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PNF
RHYTHMIC
INITIATION
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Rhythmic motion of the limb or body through
the desired range, starting with passive
motion and progressing to active resisted
movement.
RHYTHMIC INITIATION
1. PLANNING : why motion needs to be done? **what ADL should be chosen as functional task?
- 4 PHASES OF ACTIVITY** PASSIVE MOTION ACTIVE ASSISTED MOTION RESISTED MOTION ACTIVE MOTION
DESCRIPTION
EXAMPLE- PICKING UP A PHONE CALL (ADL) demonstration MACHINE LEARNING
What will happen
if the functional
task is not
chosen?
REVERSE MOTION WILL BE DONE BY THE THERAPIST. a. THERAPIST b. PATIENT c. BOTH PATIENT & THERAPIST AND WHY ???
QUICK QUIZ REVISION
WHAT SHOULD BE THE FIRST STEP BEFORE STARTING THE RYTHMIC INITIATION? A. IDENTIFIYING THE MOVEMENT THAT NEEDS TO BE TRAINED B. IDENTIFYING THE ADL WHICH INCLUDES THE REQUIRED MOVEMENT C. PROPER INSTRUCTIONS TO PATIENTS D. ALL OF THE ABOVE
QUICK QUIZ REVISION
WHAT WOULD BE THE BENEFIT OF USING FUNCTIONAL TASK OVER SIMPLE TASK? A.BETTER MOTOR LEARNING B.POOR MOTOR LEARNING C.MORE EXPERIENCE OF PAST D.BOTH A & C
QUICK QUIZ REVISION
PNF
CONTRACT RELAX
DIRECT METHOD
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CONTRACT RELAX- STEPS TO BE FOLLOWED
DIRECT METHOD
- Joint placed in end range of motion
- Resisted isotonic contraction of antagonist group of muscles contraction. It should be held for at least 5–8 seconds
- After sufficient time, the therapist tells the patient to relax.
- The joint or body part is repositioned , either actively by the patient or passively by the therapist, to the new limit of the passive range. Active motion is preferred and may be resisted.
- The technique is repeated until no more range is gained.
DISCUSSION WITH EXAMPLES
2. Increasing the range of shoulder flexion, abduction, and external rotation.
- Open your hand and lift your arm up as high as you can
- Squeeze my hand and pull your arm down and across.
- Keep pulling your arm down.
- Relax, let everything go loose.
- Now, resist the patient’s motion into the newly gained range. Open your hand and lift your arm up farther.
- Squeeze and pull your arm down; now open your hand and lift your arm up again
Increasing the range of shoulder flexion, abduction, and external rotation.
CONTRACT RELAXTECHNIQUE IS USED TO TREAT?
A.GROUP OF ANATGONIST MUSCLES
B.GROUP OF AGONIST MUSCLES
C.BOTH AGONIST & ANTAGONIST CAN BE TREATED
D.NONE OF THE ABOVE
QUICK QUIZ REVISION
IN DIRECT CONTRACT RELAX TECHNIQUE, SELECT
THE RIGHT SEQUENCE OF PROCEDURE.
A.CONTRACTION OF ANATGONIST MUSCLES , END
RANGE OF AVAILABLE MOTION , REPOSITION TO NEW
RNONE OF THE ABOVE.
B.END RANGE OF AVAILABLE MOTION, CONTRACTION
OF ANATGONIST MUSCLES , REPOSITION TO NEW
RANGE
C.ANY SEQUENCE CAN BE FOLLOWED
D.NONE OF THE ABOVE
QUICK QUIZ REVISION