1. Facilitation techniques for the upper extremities RHS 323 lecture 3
Prepared by Mrs: Muneera Al- Murdi

2. Facilitation and reinforcement
Unilateral patterns:
The initial position of the physical therapist showing the lengthened range of the pattern and the ending position showing the shortened range of the pattern.

3. Facilitation and reinforcement
The manual contact in each movement are optimum for the specific pattern.
The spiral characteristic of the pattern is shown by the dotted lines placed medially or laterally
on the extremities.
All information concerning a specific pattern is given for left or right extremities, or trunk and neck motion to the left or right.

4. Facilitation and reinforcement
Components of motion: Description is from distal to proximal in accordance with normal timing. Normal timing: May be used with the maximal resistance or may be performed as free active motion without contact with the physical therapist.

5. Facilitation and reinforcement
Timing for emphasis: Alters range of motion of the proximal pivots when distal pivots are emphasized. Commands: Preparatory commands, must be varied in accordance with the age level and abilities of the subject to cooperate. Action command, may be repeated as necessary in order to stimulate the patient to further effort.

6. Facilitation and reinforcement
Pattern analysis: The motion components and the major muscle components are presented from proximal to distal in keeping with anatomical description.

7. Facilitation technique of upper extremity
Flexion-adduction-external rotation (D1 fl) with elbow straight.
Antagonistic pattern
straight) pattern
Components of motion
Normal timing
Timing for emphasis
Manual contact
Commands
Pattern analysis

8. D1 fl, with elbow straight.

9. Flexion-adduction-external rotation (D1 fl) with elbow straight.

10. Facilitation technique of upper extremity
:Pattern analysis
Scapula
motion components
major muscle components: serratus anterior.
Shoulder
Motion components
Major muscle components: pectoralis major, deltoid, coracobrachialis, biceps brachii.

11. Facilitation technique of upper extremity
Forearm. Motion components major muscle components (supinators muscle) Wrist Major muscle components ( flexor carpi radialis, palmaris longus)

12. Facilitation technique of upper extremity
Flexion-adduction-external rotation (D1 fl) with elbow flexion.
Antagonistic pattern
straight) pattern
Components of motion
Normal timing
Timing for emphasis
Manual contact
Commands
Pattern analysis

13. Flexion-adduction-external rotation (D1 fl) with elbow flexion.

14. Facilitation technique of upper extremity
D1 fl, with elbow extension pattern.
Antagonistic pattern
Components of motion
Normal timing
Timing for emphasis
Manual contact
Commands
Pattern analysis

15. Facilitation technique of upper extremity
D1 ex, with elbow straight, extension, flexion pattern.
Antagonistic pattern
Components of motion
Normal timing
Timing for emphasis
Manual contact
Commands
Pattern analysis

16. D1 extension with elbow straight

17. D1 ex, with elbow extension

19. Facilitation technique of upper extremity
D2 fl, with elbow straight, flexion, extension pattern
Antagonistic pattern
Components of motion
Normal timing
Timing for emphasis
Manual contact
Commands
Pattern analysis

20. D2 fl, with elbow straight patttern

22. Facilitation technique of upper extremity
D2 ex, with elbow straight, extension, flexion.
Antagonistic pattern
Components of motion
Normal timing
Timing for emphasis
Manual contact
Commands
Pattern analysis

23. D2 ex, with elbow straight

24. D2 ex, with elbow flexion