Proprioceptive Neuromuscular FacilitationPNF本体感觉神经肌肉促进技术PNF.pptVIP

Proprioceptive Neuromuscular Facilitation (PNF) Dr. Michael P. Gillespie When To Use PNF PNF stretches are most often used by athletes and individuals who have a range of motion that is less than normal. The two types of PNF to be discussed are as follows: Contract-relax technique Antagonistic contract-relax technique Contract-Relax Technique 1. Passively take a muscle through a range of motion that produces a mild (not painful) stretch tension. 2. Contract the muscle (with about the same force as a closed fist) for 4-5 seconds. 60-60 percent strength isometric contraction. Breathe. 3. Relax the muscle momentarily. 4. Perform a mild static stretch again for 5-15 seconds. 5. Repeat this process several times. Contract-Relax Technique Isotonic and Isometric Contractions Concentric isotonic contraction – a muscle shortens and pulls on another structure. Eccentric isotonic contraction – the length of a muscle increases during contraction. Isometric contraction – muscle tension is created; however, the muscle doesn’t shorten or lengthen. Post Isometric Relaxation 1. Bring the muscle to its maximum length without stretching, taking up the slack. There should be only minimal or no pain. 2. The patient is asked to resist with only minimal force (isometrically) and to breathe in for 10 seconds. 3. The patient is then told to ‘let go’ (relax) and exhale slowly. It is important for the doctor to wait and feel the relaxation. The doctor could wait 10 to 20 seconds or longer as relaxation is taking place. Due to pure relaxation there should be an increase in the range of motion. Post Isometric Relaxation 4. If the patient has difficulty relaxing, hold the isometric phase for 30 seconds before having the patient ‘let go’. 5. Usually three to five times is all that is necessary to obtain spontaneous stretch each session. 6. Along with breathing, have the patient look up (eyes only). This helps facilitate the inspiration, which facilitates the muscle. Have the pa