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23 Cards in this Set
- Front
- Back
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What are the essential components of PNF |
Manualcontacts Bodyposition and body mechanics Stretch Manualresistance Irradiation Jointfacilitation Timingof movement Patternsof movement Visualcues Verbalinput |
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Considerations for Patient Position |
Support Length tension relationship Greatest muscle tension occurs in midrange Act. insuf in shorted range |
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Considerations for Therapist position |
Keep body in line with motion Alignment thru line of force Resistance is created through body weight |
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Indication for therapist position |
Enhanced control of pt movement, reduced therapist fatigue, protect therapist |
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Considerations for Manual contacts |
At target muscle group In direction of desired movement Lumbrical group |
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Indication for Manual contacts |
Guide movement, enhance muscle contraction, enhance kinesthetic awareness |
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Considerations for Verbal Cues and commands |
Clear, consise scripts -Preparatory verbal cue - what to do -Action cue - how to move -Corrective cue - augmented to feedback to enhance performance. Timing is critical |
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Considerations for Timing of Movement |
Most muscles are spiral and diagonal in structure and function -Synergistic patterns are triplanar -PNF diagonals are triplanar Pt watching movement is imperative |
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Considerations Timing |
Ensure smooth, coordinated movement Proximal stability for distal mobility Trunk stability - proximal to distal |
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Considerations for Manual Resistance |
Facilitation - reduction of internal resistance Strengthen or train target muscles Apply only enough resistance to facilitate the response we want. Inc Mob - resistance for smooth pn free ROM Inc Stab - greatest resistance that allows pt to maintain designated position |
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Appropriate Resistance |
Weak muscles respond to light resistance with light streth Slide 11 |
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Considerations for Approximation |
Compression of joints - ensure proper alignment Facilitates muscle response in extensor patterns |
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indication for Approximation |
Enhance contraction against gravity, stabilization of muscles, enhance function in WB postures for stabilization cont rol |
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Considerations for Traction |
Applied thorught he arc of motion to facilitate muscle response Decreases pain |
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Considerations for visual input |
Source of feedback to guide movement Enhances response - stronger muscle contraction A mirror can be used Facilitates proper alignment of head and trunk |
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Considerations for Irradiation |
Magnitude of response increases as intensity and duration of stimulus increases |
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Trunk Flexion Irradiation pattern |
Hip flexors, ankle dorsi |
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Trunk extension Irradiation pattern |
Hip and knee extensors |
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UE extension and adduction Irradiation pattern |
Trunk flexion |
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Hip Flexion, Adduction, ER Irradiation pattern |
Dorsiflexion |
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Considerations for Quick Stretch |
Facilitates an elongated muscle Stimulates synergistic muscles Quick stretch tends to inc motor response End range only |
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Contraindications for Quick Stretch |
Joint hypermobility Fracture Pain |
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Template for Performance |
Position the pt Assume PT position PROM to proper alignment Position hands Passive or resisted Couple with prep and action command Monitor pts whole body response Pt can visuall track movement Feedback |
