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PNF Technique Indications Contraindications Techniques For Facilitation

This document describes various PNF techniques including their indications and contraindications. Rhythmic Initiation is used to improve the ability to initiate movement and involves passive movement through increments of range leading to active movement. Rhythmic Stabilization emphasizes rotational stability and involves co-contraction of muscles. Repeated Contraction is used for weakness, incoordination, or imbalance and involves repeated isotonic contractions. Slow Reversal addresses muscle imbalance or weakness through gradual concentric and eccentric contractions of agonists and antagonists.

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Paula Coleen
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627 views

PNF Technique Indications Contraindications Techniques For Facilitation

This document describes various PNF techniques including their indications and contraindications. Rhythmic Initiation is used to improve the ability to initiate movement and involves passive movement through increments of range leading to active movement. Rhythmic Stabilization emphasizes rotational stability and involves co-contraction of muscles. Repeated Contraction is used for weakness, incoordination, or imbalance and involves repeated isotonic contractions. Slow Reversal addresses muscle imbalance or weakness through gradual concentric and eccentric contractions of agonists and antagonists.

Uploaded by

Paula Coleen
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PNF Technique Indications Contraindications Techniques for Facilitation

RHYTHMIC INITIATION (RI)  Inability to relax Voluntary relaxation*  passive movement through
- to improve the ability to  Hypertonicity (spasticity, increments of range  AAROME  AROM  MREs (usually
initiate movement rigidity) concentric)
 Inability to initiate
movement (apraxia) * Relaxation of muscles using inhibitory techniques
 Motor learning deficits * Unidirectional or diagonal

RHYTHMIC STABILIZATION  Instability in weight bearing Isometric contraction of agonist  isometric contraction of
(RS) & holding antagonist
 Poor static postural control
 Weakness * Done without rest periods & results in co-contraction of
 LOM caused by tightness muscles
 Painful muscle splinting

* Emphasizes ROTATIONAL
STABILITY
REPEATED CONTRACTION (RC)  Weakness  Where sustained Repeated isotonic contractions (induced by quick stretch 
 Incoordination effort is CI enhanced by resistance performed through the range or part
 Muscle imbalance  Very acute of a range at a point of weakness)
 Diminished muscular situations
imbalance + Isometric hold can be added at the point of severe
weakness
* Unidirectional
SLOW REVERSAL (SR)  Muscle imbalance Isotonic contraction (concentric) of agonist  isotonic
 Muscle weakness contraction of antagonist

* Uses gradual grading of resistance


* Progression can be made by increasing increments in range
SLOW REVERSAL HOLD (SRH)  Inability to reverse Isotonic contraction (concentric) of agonist  isometric hold
directions at point of weakness or end of ROM  isotonic contraction
 Muscle imbalance of antagonist  isometric hold at point of weakness or end
 Weakness of ROM
 Incoordination
 Lack of endurance
SLOW REVERSAL HOLD RELAX Isotonic contraction of the agonist (tight)  isometric
(SRHR) contraction of agonist  relaxation  isotonic contraction of
agonist
QUICK REVERSAL (QR) Isotonic contraction of antagonist (lengthened position) 
quick isotonic contraction of agonist  isometric contraction
of agonist
AGONIST REVERSAL (AR)  Weak postural muscles - Slow isotonic contraction is introduced
 Inability to eccentrically
control body weight during Concentric contraction through the range  eccentric
movement transitions contraction of the same muscle group
 Poor dynamic muscle
control

* Typically used in SIT-TO-


STAND situation and STEPPING
UP & DOWN
HOLD RELAX (HR)  LOM caused by muscle Isometric contraction (tight muscle)  relaxation  PROM
- Uses AUTOGENIC INHIBITION tightness, muscle spasm,
and pain * Relaxation technique usually performed at the point of
limited ROM in the agonistic pattern
CONTRACT RELAX (CR)  Muscle tightness Isotonic contraction  passive elongation

* Relaxation technique usually performed at the point of


limited ROM in the agonistic pattern
HOLD RELAX WITH ACTIVE  Marked weakness in Isometric contraction in shortened range of pattern 
MOTION (HRAM) lengthened range of relaxation  PROM in lengthened position  isotonic
pattern contraction
HOLD RELAX WITH ACTIVE/  Lack of endurance
AGONIST CONTRACTION  Muscle imbalance
(HRAC)
RHYTHMIC ROTATION (RR)  Hypertonicity - Completely passive movement
- PT supports the limb or body segment as it rotates
alternately in both directions

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