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Understanding Proprioceptive Neuromuscular Facilitation

Proprioceptive Neuromuscular Facilitation (PNF) is an exercise technique based on principles of functional anatomy and neurophysiology. It uses techniques of facilitation and inhibition through muscle stretching and contraction to increase strength, flexibility, range of motion, and coordination. PNF involves specific patterns of movement with manual pressure and verbal cues to elicit stretch reflexes, reciprocal inhibition, and autogenic inhibition for rehabilitation purposes.

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Dany Virgil
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707 views19 pages

Understanding Proprioceptive Neuromuscular Facilitation

Proprioceptive Neuromuscular Facilitation (PNF) is an exercise technique based on principles of functional anatomy and neurophysiology. It uses techniques of facilitation and inhibition through muscle stretching and contraction to increase strength, flexibility, range of motion, and coordination. PNF involves specific patterns of movement with manual pressure and verbal cues to elicit stretch reflexes, reciprocal inhibition, and autogenic inhibition for rehabilitation purposes.

Uploaded by

Dany Virgil
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
  • Proprioceptive Neuromuscular Facilitation
  • Early Research
  • Facilitation
  • Inhibition
  • Neurophysiological Basis
  • Rational for Use
  • Principles of PNF
  • Patterns
  • Techniques

Proprioceptive Neuromuscular Facilitation

WHAT IS PNF?
PNF - Propriocpetive neuromuscular facilitation is exercise based on the principles of functional human anatomy and neurophysiology.
Proprioceptive Cutaneous Auditory imput

EARLY RESEARCH
Sharrington..
Concepts of facilitation and inhibition

FACILITATION
Facilitory - an impulse causing the recruitment and discharge of additional motor neurons in the spinal cord
Results in increased excitability in the muscles. Weak muscles would be aided through facilitation

INHIBITION
Inhibitory - any stimulus that causes motor neurons to drop away from the discharge zone and away from the spinal cord.
Inhibition results in decreased excitability of motor neurons. Muscle spasticity can be decreased

NEUROPHYSIOLGOICAL BASIS
Stretch Relfex
Muscle spindles
Change in length Rate of change in length

Golgi tendon organs = tension

NEUROPHYSIOLGOICAL BASIS
Autogenic Inhibiltion - inhibition mediated by afferent fibers from a stretched muscle.
Stretching the hamstrings
Excitatory and inhibitory information Stretch is extended, inhibitory impulses take over. Protective mechanism

NEUROPHYSIOLGOICAL BASIS
Reciprocal Inhibition
Agonist/antagonist muscle pattern
Biceps and Triceps

RATIONAL FOR USE


Techniques used for
Increasing strength Flexibility Range of motion Increase coordination

PRINCIPELS OF PNF
Patient must be taught the pattern Visual stimulus is need early Use specific verbal cues
PUSH, HOLD PULL, RELAX

Appropriate pressure with manual contact Body positioning Resistance should be constant Rotational movement is critical

PATTERNS
D1 Flexion
Shoulder FLEX, ADD, ER Forearm - Sup Wrist - Rad. Flexion Fingers - flexion SHOULDER

D2 Flexion
Shoulder FLEX, ABD, ER Forearm - Sup Wrist - Rad. Flexion

Fingers - Extension

D2 Extension
Shoulder EXT, ADD, IR Forearm - Pro Wrist - Ulnar ext. Fingers - flexion

D1 Extension
Shoulder EXT, ABD, IR
Forearm - Pro Wrist - Ulnar. extension Fingers - Extension

TECHNIQUES
Strengthening
Rhythmic initiation - initial passive, active assistive, active motion without a quick stretch Repeated contraction - weakness at a point or through a range of motion Rhythmic stabilization - Isometric contraction of the agonist followed by isometric contraction of the antagonist, produces stability

Proprioceptive Neuromuscular Facilitation
WHAT IS PNF? •PNF - Propriocpetive neuromuscular facilitation is exercise based on the principles of functional human anatomy
EARLY RESEARCH •Sharrington.. • Sharrington.. – Concepts of facilitation and inhibition
FACILITATION •Facilitory - an impulse causing the recruitment and discharge of additional motor neurons in the spinal cord •
INHIBITION •Inhibitory - any stimulus that causes motor neurons to drop away from the discharge zone and away from the spinal
NEUROPHYSIOLGOICAL BASIS •Stretch Relfex • Stretch Relfex – Muscle spindles • Change in length • Rate of change in leng
NEUROPHYSIOLGOICAL BASIS •Autogenic Inhibiltion - inhibition mediated by afferent fibers from a stretched muscle. • Autogen
NEUROPHYSIOLGOICAL BASIS •Reciprocal Inhibition • Reciprocal Inhibition – Agonist/antagonist muscle pattern • Biceps and
RATIONAL FOR USE •Techniques used for… • Techniques used for… – Increasing strength – Flexibility – Range of motion – In
PRINCIPELS OF PNF •Patient must be taught the pattern •Visual stimulus is need early •Use specific verbal cues •Appropriate p

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