1 / 20

PNF application to Stages of Motor Control

PNF application to Stages of Motor Control. Seung-sub Shin IPNFA Certified Therapist KPNFA. Contents. Definition : Motor control Stages of Motor control PNF application Patient ’ s Demo by Video. Motor control. The ability to regulate or direct the mechanisms essential to movement.

lydia-ball
Download Presentation

PNF application to Stages of Motor Control

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. PNF application to Stages of Motor Control Seung-sub Shin IPNFA Certified Therapist KPNFA

  2. Contents • Definition : Motor control • Stages of Motor control • PNF application • Patient’s Demo by Video

  3. Motor control • The ability to regulate or direct the mechanisms essential to movement. • The individual generates movement to meet the demands of the task being performed within a specific environment. Task M Environment Individual Movement

  4. Motor control • Stability • Mobility • Manipulation • Perception • Cognition • Action • Regulatory • Nonregulatory

  5. Stages of Motor control • Initial Mobility • Stability • Control Mobility • Skill

  6. Initial Mobility • The ability to initiate active movement through range. • Increasing ROM • Increasing initiation of active movement • The ability to attain a certain body position to accomplish a specific goal • The ability to plan or organize the movement

  7. Initial Mobility • The cause of immobility is depend on patients • Ex- Elbow jt. restriction • Hemi-patient or Fractured patient • Initial Mobility may be limited when • Tissues stiffness, muscle weakness • Sensory problem (mainly deep sensation or pain) • Problems with Ability to plan or organize the movement and Cognitive ability

  8. Initial Mobility • Hypertonicity • Cognitive relaxation • Use of tone-reduction position and activities to facilitate ease of movement. • Gravity-assisted movement • Trunk rotation or elongation • Low effort and resistance • Slow stroking, Slow vestibular rocking.

  9. Initial Mobility • Hypotonicity • Light resistance • Isometric holding to develop muscle spindle-stretch sensitivity • Progression from isometric to eccentric to concentric contractions • Quick stretching, tapping, Fast vestibular stimulation (fast rolling), loud verbal commend.

  10. Stability • The state or quality of being stable • (Oxford University Press, 2007) • Refers to the ability to maintain a new position against gravity. • Muscles co-contraction to stabilize around a joint and ensure maintenance of upright posture against gravity.

  11. Stability • Muscle • Sustained isometric contractions shortened range for increasing duration • Posture • Coordinated isometric contractions in midline or weight-bearing postures • Stabilizing reversal • Rhythmic stabilization

  12. Stability • Stabilizing reversal • Rhythmic stabilization Agonist Antagonist Agonist Antagonist

  13. Stability • Practical application • Isometric contraction in shortening range, progressing to midrange control • Joint approximation • Weight bearing and holding in antigravity postures

  14. Control Mobility • Is the ability to move while maintaining a stable upright posture. • The combined function of both mobility and stability with smooth reversal of the antagonists • Weight shifting in weight-bearing postures

  15. Control Mobility • Practical application • Smooth movement and antagonistic muscle contraction. • Carefully graded assistance using key movement • Eccentric control to concentric control • Gradually increasing ROM • Functional activities : reaching, supine-to-sitting transitions

  16. Skill • Is defined as the ability to perform various tasks (environment). distally with stable proximal body parts. • Allow attainment of a goal with an economic effort. • Automatic stage. • ADL • More strengthening and endurance needed

  17. Skill • Practical application • Dual tasks can be selected to develop control of simultaneous movement (Ex-walking and bouncing ball). • A variety of environment (in door or out door). • Agility or more difficult task that combine both coordination and upright postural control (balance). • Subcortical practice

  18. PNF application • All of PNF philosophy, procedures and techniques can be used for facilitating the each stage based on the patient’s values and therapist’s treatment goal. Ex: Rhythmic initiation • Initiate motion • Learn a motion • Change rage of motion • Pain • Coordination and control • Relaxation Etc.

  19. Patient’s demonstration

  20. References • Anne Shumway-cook. Motor control 3rd Lippincott Williams & Wilkins 2007. • Adler, D.Becker, M. Buck. The Neck, Vital function. In : PNF in Practice 2nd. Springer, 2000. • O'Sullivan SB, Schmitz TJ. Physical rehabilitation laboratory manual focus onfunctional training. FA DAVIS. 1999. • Patricia E Sullivan and Prudence D. Markos. Clinical decision making in therapeutic exercise. Appleton & Lange. 1995.

More Related