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Neuro 2 - Exam 1 > PNF for the Neurologic Pt > Flashcards

PNF for the Neurologic Pt Flashcards

1
Q

proprioceptive

A

stimuli produced w/in an organism by movement of its tissues

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2
Q

what is stimulated –> proprioceptive

A

sensory receptors

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3
Q

sensory receptors –> proprioceptive

A

muscle spindles

GTOs

jt CT

eyes

ears

inner ear receptor

skin exteroceptors

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4
Q

what stimulates sensory receptors –> proprioceptive

A

mm length or tension

joint angle

head position

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5
Q

neuromuscular

A

can mm properly initiate?

does the pt have appropriate strength?

what is the mm endurance?

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6
Q

facilitation

A

the increase in performance of any action resulting from the decrease in nerve resistance by applying a continued stimulus

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7
Q

what should facilitation ultimately do

A

make a movement easier by evoking a response

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8
Q

what should there be an… –> facilitation

A

inhibition of abnormal tone and movement patterns

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9
Q

PNF history

A

one of the move recognizable tx concepts since the 1940s

developed by Herman Kabat and Margaret Knott

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10
Q

why was PNF created

A

had to be more to txing pts than just using RW and performing PROM

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11
Q

what could mm response be influenced by

A

resistance

stretch reflex

irradiation

other proprioceptive input

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12
Q

3 C’s to display to a pt when using PNF

A

confidence

compassion

comfortable

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13
Q

underlying premise for the utilization of the basic principles

A

enhance the postural response or movement patterns of the pt

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14
Q

goal of PNF

A

facilitate the pt to achieve movement or posture which has be identified to be in a state of dysfxn

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15
Q

PNF uses

A

manual contact

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16
Q

manual contact

A

provide a specific direction of movement

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17
Q

what type of grip should we use with manual contact

A

lumbrical grip

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18
Q

where should we apply contact

A

identify specific location for contact

choose a surface directly into the line of movement desired

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19
Q

body position

A

shoulders, forearm and hips face direction of movement

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20
Q

body mechanics

A

spine in neutral

movement occurs from the legs, hips and UE

PT body part is behind pt’s body part

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21
Q

where does resistance come from

A

PT’s trunk, pelvic and legs

NOT THE ARMS

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22
Q

resistance

A

isotonic

concentric

eccentric

maintained isotonic

isometric

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23
Q

isotonic contraction

A

dynamic

internal force overcomes the external force allowing movement

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24
Q

concentric contraction

A

push or pull

25
Q

eccentric

A

let go slowly or slowly let go

26
Q

maintained isotonic contraction

A

concentric contraction which resistance is applied by PT allowing minimal to no motion

“keep it there”

“dont let me move you”

27
Q

isometric contraction

A

static

external force overcomes internal force and no movement is allowed

“hold it, don’t let me move you. Don’t push.”

28
Q

traction

A

elongation of a segment to increase muscular response and promote movement or proximal stability

29
Q

how is traction maintained

A

throughout movement and combined with appropriate resistance

30
Q

what may traction be effective in

A

reducing pain

31
Q

approximation

A

compression of a segment to increase muscular response and promote stability

32
Q

what does approximation aid in

A

txing painful and unstable joints

33
Q

what is approximation used for

A

facilitate isometric or stabilizing contraction

34
Q

quick stretch

A

elongating a group of MM in pattern can get greater facilitation

35
Q

what is best facilitated by a quick stretch

A

reflex contraction

36
Q

what should we always do before applying a quick stretch

A

spring test

37
Q

where should we perform a quick stretch

A

must be in recoil zone

38
Q

quick stretch is not

A

a jerk

39
Q

quick stretch is

A

synchronized w/ verbal command

40
Q

when should resistance be given –> quick stretch

A

must occur w/in first few degrees of movement by pt

41
Q

what is quick stretch used to achieve

A

facilitate initiation of movement

increase strength of contraction

increase endurance

influence direction of movement

42
Q

contraindications to quick stretch

A

involuntary hyperactive stretch reflex

pain

mm, tendons, bones or joints are injured

43
Q

verbal stimuli –> verbal commands should be

A

simple

concise

audible

specific to the contraction desired

44
Q

visual stimuli should initiate

A

learning of activities

45
Q

visual stimuli should identify

A

direction of movement

position in space

46
Q

visual stimuli should increase

A

ROM

47
Q

visual stimuli should direct

A

motion of head, trunk and extremities across midline on the same side

48
Q

how’re activities performed

A

in diagonal direction w/ spiral components

49
Q

how is mm response when resistance is applied in a diagonals

A

more coordinated and forceful

50
Q

patterns of facilitation consist of

A

3 components

51
Q

3 components of each pattern

A

flexion or extension

abduction or adduction

rotation

52
Q

timing

A

sequencing of motor recruitment which takes place in a normal fxnal activity or movement

53
Q

when would I use different techniques? –> approximation

A

stabilization and balance

54
Q

when would I use different techniques? –> traction and stretch

A

increases ability to move

55
Q

when would I use different techniques? –> resistance

A

reinforced learning of activity

56
Q

when would I use different techniques? –> timing for emphasis

A

enables therapist to use strong motions to exercise weaker ones

57
Q

when would I use different techniques? –> patterns

A

improve performance of fxn activities

58
Q

when would I use different techniques? –> commands

A

clear and relate to fxn goals

stability or motion

Neuro 2 - Exam 1 (16 decks)

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