PNF Diagonal Patterns — Upper Extremity

What is the UE D1 flexion pattern?

Shoulder:

• Flexion

• Adduction

• External/lateral rotation

Forearm:

• Supination

Wrist:

• Flexion

• Radial deviation

Think: “Bring the seatbelt up and across.”

What is the UE D1 extension pattern?

Shoulder:

• Extension

• Abduction

• Internal/medial rotation

Forearm:

• Pronation

Wrist:

• Extension

• Ulnar deviation

Opposite of D1 flexion.

What is the UE D2 flexion pattern?

Shoulder:

• Flexion

• Abduction

• External/lateral rotation

Forearm:

• Supination

Wrist:

• Extension

• Radial deviation

Think: “Draw a sword.” ⚔

What is the UE D2 extension pattern?

Shoulder:

• Extension

• Adduction

• Internal/medial rotation

Forearm:

• Pronation

Wrist:

• Flexion

• Ulnar deviation

Think: “Put the sword back.”

What is the easiest way to remember UE PNF shoulder patterns?

D1

• Flexion = FAD ER

  • Flexion

  • ADduction

  • External rotation

• Extension = opposite

D2

• Flexion = FAB ER

  • Flexion

  • ABduction

  • External rotation

• Extension = opposite