PNF for the Neurologic Pt

Question 1

proprioceptive

Answer 1

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

Question 2

what is stimulated –> proprioceptive

Answer 2

sensory receptors

Question 3

sensory receptors –> proprioceptive

Answer 3

muscle spindles

GTOs

jt CT

eyes

ears

inner ear receptor

skin exteroceptors

Question 4

what stimulates sensory receptors –> proprioceptive

Answer 4

mm length or tension

joint angle

head position

Question 5

neuromuscular

Answer 5

can mm properly initiate?

does the pt have appropriate strength?

what is the mm endurance?

Question 6

facilitation

Answer 6

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

Question 7

what should facilitation ultimately do

Answer 7

make a movement easier by evoking a response

Question 8

what should there be an… –> facilitation

Answer 8

inhibition of abnormal tone and movement patterns

Question 9

PNF history

Answer 9

one of the move recognizable tx concepts since the 1940s

developed by Herman Kabat and Margaret Knott

Question 10

why was PNF created

Answer 10

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

Question 11

what could mm response be influenced by

Answer 11

resistance

stretch reflex

irradiation

other proprioceptive input

Question 12

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

Answer 12

confidence

compassion

comfortable

Question 13

underlying premise for the utilization of the basic principles

Answer 13

enhance the postural response or movement patterns of the pt

Question 14

goal of PNF

Answer 14

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

Question 15

PNF uses

Answer 15

manual contact

Question 16

manual contact

Answer 16

provide a specific direction of movement

Question 17

what type of grip should we use with manual contact

Answer 17

lumbrical grip

Question 18

where should we apply contact

Answer 18

identify specific location for contact

choose a surface directly into the line of movement desired

Question 19

body position

Answer 19

shoulders, forearm and hips face direction of movement

Question 20

body mechanics

Answer 20

spine in neutral

movement occurs from the legs, hips and UE

PT body part is behind pt’s body part

Question 21

where does resistance come from

Answer 21

PT’s trunk, pelvic and legs

NOT THE ARMS

Question 22

resistance

Answer 22

isotonic

concentric

eccentric

maintained isotonic

isometric

Question 23

isotonic contraction

Answer 23

dynamic

internal force overcomes the external force allowing movement

Question 24

concentric contraction

Answer 24

push or pull

Question 25

eccentric

Answer 25

let go slowly or slowly let go

Question 26

maintained isotonic contraction

Answer 26

concentric contraction which resistance is applied by PT allowing minimal to no motion "keep it there" "dont let me move you"

Question 27

isometric contraction

Answer 27

static external force overcomes internal force and no movement is allowed "hold it, don't let me move you. Don't push."

Question 28

traction

Answer 28

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

Question 29

how is traction maintained

Answer 29

throughout movement and combined with appropriate resistance

Question 30

what may traction be effective in

Answer 30

reducing pain

Question 31

approximation

Answer 31

compression of a segment to increase muscular response and promote stability

Question 32

what does approximation aid in

Answer 32

txing painful and unstable joints

Question 33

what is approximation used for

Answer 33

facilitate isometric or stabilizing contraction

Question 34

quick stretch

Answer 34

elongating a group of MM in pattern can get greater facilitation

Question 35

what is best facilitated by a quick stretch

Answer 35

reflex contraction

Question 36

what should we always do before applying a quick stretch

Answer 36

spring test

Question 37

where should we perform a quick stretch

Answer 37

must be in recoil zone

Question 38

quick stretch is not

Answer 38

a jerk

Question 39

quick stretch is

Answer 39

synchronized w/ verbal command

Question 40

when should resistance be given --> quick stretch

Answer 40

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

Question 41

what is quick stretch used to achieve

Answer 41

facilitate initiation of movement increase strength of contraction increase endurance influence direction of movement

Question 42

contraindications to quick stretch

Answer 42

involuntary hyperactive stretch reflex pain mm, tendons, bones or joints are injured

Question 43

verbal stimuli --> verbal commands should be

Answer 43

simple concise audible specific to the contraction desired

Question 44

visual stimuli should initiate

Answer 44

learning of activities

Question 45

visual stimuli should identify

Answer 45

direction of movement position in space

Question 46

visual stimuli should increase

Answer 46

ROM

Question 47

visual stimuli should direct

Answer 47

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

Question 48

how're activities performed

Answer 48

in diagonal direction w/ spiral components

Question 49

how is mm response when resistance is applied in a diagonals

Answer 49

more coordinated and forceful

Question 50

patterns of facilitation consist of

Answer 50

3 components

Question 51

3 components of each pattern

Answer 51

flexion or extension abduction or adduction rotation

Question 52

timing

Answer 52

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

Question 53

when would I use different techniques? --> approximation

Answer 53

stabilization and balance

Question 54

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

Answer 54

increases ability to move

Question 55

when would I use different techniques? --> resistance

Answer 55

reinforced learning of activity

Question 56

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

Answer 56

enables therapist to use strong motions to exercise weaker ones

Question 57

when would I use different techniques? --> patterns

Answer 57

improve performance of fxn activities

Question 58

when would I use different techniques? --> commands

Answer 58

clear and relate to fxn goals stability or motion