《nf理论与实践》PPT课件.pptx

PNF,刘 洋,Introduction,Definition： Proprioceptive Neuromuscular Facilitation,Introduction,Principles： Integrated approach: Total human untapped existing potential of all patient Positive: physical psychological goal to achieve highest level of function,Introduction,Principles： Consider the total human being: environmental Personal Physical emotional factors,Introduction,Principles： Use of motor control and motor learning principles environment Sensory information,Introduction,Introduction,Basic neurophysiologic principles: Afterdischarge Temporal summation Spatial summation Irradiation Successive induction Reciprocal innervation,The basic facilitation procedures,Resistance Irradiation and reinforcement Manual contact Body position and body mechanics Verbal Vision Traction or approximation Stretch Timing Patterns,The basic facilitation procedures,Resistance: is used in treatment to: Facilitate the ability of the muscle to contract. Increase motor control and motor learning. gain an awareness of motion and its direction. Increase strength. Help the patient relax (reciprocal inhibition).,The basic facilitation procedures,Resistance: Optimal resistance does not cause pain unwanted fatigue or irradiation Both the therapist and the patient should avoid breath-holding,The basic facilitation procedures,Irradiation and reinforcement Manual contact to aid that muscles ability to contract To give the patient security and confidence To promote tactile-kinesthetic perception stimulates the synergistic limb muscles to reinforce the movement promoting trunk stability,The basic facilitation procedures,Body position and body mechanics control of the patients motion control of the direction of the resistance to give resistance without fatiguing,The basic facilitation procedures,Verbal: Guide the start of movement or the muscle contractions. Affect the strength of the resulting muscle contractions. Give the patient corrections.,The basic facilitation procedures,Vision: Promote a more powerful muscle contraction. control and correct position and motion. Influence both the head and body motion. Provide an avenue of communication and help to ensure cooperative interaction.,The basic facilitation procedures,Traction: Facilitate motion Aid in elongation of muscle Resist some part of the motion. approximation: Promote stabilization Facilitate weight-bearing and the contraction of antigravity muscles Facilitate upright reactions Resist some component of motion.,The basic facilitation procedures,Stretch: Facilitate muscle contractions. Facilitate contraction of associated synergistic muscles.,The basic facilitation procedures,Timing: Normal timing provides continuous, coordina