Basic principles:
• Teach the patterns • Mechanics and body
and sequences start positioning are
to finish essential
• Patient should look • Rotational
movement is critical
at the limb component
• Use verbal cues • Distal movements
• Appropriate pressure occur first
is essential • Quick stretch before
contraction is
facilitory
Patterns
• All patterns have three components:
– Flexion-extension
– Abduction-adduction
– Internal rotation-external rotation
• Upper and lower extremity have 2 diagonal
patterns
• Trunk patterns are called chopping and lifting
• Neck patterns involve flexion/rotation to one
side and extension/rotation to the other
• There are two diagonals of motion for
each of the major parts of the body
• D1 extension
• D2 flexion
• D2 extension
Two diagonal pattern of upper extremity
Flex –abd-IR
4. Ext- add- ER (D2 Ext )
Motion Components
• Proximal pivot,
• Intermediate
• Distal
Proximal pivot(Shoulder and hip) Upper Extremity
.
• The diagonal line of pattern is refered
as “Groove” of the pattern
• Starting position
– Hip extension, abduction and internal rotation;
ankle plantarflexion; foot eversion; toe flexion
• Hand positions (for R side)
– L hand on distal, anterior/medial thigh, R hand on
medial dorsal aspect of foot
• Movements
– Hip flexion, adduction and external rotation; ankle
dorsiflexion; foot inversion; toe extension
Lower Extremity – D1 Extension
• Starting position
– Hip flexion, adduction and external rotation; ankle
dorsiflexion; foot inversion; toe extension
• Hand positions (for R side)
– L hand on distal, posterior/lateral thigh, R hand on
lateral plantar aspect of foot
• Movements
– Hip extension, abduction and internal rotation;
ankle plantarflexion; foot eversion; toe flexion
Lower Extremity – D2 Flexion
• Starting position
– Hip extension, adduction and external rotation;
ankle plantarflexion; foot inversion; toe flexion
• Hand positions (for R side)
– L hand on distal, anterior/lateral thigh, R hand on
dorsal lateral aspect of foot
• Movements
– Hip flexion, abduction and internal rotation; ankle
dorsiflexion; foot eversion; toe extension
Lower Extremity – D2 Extension
• Starting position
– Hip flexion, abduction and internal rotation; ankle
dorsiflexion; foot eversion; toe extension
• Hand positions (for R side)
– L hand on distal, posterior/medial thigh, R hand
on plantar medial aspect of foot
• Movements
– Hip extension, adduction and external rotation;
ankle plantarflexion; foot inversion; toe flexion
Summary
PNF is a manual therapy approach that applies
postures, movement patterns, contacts, cues,
and goals. All = Maximally facilitating.