PNF for Increase Range of motion -introduce
Proprioceptive
- Deep sensory receptor
- Give information to the brain
Neuromuscular
- Motion and action by muscle and nerve
Facilitation
- Promote functional activity
- Based on ICF
Philosophy of PNF
A theory or attitude that guides one’s behavior.
Base and fundamental of our assessment and treatment.
1. Positive Approach : Positive assssment, No pain, Indirect Rx
2. Functional Approach : Treatment on level of structure and activity– use to ICF
3. Mobilize reserves : Increase awareness of patient potential and resourses
4. Consider the whole person : Environmental and personal factors
5. Motor Learning & Motor Control : C-A-A / M-S-CM-S
Basic Principles and Procedures
Basic Principles
1. Tactile Stimulation
- Manual Contract(Lumbrical grip)
2. Auditory Stimulation
- Verbal Command(3 stages)
3. Visual Stimulation
- Visual References to patient’s body
- Eye Contact patient-therapist
4. Resistance
- Optimal Resistance, Three dimensional, Dynamic & Static
5. Traction & Approximation
- Stimulate joint receptor
6. Stretch
Procedures
1. Timing
- The sequence of motions
- Normal timing is from distal to proximal
- Central : Stability / Peripheral : Mobility
2. Irradiation & Reinforcement
- Indirect approach
- Overflow
3. Body Position & Mechanics
- Main key for PNF Patterns
- Groove, Line in diagonal motion
4. Pattern
- Three dimensional muscle chain
- Named for end positions
Techniques
Rhythmic Initiation Combination of Isotonic
Repeated Stretch Replication Contract – Relax Hold – Relax Dynamic Reversals Stabilizing Reversals Rhythmic Stabilization
Pattern
Scapular : Anterior Elevation Pattern
Scapulohumeral Rhythm Mobility
- For the Trunk, Extremity (Irradiation)
- Muscle : Levator Scapular, Rhomboid, Serratus Anterior
- Irradiation : Trunk Flexion Contralateral Trunk bending & Rotation
Ipsilateral Trunk Elongation
Arm : Flexion-Abduction-External Rotation Pattern
- Rule
Add ▶ Hand close (Squeeze)
Abd ▶ Hand open
Flex ▶ External Rotation
Extend ▶ Internal Rotation
- Irradiation : Trunk Extension Contralateral Hip Extension & Abduction
