PNF scapula, pelvis, trunk patterns

ant elevation/post depression; post elevation/ant depression

scapular and pelvic patterns

C and T spines, BUE

scapular patterns influences func of

spine, BLE

pelvic patterns influence func of

behind pt, facing head

PT position during scapular/pelvic ant elevation

behind pt, facing head

PT position during scapular/pelvic post depression

behind pt, facing pelvis

PT position during scapular/pelvic post elevation

behind pt, facing pelvis

PT position during scapular/pelvic ant depression

ant elevation

start scapula/pelvis in post depression

post depression

start scapula/pelvis in ant elevation

post elevation

start scapula/pelvis in ant depression

ant depression

start scapula/pelvis in post elevation

sup/ant aspect of shoulder

manual contact for scapular ant elevation

inf angle/medial border of scapula and post humerus

manual contact for scapula post depression

heel of hand on sup/post aspect of acromion and spine of scapula

manual contact for scapula post elevation

axillary border of scapula and lat border of pec major/inf border of coracoid process or axillary border of scapula and distal humerus

manual contact for scapula ant depression (2)

ant elevation

scapula moves up and forward towards nose

ant elevation

pelvis moves up and forward

post depression

scapula/pelvis moves down and back

post elevation

scapula/pelvis moves up and back

ant depression

scapula moves down and forward towards opposite hip

ant depression

pelvis moves down and forward

ant elevation

scapula inf angle rots away from spine

post depression

scapula inf angle rots towards spine

down and back

resistance for ant elevation

up and forward

resistance for post depression

down and forward

resistance for post elevation

up and back

resistance for ant depression

push shoulder up and forward

command for scapula ant elevation

push shoulder down and back

command for scapula post depression

push shoulder up and back

command for scapula post elevation

pull shoulder down toward belly button

command for scapula ant depression

levator scapulae, rhomboids, serratus ant

ms used for scapula ant elevation

latissimus dorsi, rhomboids, serratus ant (lower)

ms used for post depression

trapezius, levator scapulae

ms used for post elevation

rhomboids, serratus ant, pectoralis major/minor

ms used for ant depression

reaching up in front of body, roll forward

funcal activities for scapula ant elevation

trunk extend, roll backward, using crutches, pushing up w/ a straight trunk

funcal activities for scapula post depression

moving backwards, reaching out before throwing, donning a shirt

funcal activities for scapula post elevation

roll forward, reach forward, throwing a ball, reach down (don/doff shoes/socks), bowling

funcal activities for scapula ant depression

terminal stance on ipsilat side and swing phase on contralat side

gait relation of scapula ant elevation

hips flexed 80-90°

pt position during pelvic ant elevation

hips flexed 80-90°

pt position during pelvic post depression

hips flexed 70°

pt position during pelvic post elevation

hips flexed 70°

pt position during pelvic ant depression

finger on ant iliac crest or lat borders of hands on iliac crest

manual contact for pelvic ant elevation (2)

base of hands on ischial tuberosity using lumbrical grip

manual contact for pelvic post depression

heel of hand on post/sup ilium, other hand overlap, no finger contact

manual contact for pelvic post elevation

lat border of hand on greater trochanter, other hand reinforce 1st hand

manual contact for ant depression

pull your pelvis up and forward

commmand for pelvic ant elevation

internal/external obliques

ms for pelvic ant elevation

roll forward, swing phase of gait

funcal activities for pelvic ant elevation

sit into my hand; push down and back

command for pelvic post depression

contralat internal/external obliques

ms used for pelvic post depression

terminal stance activities; jump; walking stairs; making high steps

funcal activities for post depression

push your pelvis up and back

command for pelvic post elevation

ipsilat quadratus lumborium/latissimus dorsi, iliocostalis lumborum, longissimus thoracis

ms used for pelvic post elevation

walking backwards; preparing to kick a ball

funcal activities for pelvis post elevation

pull down and forward

command for pelvic post elevation

contralat quadratus lumborum, iliocostalis lumborum, longissimus thoracis

ms used for pelvic post elevation

going up stairs, initial contact, loading response

funcal activities for post elevation

symmetrical reciprocal

same diagonal but opposite directions

trunk elongated w/ rot, trunk shortening w/ rot

two types of symmetrical reciprocal

scapular AE/pelvic PD

trunk elongated w/ rot

scapular PD/pelvic AE

trunk shortening w/ rot

walk, roll, push something away, reach overhead, dissociation of upper/lower trunk

funcal activities for symmetrical reciprocal

asymmetrical patterns

opposite patterns

massed flexion, massed extension

2 types of asymmetrical patterns

scapular AD/pelvic AE

massed flexion

scapular PE/pelvic PD

massed extension

roll supine to prone; roll backward

funcal activities for asymmetrical patterns