TherEx Final Exam PNF
physical, intellectual, and emotional - ✔✔PNF is an integrated approach that
addresses the whole person:
-increase function
-promote motor learning
-increase strength
-decrease pain - ✔✔Use of stronger body parts strengthen the weaker body parts
through cooperation, leading towards the goal of optimum function. The therapist
utilizes the less involved body parts in order to
strength, coordination, and balance - ✔✔Facilitating a maximal response is the most
effective means of increasing motor and sensory awareness, which in turn will
enhance:
motor learning - ✔✔Repetition of the maximal response is used to promote and retain:
fatigue - ✔✔Alternating activity reduces:
maintain and improve the power, endurance, and motor coordination of the
neuromuscular mechanism - ✔✔Continued activity is essential to:
optimum function, which depends on a well-integrated structure and appropriate
sensory input - ✔✔The goal of treatment is:
1. Patient Position
2. Manual Contacts
3. Therapist Position/Body Mechanics
4. Appropriate Resistance
5. Traction & Approximation
6. Quick Stretch/Stretch Stimulus
7. Irradiation
8. Normal Timing
9. Patterns of Facilitation
Consider the influence of gravity and reflexes - ✔✔1. Patient Position
Lumbrical grip gives security without discomfort - ✔✔2. Manual Contacts
-maintains neutral spine
-position therapist body (hips and shoulders) in line with desired motion
-weight shift in line with desired motion --> minimizes injury for therapist, optomize
patients' response, facilitate desired motion - ✔✔3. Therapist Position/Body
Mechanics
-amount of resistance facilitates a smooth/coordinated effort throughout desired range
of motion
-must be FACILITORY, not INHIBITORY
-reinforces the awareness of movement patterns, to strengthen and improve
coordination
-types of contractions to restore normal function
--> concentric
--> eccentric
--> isotonic - ✔✔4. Appropriate Resistance
This can vary - typically it is the 1 pound of resistance, although, some people may
need more/less resistance or assistance - ✔✔Which type of resistance worked best
for your lab activity to facilitate smooth coordinated movement?
Traction: elongation of a segment
--> used to increase muscular response and promote movement
--> commonly used open chain activities, i.e. pulling, anti-gravity movement
Approximation: compression of a segment
--> used to increase muscular response and promote stability
--> commonly used closed chain activities, i.e. pushing, weightbearing activities -
✔✔5. Traction and Approximation
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