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Motor Control 흐름으로 바라본

Proprioceptive
Neuromuscluar
Factilitation

DONG-EUI MEDICAL CENTER


KIM JEONG-HUI
발 표 순 서

PNF vs Bobath

PNF pattern 으로 ADL 연결 ( 사진 )

PNF pattern 을 적용한 치료 ( 동영상 )


PNF vs Bobath

 Theorietical  Empirical
Dr.Kabat’s theorietical base Mrs.Bobath’s clinical
guided the development of observation developed the
PNF concept

 Developed during the  Developed at first with a


poliomyelitis epidemic patient suffering from a
multiple sclerosis stroke later continued with
cerebral palsy
PNF vs Bobath

 PNF Neurophysiology  Bobath Neurophysiology


оSherrington (1947) оMagnus (1926)
- temporal summation Shunting rule
- after discharde
оSherrington
- irradiation
- reciprocal innervation
- reciprocal innervation
- normal movement
- successure induction
- requires normal
- background tonus
PNF vs Bobath

оGellhorn (1949) оEccles (1973)


The use of resistance - inhibition
to increase stretch
оMagoun and Thines
reflex effectiveness
(1946)
оHierachy - Gamma spasticity

оHierachy
PNF vs Bobath

 PNF Neurophysiology  Bobath Neurophysiology


Emphasized activity at the spinal Attempted to integrate higher
cord neuromusclar level center organization to explain
and treat movement disorders
; influnenced from higher
centers movement input ; integrate

Tactile kinesthetic Righting reaction


Visual Postural reaction
Auditory Equilibrium reaction
cognition
PNF vs Bobath

 Positive approach  Problem-solving approach


оTreat the whole person The Bobath concepts is

оGoal acheve highest “problem-solving approach”


to the assessment and
оLevel of function
treatment of indivisuals
with disturbances of
function, movement and
tone due to a CNS lesion
PNF vs Bobath

- Pattern / Groove - Normal movement


- Resistance - 24 hour concept
- Techniques - Spasticity
- Lumbrical grip - Tone
- Stretch reflex Inhibition / Facilitation
- Traction / Approximation - Handing
- Verbal stimulations - Trunk
- Visual stimulations
- Guiding
- Trunk
Proprioceptive Neuromuscular Facilitation
Proprioceptive Neuromuscular Facilitation
Proprioceptive Neuromuscular Facilitation
Proprioceptive Neuromuscular Facilitation
Proprioceptive Neuromuscular Facilitation
Proprioceptive Neuromuscular Facilitation
Proprioceptive Neuromuscular Facilitation

Diagonal One Diagonal Two


Proprioceptive Neuromuscular Facilitation

Bilateral Asymmetrical Bilateral Asymmetrical


‘Chopping’ ‘Lifting’

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