文稿教程讲稿pnf

1、PNFFirst developed by Physical TherapistsMaggie KnottDorothy VossThe most common PNF leg or arm positions encourage flexibility and coordination throughout the limbs entire range of motion.First used with stroke patients, children with CPToday often used for Sports MedicineSafety firstWarm up muscle

2、s through gentle exercise such as walking, Or external heat: warm packs, whirlpool bathNEVER over stretchThe patient is your guideSTOP before the patient is in painDo not force movementPNF Rehabilitation StrengtheningUse natural rotationCross midlineMove against resistance if possibleTechniques in S

3、trength TrainingProprioceptive Neuromuscular FacilitationNeurophysiological BasisAutogenic InhibitionReciprocal InhibitionPNF to increase ROM, strengthUse functional movementsDiagonal/rotational patterns: move the way the body moves.Example bring foot to foot to kneeReach arm up to graspActivity: Lo

4、ok at partner and move in diagonal pattern Arm: Diagonal 1Arm: Diagonal 2 LEG: Diagional 1Leg: Diagional 2Contract- Relax - Stretch1. Contract /RelaxGently move to end Range of Motionisometrically contract for 7-15 seconds, relaxed for 2-3 seconds immediate passive stretch which stretches the muscle

5、 even further than the initial passive stretch.Hold for 10-15 seconds. The muscle is then relaxed for 20 seconds before performing another PNF technique. How to perform a PNF stretchThe muscle group to be stretched is positioned so that the muscles are at the soft end of their ROM 1. Contract hamstr

6、ing muscles 7-15 secondsPush down2. Relax2-3 seconds3. Stretch gently10-20 seconds Relax20 seconds before next stretchContract Relax - Contractcontract-relax-contract, 1-2-3It involves performing two isometric contractions: first of the agonists, then, of the antagonists. Push up relax push downThe

7、first part is similar to the hold-relax where, after assuming an initial passive stretch, the stretched muscle is isometrically contracted for 7-15 seconds. Then the muscle is relaxed while its antagonist immediately performs an isometric contraction that is held for 7-15 seconds. The muscles are th

8、en relaxed for 20 seconds before performing another PNF technique. Assistive equipment can be usedfor independent stretch Theraband PNFMany muscles can be elongatedHamstring stretchReachPush down 5-10 secRelax 2-3 secLift up Groin stretch Hip Flexor stretchFoot plantar flexionRelax, then pull foot upShoulder flexionContractRelaxStretchLateral trunkChest StretchStrength Training PrinciplesProgressive Resistance ExerciseDAPRETaken from Houglum PA. Therapeuti