1. Motor Control 흐름으로 바라본 Proprioceptive Neuromuscluar Factilitation
DONG-EUI MEDICAL CENTER
KIM JEONG-HUI

2. 발 표 순 서
PNF vs Bobath
PNF pattern으로 ADL 연결 (사진)
PNF pattern을 적용한 치료 (동영상)

3. PNF vs Bobath Theorietical
Dr.Kabat’s theorietical base guided the development of PNF
Developed during the poliomyelitis epidemic multiple sclerosis
Empirical
Mrs.Bobath’s clinical observation developed the concept
Developed at first with a patient suffering from a stroke later continued with cerebral palsy

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

5. PNF vs Bobath оGellhorn (1949) оHierachy оEccles (1973)
The use of resistance
to increase stretch
reflex effectiveness
оHierachy
оEccles (1973)
- inhibition
оMagoun and Thines
(1946)
- Gamma spasticity
оHierachy

6. PNF vs Bobath PNF Neurophysiology Bobath Neurophysiology
Emphasized activity at the spinal cord neuromusclar level
; influnenced from higher
centers movement input
Tactile kinesthetic
Visual
Auditory
cognition
Bobath Neurophysiology
Attempted to integrate higher center organization to explain and treat movement disorders
; integrate
Righting reaction
Postural reaction
Equilibrium reaction

7. PNF vs Bobath Positive approach оTreat the whole person
оGoal acheve highest
оLevel of function
Problem-solving approach
The Bobath concepts is
“problem-solving approach”
to the assessment and
treatment of indivisuals
with disturbances of
function, movement and
tone due to a CNS lesion

8. PNF vs Bobath - Pattern / Groove - Resistance - Techniques
- Lumbrical grip
- Stretch reflex
- Traction / Approximation
- Verbal stimulations
- Visual stimulations
- Guiding
- Trunk
- Normal movement
- 24 hour concept
- Spasticity
- Tone
Inhibition / Facilitation
- Handing
- Trunk

9. Proprioceptive Neuromuscular Facilitation

10. Proprioceptive Neuromuscular Facilitation

11. Proprioceptive Neuromuscular Facilitation

12. Proprioceptive Neuromuscular Facilitation

13. Proprioceptive Neuromuscular Facilitation

14. Proprioceptive Neuromuscular Facilitation

15. Proprioceptive Neuromuscular Facilitation
Diagonal One Diagonal Two

16. Proprioceptive Neuromuscular Facilitation
Bilateral Asymmetrical Bilateral Asymmetrical
‘Chopping’ ‘Lifting’