Download Basic Procedures with PNF Procedure Key Components Manual

Basic Procedures with PNF
Procedure
Key Components
Manual contacts
Over agonist muscle/tendon opposite the
direction of motion using lumbrical grip
Body Position/Body Mechanics
Therapist’s body in line with desired motion or
force and force applied through body weight
Stretch Stimulus
Muscle placed in elongated position
Stretch Reflex
Facilitated by rapid stret5ch just past the point of
tension to already elongated agonist
Timing
Sequencing of motions from distal to proximal
Traction
Acts as a stretch stimulus to facilitate motion and
inhibit pain
Approximation
Gentle compression stimulates joint receptors to
promote stabilization
Verbal Commands
Preparation, action, correction (“ready, pull, keep
pulling”)
Visual Cues
Visual feedback enhances control of movement
throughout the ROM
PNF Techniques
Techniques
Key Components
Rhythmic Initiation
Use to initiate a movement pattern; therapist
passively moves the limb through the available
range of the movement pattern; progress to
AAROM and AROM
Repeated Contractions
Initiated with repeated quick stretches followed by
resistance; used to strengthen a weak agonist
Reversal of Antagonists
Stimulation of weak agonist pattern by first
resisting static or dynamic contractions of the
antagonist pattern; movement reversals initiated
just before the previous pattern has been fully
completed
Slow Reversals Agonist contraction followed by concentric
antagonist contraction with no voluntary
relaxation between patterns; promotes rapid,
reciprocal action of agonists & antagonists
Slow Reversal hold Adds an isometric at the end of the range of a
pattern to enhance end-range holding of a
weakened muscle
Alternating Isometrics
Manual resistance applied in a single plane from
one side to the other; promotes isometric strength
of agonists & antagonists
Rhythmic Stabilization
Manual resistance applied multidirectionally and
simultaneously in opposite direction as the patient
hold the selected position