PNF in hemiplegic gait

[suhaaarab]

Hi friends, I am doing my Post Grad. I want to know about PNF in hemiplegic gait. Does PNF improve the gait?

[physiosanskrati]

I have given P.N.F. in several hemiplegics and am sure about its definate advantages in improving gate. Allthoug hemiplegics aquire a cosidrable amont of strength in there D.F , evertors and hip flex. still are not able to use them like normal human beings. P.N.F helps to re-educates funcutional movements . It has been mentioned at several places that brain appreciates mov and not specific muscle actions. I have a hemiplegic pt. who owns a good muscle power but fails to perform simple tasks in functional positions. For example: he is able to supinate well but can not do so with an extended elbow. I 've started with P.N.F and am getting good results.

[neurospast]

Using PNF in treatment of stroke patients should improve e.g. the gait. By using PNF you can stimulate normal movement patterns; by 'stearing' the movements and therefor having the ability to inhibite high tone muscles and stimulate low tone muscles. If you look at 'extension and flexion patterns of e.g. the leg in stroke (most common patterns) you will find in PNF that certain PNF patterns move away from the most common stroke patterns. In case Bobaths reasoning is sound, the likelyhood that PNF does work is large. With PNF you can go through the same steps of physical development as with bobath (e.g. crawling, from sitting to standing).
I have found PNF usefull in treatment of neurological conditions, one thing comes to my mind; think about ataxia the use of (minimal, only guiding) resistance could well reduce tremor.
Unfortunately I am unaware of any research but I must admit I have't really looked into it.

[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