Propioceptive Neuromuscular Facilitation (PNF) Flashcards Preview

NPTE Neuromuscular and Nervous System > Propioceptive Neuromuscular Facilitation (PNF) > Flashcards

Flashcards in Propioceptive Neuromuscular Facilitation (PNF) Deck (18)
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1
Q

What is PNF? (2)

A

Approach based on the premise that stronger parts of the body are utilized to stimulate and strengthen the weaker parts.

Normal movement and posture is based on a balance between control of antagonists and agonist muscle group

2
Q

Define chopping.

A

A combination of bilateral UE asymmetrical patterns performed as a closed chain activity.

3
Q

Define overflow.

A

Muscle activation of an involved extremity due to intense action of an uninvolved muscle or group of muscles.

4
Q

Describe the D1 UE flexion PNF pattern.

A
Scapula: Elevation, abduction, upward rotation 
Shoulder: Flexion, adduction, ER
Elbow: Flexion or extension 
Forearm: Supination
Wrist: Flexion and radial deviation 
Thumb: Adduction
5
Q

Describe the D2 UE flexion PNF pattern.

A
Scapula: Elevation, adduction, upward rotation
Shoulder: flexion, abduction, ER
Elbow: Flexion or extension 
Forearm: Supination
Wrist: extension and radial deviation 
Thumb: extension
6
Q

Describe the D1 UE extension PNF pattern.

A
Scapula: Depression, adduction, downward rotation 
Shoulder: Extension, abduction, IR
Elbow: Flexion or extension 
Forearm: Pronation 
Wrist: Extension and ulnar deviation 
Thumb: Abduction
7
Q

Describe the D2 UE extension PNF pattern.

A
Scapula: Depression, abduction, downward rotation 
Shoulder: Extension, adduction, IR
Elbow: Flexion or extension 
Forearm: Pronation 
Wrist: Flexion and ulnar deviation 
Thumb: Opposition
8
Q

Describe the D1 LE flexion PNF pattern.

A

Pelvis: Protraction
Hip: Flexion, adduction, ER
Knee: flexion or extension
Ankle/foot: Dorsiflexion, inversion

9
Q

Describe the D2 LE flexion PNF pattern.

A

Pelvis: Elevation
Hip: Flexion, abduction, IR
Knee: flexion or extension
Ankle/foot: Dorsiflexion, eversion

10
Q

Describe the D1 LE extension PNF pattern.

A

Pelvis: Retraction
Hip: Extension, abduction, IR
Knee: flexion or extension
Ankle/foot: Plantarflexion, eversion

11
Q

Describe the D2 LE extension PNF pattern.

A

Pelvis: Depression
Hip: Extension, adduction, ER
Knee: flexion or extension
Ankle/foot: Plantarflexion, inversion

12
Q

Describe agnostic reversals and indicate what levels of motor control they target.

A

Controlled mobility and skill

Isotonic concentric contraction performed against resistance followed by alternative concentric and eccentric contractions with resistance.

13
Q

Describe alternating isometrics and indicate what levels of motor control they target.

A

Stability

Isometric contractions are performed alternating from muscles on one side of the joint to the other side without rest.

14
Q

Describe contract relax and indicate what levels of motor control they target.

A

Mobility

Used to increase ROM. As the extremity reaches the point of limitation, the patient performs a maximal contraction of the antagonist muscle group. PT resists movement for 8-10 seconds with relaxation to follow.

15
Q

Describe hold relax and indicate what levels of motor control they target.

A

Mobility

An isometric contraction used to increase ROM. Contraction is facilitated for all muscles groups at the limiting point in the ROM. Relaxation occurs and the extremity moves through the newly acquired ROM to the next point of limitation until no further increase of ROM occur.

16
Q

Describe rhythmic initiation and indicate what levels of motor control they target.

A

Mobility

Used to assist in initiating movement when hypertonia exists. Movement progresses from passive to AAROM to slightly resistive.

17
Q

Describe rhythmic stabilization and indicate what levels of motor control they target.

A

Mobility, stability

Isometric contractions around a joint against progressive resistance. Relax and move into the newly acquired range and repeat again.

18
Q

Describe slow reversals and indicate what levels of motor control they target.

A

Stability, controlled mobility and skill

Slow and resisted concentric contractions of agonists and antagonists around a joint without rest between reversals.