitting

Answer 41

functional task primary position | rhy initiation and hold relax active teach upright symmetry

Question 42

scooting

Answer 42

weight shift is key, use rhy initiation and hold relax active

Question 43

standing

Answer 43

manual contacts for resistance--stability==alt isos or rhy stabilization

Question 44

pregait activities

Answer 44

controlled mobility activities targeted at skills==slow reverse hold and agonistic reversals facilitate & reinforce types of muscle contractions & movement strategies