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27 Cards in this Set
- Front
- Back
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Diagonal patterns are used to facilitate movement because they
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(1) Are the most developmentally advanced movement patterns (2) Combine all joint ROM (3) Include rotation around the longitudinal axis, which puts all muscle groups on a maximum stretch at the beginning of movement. |
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Indications for PNF:
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increase strength increase flexibility increase stability increase neuromuscular control increase functional movement |
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Contraindications:
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inflammatory arthritis bone fracture bone disease malignancy congenital bone deformity |
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8 diagonals identified by...?
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by the motions occurring at proximal pivot points, either the shoulder or the hip joints; the joint is either flexing or extending Named by the position of the shoulder or hip when the diagonal pattern has been completed |
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D1 flexion patterns move |
toward midline |
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D2 flexion patterns move |
away from midline |
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UE D1 Flexion |
Punch yourself (Grabbing seatbelt) Shoulder • Flexion, Adduction, ER Scapula • Elevation, Protraction, Upward rotation Elbow • Flexion/Extension, Supination Wrist • Flexion, Radial deviation Fingers • Flexion, Adduction Thumb • Flexion
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UE D1 Extension
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Reach for baton (Heisman) Shoulder • Extension, Abduction, IR Scapula • Depression, Retraction, Downward rotation Elbow • Flexion/Extension, Pronation Wrist • Extension, Ulnar deviation Fingers • Extension, Abduction Thumb • Extension
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UE D2 Flexion |
Waiter Position holding tray (Disco Fever) Radial deviation goes with supination Shoulder • Flexion, Abduction, ER Scapula • Elevation, Retraction, Upward rotation Elbow • Flexion/Extension, Supination Wrist • Extension, Radial deviation Fingers • Extension, Abduction Thumb • Extension
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UE D2 Extension |
Grab the sword Shoulder • Extension, Adduction, IR Scapula • Depression, Protraction, Downward rotation Elbow • Flexion/Extension, Pronation Wrist • Flexion, Ulnar deviation Fingers • Flexion, Adduction Thumb • Flexion
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LE D1 Flexion |
toward midline for hip Kick the ball Hip • Flexion, Adduction, ER Knee • Flexion/Extension Ankle • Dorsiflexion, Inversion Toes • Extension Pelvis • Protraction
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LE D1 Extension |
Ice-skating Hip • Extension, Abduction, IR Knee • Flexion/Extension Ankle • Plantarflexion, Eversion Toes • Flexion Pelvis • Retraction
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LE D2 Flexion |
Karate Kick, snow plow Hip • Flexion, Abduction, IR Knee • Flexion/Extension Ankle • Dorsiflexion, Eversion Toes • Extension Pelvis • Elevation
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LE D2 Extension |
Curtsey Hip • Extension, Adduction, ER Knee • Flexion/Extension Ankle • Plantarflexion, Inversion Toes • Flexion Pelvis • Depression
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D1 Ulnar Thrust |
Shoulder • Flexion, Adduction, ER Scapula • Elevation, Protraction, Upward rotation Elbow • Extension, Pronation Wrist • Extension, Ulnar deviation Fingers • Extension, Abduction Thumb • Extension
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D1 Ulnar Withdrawal
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“Yes” Shoulder • Extension, Abduction, IR Scapula • Depression, Retraction, Downward rotation Elbow • Flexion, Supination Wrist • Flexion, Radial deviation Fingers • Flexion, Adduction Thumb • Flexion
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Which components do thrusts and withdrawals share with the normal diagonal patterns? In what ways do they differ?
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figure it out dude |
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D2 Radial Thrust
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“Starting the Lawnmower” Shoulder • Extension, Adduction, IR Scapula • Depression, Protraction, Downward rotation Elbow • Extension, Supination Wrist • Extension, Radial deviation Fingers • Extension, Abduction Thumb • Extension
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D2 Radial Withdrawal
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“Starting the Lawnmower” Shoulder • Flexion, Abduction, ER Scapula • Elevation, Retraction, Upward rotation Elbow • Flexion, Pronation Wrist • Flexion, Ulnar deviation Fingers • Flexion, Adduction Thumb • Flexion
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bilateral symmetrical |
(same direction, same diagonal) mirror |
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D1 Symmetrical flexion |
patterns result in trunk extension |
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D1 Symmetrical extension |
patterns result in trunk flexion.
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Bilateral asymmetrical patterns result in |
trunk rotation.
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one UE performs a D2 flexion pattern while the other assists by holding under the wrist. The assisting arm performs a D1 pattern (facilitates trunk extension, rotation, and weight shifting). |
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Chop: |
one UE performs a D1 extension pattern while the assisting arm performs a D2 extension pattern (facilitates trunk flexion, rotation, and weight shifting).
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Bilateral Reciprocal |
(different direction, same diagonal)
Bilateral reciprocal patterns result in a co-contraction of trunk musculature, promoting stability. This pattern occurs during walking/jogging.
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Crossed Diagonal (Asymmetrical Reciprocal) |
A crossed diagonal (asymmetrical reciprocal) demands the highest level of trunk and extremity control. Asymmetrical = different diagonal; Reciprocal = different direction
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