Neck and trunk pnf

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Neck and Trunk patterns: 

Neck and Trunk patterns Syamala Buragadda King Saud university

PowerPoint Presentation: 

Therapeutic Goals Movement of the head and neck helps to guide trunk motions. Resistance to neck motion provides irradiation for trunk muscle exercises. You can use the neck patterns when you want to treat dysfunctions in the cervical and thoracic spine directly. Stability of the head and neck are essential for most everyday activities

PowerPoint Presentation: 

The neck patterns include the same three motion components as other patterns: flexion or extension, lateral flexion , and rotation Patient Position—Sitting Grips-- for neck patterns are on the chin and head

PowerPoint Presentation: 

The neck flexion-extension diagonals are: Flexion with right lateral flexion and right rotation, extension with left lateral flexion and left rotation. Flexion with left lateral flexion and left rotation, extension with right lateral flexion and right rotation.

PowerPoint Presentation: 

Jaw motion is associated with movement of the head on the neck. Mouth opening and upper cervical flexion reinforce each other. Mouth closing and upper cervical extension reinforce each other. Irradiation from the neck flexion patterns results in trunk flexion and from the neck extension pattern in trunk elongation. Full neck rotation facilitates trunk lateral flexion

PowerPoint Presentation: 

We can use the neck patterns for problems of the trunk (such as hemiplegic, back pain, weakness of the trunk muscles due to various conditions ), shoulder problems (such as shoulder-neck syndrome, decreased shoulder range of motion) or for functional problems in walking, rolling, etc.

Flexion to the Left, extension to the Right: 

Flexion to the Left, extension to the Right Active motion through range

PowerPoint Presentation: 

neck flexion to the left

Extension/Right Lateral Flexion/ Right Rotation: 

Extension/Right Lateral Flexion/ Right Rotation Command “Lift your chin. Lift your head. Look up Grip Put your right thumb on the center of the patient’s chin. Hold the top of the patient’s head with your left hand, just right of center. Your left hand and fingers point in the line of the diagonal

Neck extension to the right in sitting: 

Neck extension to the right in sitting

Neck extension to the right, prone on elbows: 

Neck extension to the right, prone on elbows

Neck for Trunk Neck flexion for rolling forward;: 

Neck for Trunk Neck flexion for rolling forward; ;

neck extension for rolling backward: 

neck extension for rolling backward

TRUNK: 

TRUNK Strengthening the muscles of the trunk is only one reason for using the trunk patterns in patient treatment. A strong trunk activity is essential for good function. Chopping and Lifting

PowerPoint Presentation: 

Resisting the lower trunk patterns provides irradiation for indirect treatment of the neck and scapular muscles. Continuing the upper trunk patterns exercises the patient’s hips by moving the pelvis on the femur. Resisted trunk activity will produce irradiation into the other extremities. For example, when you resist the lower extremities for trunk flexion and extension, the patient’s arm muscles work to help with stabilization

PowerPoint Presentation: 

Three motion components as the other patterns: flexion or extension, lateral flexion, and rotation. The axis of motion for the flexion and extension patterns runs approximately from the coracoid process to the opposite anterior superior iliac spine (ASIS).

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consider the rotation to be of the entire upper or lower trunk, not of the individual spinal segments. Therefore, upper trunk left rotation is the motion of bringing the right shoulder toward the left Ilium. Left rotation of the lower trunk brings the right Ilium towards the left shoulder

Chopping : 

Chopping These combination patterns use bilateral, asymmetrical, upper extremity patterns combined with neck patterns to exercise trunk muscles. Bilateral asymmetrical upper extremity extension with neck flexion is

Chopping to the left in supine: 

Chopping to the left in supine

Chopping to the left in sitting: 

Chopping to the left in sitting

Lifting: 

Lifting lifting to the left in supine

PowerPoint Presentation: 

lifting to the right in prone

lifting to the left in sitting: 

lifting to the left in sitting

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At the end of the pattern only the trunk moves, the arms are the handle The desired activity is trunk elongation, not lumbar spine hyperextension

Bilateral Lower Extremity Flexion, with Knee Flexion, for Lower Trunk Flexion (Right): 

Bilateral Lower Extremity Flexion, with Knee Flexion, for Lower Trunk Flexion (Right) Bilateral lower extremity flexion with knee flexion for lower trunk flexion. Supine;

Bilateral lower extremity flexion with knee flexion for lower trunk flexion. sitting: 

Bilateral lower extremity flexion with knee flexion for lower trunk flexion. sitting

Bilateral Lower Extremity Extension, with Knee Extension, for Lower Trunk Extension (Left): 

Bilateral Lower Extremity Extension, with Knee Extension, for Lower Trunk Extension (Left) Bilateral lower extremity extension with knee extension for lower trunk extension

PowerPoint Presentation: 

Trunk combination: chopping to the left with bilateral leg flexion to the right

PowerPoint Presentation: 

upper and lower trunk extension using lifting to the right and bilateral leg extension to left Trunk combination: lifting to the left with bilateral leg flexion to the left