PNF for the Neurologic Pt (2)

Question 1

what must PNF include

Answer 1

well defined goals

Question 2

the pt must be

Answer 2

properly educated

Question 3

what should tx be directed towards

Answer 3

fxnal activities

being unique towards every individual

Question 4

the tx must be

Answer 4

positive

Question 5

what should we remember w/ PNF

Answer 5

all dysfxn

even that which is no neurological may affect many systems in the body

Question 6

during PNF we should

Answer 6

properly evaluate

use only appropriate techniques

obtain optimal fxn

repetition

Question 7

obtain optimal fxn

Answer 7

break down skills

interaction of stability and mobility

whole skill must be practiced

Question 8

what should we evaluate during PNF

Answer 8

which dysfxn a pt has

mechanical components

NM components

motor control components

Question 9

techniques of PNF

Answer 9

rhythmic stabilization

rhythmic initiation

slow reversals

stabilizing reversals

repeated quick stretch

combinations of isotonics

Question 10

slow reversals aka

Answer 10

isotonic reversals

Question 11

stabilizing reversals aka

Answer 11

alternating reversals

Question 12

rhythmic stabilization

Answer 12

alternating isometric contractions

resistance from PT

no motion is intended

Question 13

goals of rhythmic stabilization

Answer 13

increase AROM and PROM

increase mm strength

increase stability and balance

decrease pain

Question 14

rhythmic initiation has a

Answer 14

3 step process

designed to help pts have difficulty initiating and controlling a contraction

Question 15

3 step process –> rhythmic initiation

Answer 15

passive

active assistive

resistive

Question 16

passive –>rhythmic initiation

Answer 16

“relax and let me move you”

establish a consistent rhythm

Question 17

active assistive –>rhythmic initiation

Answer 17

“noy, you can help me a little”

advance only when pt has smooth motion

Question 18

resistive –>rhythmic initiation

Answer 18

now try and help me even more

pt increases participation even further and appropriate resistance is given

Question 19

slow reversals

Answer 19

alternating concentric isotonic contractions

active motion changing from agonist and antagonist w/o a break

Question 20

what is slow reversals used for

Answer 20

improve change in direction

facilitate antagonist

prevent/relieve fatigue

improve coordination

improve AROM

Question 21

stabilizing reversals

Answer 21

alternating isotonic contractions

Question 22

what is stabilizing reversals used for

Answer 22

posture and balance

to increase ROM

relaxation and pain reduction

maintain a stabilizing contraction

Question 23

things to consider w/ stabilizing reversals

Answer 23

must resist rotary and diagonal components

approximation stimulates and maintains a stabilizing contraction in weight bearing postures

Question 24

what does repeated quick stretch utilize

Answer 24

stretch reflex

Question 25

what does repeated quick stretch help w/

Answer 25

initiates a muscular response reduce fatigue and improve endurance

Question 26

what does repeated quick stretch do

Answer 26

reinforces and strengthens a pre-existing contraction

Question 27

repeated quick stretch is from

Answer 27

elongation existing contraction

Question 28

why would we use repeated quick stretch upon elongation

Answer 28

initiate motion stimulate mm not completely under voluntary control train coordinated movement/timing awareness of motion improve endurance

Question 29

why would we use repeated quick stretch upon existing contraction

Answer 29

forceful contraction change in direction increase in AROM reduction of fatigue

Question 30

what does combination of isotonics emphasize

Answer 30

awareness of a specific motor activation

Question 31

what do timing and application depend on --> combination of isotonics

Answer 31

individual pts needs

Question 32

combination of isotonics is

Answer 32

directed at the agonist