PNF
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What is included in a PNF eval? | Proximal to distal, Stability to mobility, Head/neck, Upper trunk/UE, Lower trunk/LE | |
What are the basics of PNF? | Two patterns are present for each major part of the body X, Each diagonal pattern has a flexion & extension combined with IR or ER and mvmt either toward or away from midline, Crossing midline is remediation for neglect, Rotation is always a component, Optimal muscle patterns are provided in the diagonal patterns which mimic function | |
Describe UE D1 Flexion (antagonist of D1 extension). | Hand to mouth function, §Scapular elevation & abduction, § Shoulder flexion, adduction , ER, § Elbow in flexion (or extension), § Forearm supination, § Wrist flexion, radial deviation, § Finger flexion, adduction, § Thumb adduction | |
Describe UE D1 Extension (antagonist of D1 flexion). | Opening a car door from inside, rolling from prone to supine function, § Scapular depression, adduction, § Shoulder extension, abduction, IR, § Elbow in extension (or flexion), § Forearm pronation, § Wrist extension, ulnar deviation, § Finger extension and abduction, § Thumb palmar abduction | |
Describe UE D2 Flexion (antagonist for D2 extension). | Combing hair on right side with right hand function, § Scapula elevation, abduction, upward rotation, § Shoulder flexion, abduction, ER, § Elbow extension (or flexion), § Forearm supination, § Wrist extension, radial deviation, § Fingers extended, abducted, § Thumb extension | |
Describe UE D2 Extension (antagonist for D2 flexion). | Drawing the sword, buttoning pants on left side with right hand function, § Scapular depression, abduction, rotation, § Shoulder extension, adduction, IR, § Elbow in extension (or flexion), § Forearm pronation, § Wrist flexion, ulnar deviation, § Fingers flexed and adducted, § Thumb in opposition | |
Bilateral Symmetrical mvmt. | Paired extremities perform the same mvmts at the same time | |
Bilateral symmetrical D1 extension. | Pushing off a chair to stand | |
Bilateral symmetrical D2 extension. | Starting to take off a pullover shirt | |
Bilateral Asymmetrical mvmt. | Paired extremities perform mvmts toward one side of the body at the same time, Facilitates trunk rotation, Putting in an earring with two hands, Zipping a side zipper with two hands | |
Bilateral Reciprocal mvmt. | Paired extremities move in opposite directions simultaneously either in same or combined diagonals | |
Bilateral Reciprocal, same diagonal. | Arm swing when walking | |
Bilateral Reciprocal, combined diagonal. | Sidestroke in swimming | |
Ipsilateral patterns. | Extremities on the same side moving in the same direction at the same time (robot walk) | |
Contralateral patterns. | Extremities on opposite sides moving in the same direction at the same time (normal walking stride) | |
Diagonal reciprocal patterns. | Contralateral extremities moving in the same direction/same time with opposite contralateral extremities moving in the opposite direction (normal walking) |
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