PNF in hemiplegic gait

[sdkashif]

Coordinated movement can also be promoted using proprioceptive neuromuscular patterns and techniques described by Knott and Kabat.

Patterns are selected to reinforce and develop selective movement control while avoiding synergistic patterns. For example, lower extremity D1 extension with knee flexing would be an appropriate pattern to practice if patients were experiencing incomplete knee flexion with hip extension with toe off. Lower extremity D1 extension promotes the necessary combination of hip extension and abduction needed to regain the stance phase stability and reduce the trendelenburg's gait pattern. Bilateral symmetrical patterns are also very useful to achieve overflow from sound side to the affected side. For example bilateral lower extremity D2 flexion with knee extension enhances knee stability needed for transfer, standing and gait.

Appropraite PNF techniques include slow reversals, timing for emphasis with repeated contractions if components are weak. Rhythmic initiation particularly works well in assisting motor learning. Hold- relax active movements can be used if initiation of movement is difficult. The technique of agonistic reversal is effective in developing the eccentric control necessary for normal function. Thus functional activities of bridging, sit to stand, or kneeling to kneel sitting might be practised using agonist reversal technique. In the PNF approach, there is a large emphasis on effective motor learning using strategies such as practice, repetition, visual guidance of movement, and so forth.

[sarapollo08]

Hellow friends,
P.n.f is a good treatment technequie through which we can do any thing to a patient when needed

1) INITIATE MOTION
-Rhythmic initiation
-Repeat strech from begining of range

2)INCREASE STRENGTH
-Rhythmic initiation
-dynamic reversal
-Rhythmic stabilisitation
-repeated strech through range

3)INCREASE COORDINATION AND CONTROL
-Combination of isotonics
-stabilising reversals
-replication

4)INCREASE ENDURANCE
-dynamic reversals
-rhythmic stabilisation

5)INCREASE RANGE OF MOTION
-Contract relax
-hold relax




with p.n.f u can train anything for a patient
prathap (PHYSIO)

[rubal]

hi
i am interested in reading more about pnf techniques.please tell me about a simple book from where i can read more about pnf

[estherderu]

dear colleagues,

On the site of the internation PNF association you can find a lot of material and research.
Go to IPNFA - from facilitation to participation - Introduction... under downloads
and for an interesting comparison between manual therapy and PNF....
http://www.saxion.edu/static/fileban...esentation.pdf.
In my opinion however you can NEVER learn a practical method without practical instruction...
preferably taught by people who have recieved their education in the official PNF course.

kind regards

esther de ru