Proprioceptive Neuromuscular Facilitation: Difference between revisions

(Created page with "== Introduction == Proprioceptive neuromuscular facilitation (PNF) is a therapeutic approach defined as promoting the response of the nerve impulses to recruit muscles through stimulation of the proprioceptors (e.g. Muscle spindle and Golgi Tendon Organs) in addition to other sensory inputs (tactile, visual or verbal) that decreases overtime as movement learning progresses. This method aims to promote functional movement through...")
 
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== Introduction ==
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Proprioceptive neuromuscular facilitation (PNF) is a therapeutic approach defined as promoting the response of the nerve impulses to recruit muscles through stimulation of the proprioceptors (e.g. [[Muscle Spindles|Muscle spindle]] and [[Golgi Tendon Organ|Golgi Tendon Organs]]) in addition to other sensory inputs (tactile, visual or verbal) that decreases overtime as movement learning progresses. This method aims to promote functional movement through the use of facilitation, inhibition, strengthening, and relaxation of muscle groups. Concentric, eccentric, and static muscle contractions are used, combined with gradual resistance and appropriate facilitatory procedures, adjusted to the needs of each individual, and applied on diagonal movements patterns.<div class="noeditbox">
== Introduction==
Proprioceptive neuromuscular facilitation (PNF) is a therapeutic approach defined as promoting the response of the nerve impulses to recruit muscles through stimulation of the proprioceptors (e.g. [[Muscle Spindles|Muscle spindle]] and [[Golgi Tendon Organ|Golgi Tendon Organs]]) in addition to other sensory stimuli (tactile, visual or verbal) in the beginning (i.e. at cognitive phase of [[Motor Control and Learning|motor learning]]) that decrease overtime as learning progresses.<ref>2.Alexandre de Assis IS, Luvizutto GJ, Bruno ACM, Sande de Souza LAP. The Proprioceptive Neuromuscular Facilitation Concept in Parkinson Disease: A Systematic Review and Meta-Analysis. Journal of Chiropractic Medicine [Internet]. 2020 Sep;19(3):181–7. Available from: <nowiki>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7750824/</nowiki></ref>
 
The approach aims to reach the highest level of function and follows the [[International Classification of Functioning, Disability and Health (ICF)|ICF model]] where it begins with the findings of clinical assessment to stand on the major impairment of body structure or function (e.g. weakness) that may limit an activity (e.g. sit to stand or walking) and restrict life participation (e.g. using transportation or employment) considering the account of environmental barriers (e.g. high floor residence without lifts or narrow spaces, stressful conditions, etc.) and personal factors (e.g. age, fitness level, etc.). Then, the therapist sets [[Goal Setting in Rehabilitation|treatment goals]] to treat certain impairment and improve activity or participation.<ref>3.Adler SS, Beckers D, Buck M. PNF in practice : an illustrated guide. Heidelberg: Springer Medizin Verlag; 2014.</ref>.
 
PNF uses nerve impulses that can excite ,inhibit, relax or strengthen muscles on neurophysiological basis such as spatial summation, temporal summation<ref>1.Byrne JH. Chapter 16 - Postsynaptic Potentials and Synaptic Integration [Internet]. Byrne JH, Heidelberger R, Waxham MN, editors. ScienceDirect. Boston: Academic Press; 2014 [cited 2023 May 9]. p. 489–507. Available from: <nowiki>https://www.sciencedirect.com/science/article/abs/pii/B9780123971791000166</nowiki></ref> and reciprocal inhibition<ref>4.Heckman CJ, Hyngstrom AS, Johnson MD. Active properties of motoneurone dendrites: diffuse descending neuromodulation, focused local inhibition. The Journal of Physiology. 2008 Feb 29;586(5):1225–31.</ref>.
 
== Practice ==
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== References ==
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Revision as of 03:41, 25 November 2023

This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work!

Introduction[edit | edit source]

Proprioceptive neuromuscular facilitation (PNF) is a therapeutic approach defined as promoting the response of the nerve impulses to recruit muscles through stimulation of the proprioceptors (e.g. Muscle spindle and Golgi Tendon Organs) in addition to other sensory stimuli (tactile, visual or verbal) in the beginning (i.e. at cognitive phase of motor learning) that decrease overtime as learning progresses.[1]

The approach aims to reach the highest level of function and follows the ICF model where it begins with the findings of clinical assessment to stand on the major impairment of body structure or function (e.g. weakness) that may limit an activity (e.g. sit to stand or walking) and restrict life participation (e.g. using transportation or employment) considering the account of environmental barriers (e.g. high floor residence without lifts or narrow spaces, stressful conditions, etc.) and personal factors (e.g. age, fitness level, etc.). Then, the therapist sets treatment goals to treat certain impairment and improve activity or participation.[2].

PNF uses nerve impulses that can excite ,inhibit, relax or strengthen muscles on neurophysiological basis such as spatial summation, temporal summation[3] and reciprocal inhibition[4].

Practice[edit | edit source]

References[edit | edit source]

  1. 2.Alexandre de Assis IS, Luvizutto GJ, Bruno ACM, Sande de Souza LAP. The Proprioceptive Neuromuscular Facilitation Concept in Parkinson Disease: A Systematic Review and Meta-Analysis. Journal of Chiropractic Medicine [Internet]. 2020 Sep;19(3):181–7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7750824/
  2. 3.Adler SS, Beckers D, Buck M. PNF in practice : an illustrated guide. Heidelberg: Springer Medizin Verlag; 2014.
  3. 1.Byrne JH. Chapter 16 - Postsynaptic Potentials and Synaptic Integration [Internet]. Byrne JH, Heidelberger R, Waxham MN, editors. ScienceDirect. Boston: Academic Press; 2014 [cited 2023 May 9]. p. 489–507. Available from: https://www.sciencedirect.com/science/article/abs/pii/B9780123971791000166
  4. 4.Heckman CJ, Hyngstrom AS, Johnson MD. Active properties of motoneurone dendrites: diffuse descending neuromodulation, focused local inhibition. The Journal of Physiology. 2008 Feb 29;586(5):1225–31.