what is PNF?
combines functional diagonal patterns and neuromuscular facilitation to improve neuromuscular control and function
stronger muscle groups facilitate activation of weaker muscle groups
D1 UE flexion
putting on seatbelt
shoulder: flexion, adduction, ER
forearm: supination
wrist: flexion/radial deviation
fingers/thumb: flexion/adduction
Where to place hands for D1 UE flexion
D1 UE extension
putting on seatbelt
shoulder: extension, abduction, IR
forearm: pronation
wrist: extension/ulnar deviation
fingers/thumb: extension/abduction
where to place hands for D1 UE extension
D2 UE flexion
unsheathing sword
shoulder: flexion, abd, ER
scapula: elevation, abd, upward rot
elbow: flexion or extension
forearm: supination
wrist: extension/radial deviation
fingers/thumb: extension/adduction
where to place hands for D2 UE flexion
D2 UE extension
unsheathing sword
shoulder: extension, adduction, IR
scapula: depression, add, downward rot
elbow: flexion or extension
forearm: pronation
wrist: flexion/ulnar deviation
fingers/thumb: flexion/adduction
where to place your hands for D2 UE extension
D1 LE flexion
hip: flexion, adduction, ER
knees: flexion or extension
ankle: DF, inversion (opposite of what you think)
toes: extension
where to place hands for D1 LE flexion
medial cues
1 hand above knee anteriorly/medially
1 hand on top of foot medially
D1 LE extension
hip: extension, abduction, IR
knees: flexion or extension
ankle: plantar flexion, eversion (opposite of what you think)
toes: flexion
where to place your hands for D1 LE extension
knee: ant/lateral
foot: bottom/lateral
D2 LE flexion
soccer kick
hip: flexion, abduction, IR (peeing on fire hydrant)
knees: flexion or extension
ankle: DF, eversion
toes: extension
where to place your hands for D2 LE flexion
knee: lateral
foot: top/lateral
D2 LE extension
kicking soccer ball
hip: extension, adduction, ER
knees: flexion or extension
ankle: PF, inversion
toes: flexed
where to place your hands for D2 LE extension
knee: posterior
foot: bottom
rhythmic initiation
initiates movement pattern and improves controlled movement by passively taking the patient through the movement pattern
repeated contractions
quick stretches throughout the motion (AAROM)
dynamic contractions initiated with a stretch agonist at any point in the motion
slow reversal
RAROM
no voluntary relaxation
promotes rapid changes in movement pattern agonist to antagonist
ex: flex the arm against resistance, then immediately extend it against resistance
slow reversal hold
hold of isometric contraction at end of movement
ex: flex the arm against resistance then at the end hold isometrically before reversing into resisting extension
alternating isometrics
NOT RHYTHMIC STABILIZATION
isometric hold of agonist and then antagonist (no joint ROM occurs)
therapist resists in one direction, then quickly switches to the opposite direction
rhythmic stabilization
multidirectional resistance to a joint to promot stability (co-contractions)
ex: pushing and pulling trunk rotation at the SAME TIME