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    PNF and Other Techniques

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    drprasant
    PNF and other techniques are neurophysiological techniques used for strength, flexibility, and coordination. PNF is based on the stretch reflex and uses principles of facilitation and inhibition. It emphasizes selective reeducation through neuromuscular control. There are various PNF techniques that involve isometric and isotonic contractions of agonists and antagonists with the goal of providing maximal muscle response. Other techniques discussed include strain-counterstrain for reducing muscle tension, active release for correcting fibrotic adhesions, and various types of sports massage for mechanical stimulation and inflammatory response.

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    PNF and Other Techniques

    Uploaded by

    drprasant
    87 views8 pages
    PNF and other techniques are neurophysiological techniques used for strength, flexibility, and coordination. PNF is based on the stretch reflex and uses principles of facilitation and inhibition. It emphasizes selective reeducation through neuromuscular control. There are various PNF techniques that involve isometric and isotonic contractions of agonists and antagonists with the goal of providing maximal muscle response. Other techniques discussed include strain-counterstrain for reducing muscle tension, active release for correcting fibrotic adhesions, and various types of sports massage for mechanical stimulation and inflammatory response.

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    jki

    Original Title

    AT320-ch15

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    PNF and other techniques are neurophysiological techniques used for strength, flexibility, and coordination. PNF is based on the stretch reflex and uses principles of facilitation and inhibition. It emphasizes selective reeducation through neuromuscular control. There are various PNF techniques that involve isometric and isotonic contractions of agonists and antagonists with the goal of providing maximal muscle response. Other techniques discussed include strain-counterstrain for reducing muscle tension, active release for correcting fibrotic adhesions, and various types of sports massage for mechanical stimulation and inflammatory response.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    87 views8 pages

    PNF and Other Techniques

    Uploaded by

    drprasant
    PNF and other techniques are neurophysiological techniques used for strength, flexibility, and coordination. PNF is based on the stretch reflex and uses principles of facilitation and inhibition. It emphasizes selective reeducation through neuromuscular control. There are various PNF techniques that involve isometric and isotonic contractions of agonists and antagonists with the goal of providing maximal muscle response. Other techniques discussed include strain-counterstrain for reducing muscle tension, active release for correcting fibrotic adhesions, and various types of sports massage for mechanical stimulation and inflammatory response.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 8

    PNF and other techniques

    Chapter 15

    Neurophysiological basis:

    Principles of facilitation and inhibition attributed to


    Sherrington
    PNF based on stretch reflex

    Muscle spindles detect length changes


    GTOs detect tension changes

    Autogenic inhibition: GTOs override the muscle


    spindles and cause relaxation
    Reciprocal inhibition: contraction or stretch of
    agonist relaxes antagonist

    Quick stretch of antagonist facilitates contraction of


    agonist

    Rational for use:

    Goal is to provide maximal response for


    strength, flexibility, and coordination
    Emphasis on selective reeducation through
    neuromuscular control
    Contraction strength is directly proportional
    to activated motor units

    Irratiation: overflow effect where stronger


    muscle groups help weaker ones

    Basic principles:

    Teach the patterns and


    sequences start to
    finish
    Patient should look at
    the limb
    Use verbal cues
    Appropriate pressure
    is essential

    Mechanics and body


    positioning are
    essential
    Rotational movement
    is critical component
    Distal movements
    occur first
    Quick stretch before
    contraction is facilitory

    PNF techniques:

    Strength:

    Slow reversal:

    Agonist isotonic
    Agonist isometric
    Antagonist isotonic
    Antagonist isometric

    Rhythmic stabilization:

    Stretching:

    Agonist isotonic
    Antagonist isotonic

    Slow reversal hold:

    Agonist isometric
    Antagonist isometric
    Manual pertubation

    Contract relax:

    Hold relax:

    PROM into agonist


    Antagonist isotonic
    PROM into agonist
    Antagonist isometric

    Slow reversal hold


    relax:

    Agonist isotonic
    Antagonist isometric

    PNF patterns:

    All patterns have three components:

    Flexion-extension
    Abduction-adduction
    Internal rotation-external rotation

    Upper and lower extremity have 2 diagonal patterns


    Trunk patterns are called chopping and lifting
    Neck patterns involve flexion/rotation to one side
    and extension/rotation to the other
    Figure 15-4 and figure 15-5 page 310-311

    Other techniques:

    Strain-counterstrain:

    Used to decrease
    muscle tension
    ATC locates tender
    points, then moves the
    patient into a position of
    comfort
    Hold the position for 90
    sec, then return to
    neutral
    Works by reducing
    spindle input to allow
    relaxation

    Active release
    technique (ART):

    Used to correct fibrotic


    adhesions
    Locate the adhesion
    and apply pressure with
    thumb or fingers in
    direction of fiber
    Patient actively moves
    part while ATC applies
    pressure
    Treatments are
    uncomfortable

    Sports massage:

    Mechanical stimulation of tissue

    Hoffa massage: traditional strokes

    No conclusive evidence of effectiveness


    Effleurage, petrissage, percussion/tapotement, vibration

    Friction massage: increase inflammatory response


    Acupressure: massage of trigger points
    Connective tissue massage: circulatory pathologies
    Myofascial release: relieve tight fascia
    Rolfing: manual soft tissue manipulation to balance
    the bodys gravitational field
    Trager: used to establish neuromuscular control

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