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  • 7/23/2019 PNF Techniques.docx - Wikispaces

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    PNF Techniques

    Technique Defnition Used For Stage AppliedExamples &

    Notes

    Rhthmic !nitiation

    "R!#

    Moving passively

    through a range(initially)*

    Understand the

    timing & rhythm of amovement

    uic!ly progress to

    "#"*

    $nitial Mo%ility

    hyper'hypo

    e passive U +,

    patterns(move to active

    assisted quic!ly*)

    Rhthmic Rotation

    "RRo#

    Moving passi$el

    through -.M in

    alternating'multi

    directions

    Understand timing of

    rotational movements

    $nitial Mo%ility

    /yper

    -igidity (P+)

    e passively roc!ing

    a pt or P-.M thru

    range for

    rhythmicity'timingActi$e%Assisted "A%

    A# & uided '

    " com%ination of PT

    help and pt activation

    through range

    Net level of initiation

    0have them help you

    $nitial Mo%ility

    controlled mo%ility

    (di1cult tas!s)

    Used if patient can2t

    get through entire

    range actively3

    continuation of -$Alternating

    !sometrics "A!#

    $sometric contraction

    of agonist &

    antagonist against one

    plane of mvt

    4trength sta%ility of

    postural and girdle

    muscles

    4ta%ility e pt 5ees

    shoulders to 678

    9don2t let me move

    you:3 PT applies force

    into Fle then ;tRhthmic

    Sta(ili)ation "RS#

    ''

    $sometric contraction

    of multidirectional

    force

    Promote sta%ility via

    co#contraction and

    isometrics in manydirections

    4ta%ility e in sitting 9don2t

    let me move you: PT

    applies rotationalforce to trun!

    Dont hold onto G-H

    joint!!!Repeated

    *ontraction "R*#

    -epeated dynamic

    contraction applied at

    one point of range

    4peci

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    PNF Techniques

    Resisted

    +rogression "R+#

    Manual resistance to

    pelvis during

    locomotion

    4trengthens during

    functional activity

    >ontrolled

    mo%ility'4!ill

    ?ust enough

    resistance to ma!e

    them =or!

    Agonist Re$ersal -esisting a muscle

    through %othconcentric and

    eccentric

    4trengthens agonist >ontrolled mo%ility e -esist %iceps

    during el%o= 5e andet

    Antagonist

    Re$ersal, Slo-

    Re$ersal "SR#

    4lo= isotonic

    contractions of the

    agonist =' resistance

    then the antagonist ='

    resistance

    4trengths muscles

    (around a @oint

    usually)

    >ontrolled mo%ility e resist %iceps ='

    el%o= 5e & triceps

    =' et

    careful resistance

    through entire rangeAntagonist

    Re$ersal, Slo-

    Re$ersal%.old "SR%

    .#

    -/ =ith isometric

    contraction at end

    range

    nhance dynamic

    sta%ility esp

    proimally

    4ta%ility controlled

    mo%ility

    e same as a%ove

    %ut have them hold

    resistance at end of

    arc of motion.old +ositions Aeight#%earing to

    promote co#

    contraction around

    @oints

    4ta%ility around @oints 4ta%ility

    ($sometrics can %e

    used =' hypo too)

    e prone on el%o=s**some source place this

    as a type of a rhythmic

    sta% %'c you can try to

    move people in a AB

    position (isometric

    resistance)

    *ontract%Relax

    "*R#

    "ctive contraction of

    agonist follo=ed %ypassive stretch

    $ncreasing 5ei%ility $nitial mo%ility

    hypertonic

    e contract

    hamstrings onto PT2sshoulder3 rela & PT

    passively stretch*ontract%Relax/

    Antagonist

    contract "*RA*#

    "ctive contraction of

    agonist follo=ed %y

    active antagonist

    contraction

    $ncrease 5ei%ility of

    agonist through

    active participation

    $nitial mo%ility

    hypertonicity

    e contract

    hamstring rela &

    actively etend !nee

    (quads).old%Relax ".R#

    0-1 Acti$e

    $sometric hold of

    agonist (PT pushing

    $ncrease 5ei%ility $nitial mo%ility

    /yper or hypomo%ility

    e PT tries to etend

    !nee 9don2t let me

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    PNF Techniques

    2$t3.RA24 into it) then either

    passive stretch or

    activation of

    antagonist

    move you:3 pt holds

    then relaes Passive

    stretch or activation

    of antagonist