Privatna praksa fizikalne terapije i rehabilitacije Gordana Pošćić
Drage Gervaisa 2, 51000 Rijeka :: Tel: +385.51.431.326 :: GSM: +385.91.275.1599
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Nalazite se u > PNF tečajevi

PNF tečajevi

Hrvatska udruga proprioceptivne neuromuskularne facilitacije 

51000 Rijeka, Drage Gervaisa 2                           IBAN: HR5823600001101596704

Tel: 051 431326                                                   OIB: 74863148818       

email: info@fizio-gp.hr                                       SWIFT:ZABAHR2X

                                                                                                                         

Cjenjeni kolege,

obavještavamo Vas da će biti održan:





OSNOVNI PNF TEČAJ    

 

IPNFA instruktor Gordana Pošćić


Tečaj će se održati u Thalassotherapia Opatija 

I dio 7.-11.03 2014.

II dio 17-21.05. 2014.


Prijava za tečaj je već počela a na listi ostajete nakon prve uplate. Možete se prijaviti na tel 051 431 326, 091 275 1599 ili na email gordana.poscic@ri.t-com.hr   


Cijena: 5400,00 kn

Plaćanje moguće u 2 ili više rata, prva uplata kod prijave od najmanje 1500,00 kn a zadnja rata do 01.03. 2014.

 

Vaša uplata ide na gore navedeni  račun s naznakom za MEĐUNARODNI TEČAJ i  obavezno je  faksirajte na ime Tatjane Basanić  OB Lovran  fax 051 292 098  ili na prethodni  email

 

Odustajanje od tečaja najavljeno do mjesec dana prije početka tečaja vraća se 75% cjelokupnog iznosa  a 15 dana prije početka  ne vraća se osim u slučaju bolesti s liječničkom potvrdom.



Contents and Objectives PNF 1+2: Basic Course

The PNF Basic Course usually consists of two blocks of five days referred as PNF1 and PNF2. Each contains 37.5 hours of instruction. Included are at least four hours of patient treatment by the participants and at least four hours of patient demonstration by the instructor(s).
In 1993 it was decided that the individual instructor may change the “blocks” as long as the content and total time meet the requirements. There is a maximum time gap of six months between PNF1 and PNF2.
 
Contents
1. Introduction into the PNF Concept
2. Neuro-anatomy and Neurophysiology
3. Basic principles and Procedures
4. PNF Techniques
5. PNF-Patterns of neck, trunk and extremities
6. Facilitation of mat and other functional activities
7. Facilitation of gait and gait related activities
8. Face and mouth rehabilitation and vital functions
9. Patient assessment, testing procedures and patient treatment based on the ICF system and PNF philosophy (demonstration and supervised treatment by the participants)

Contents and Expected Competencies after the Course
1. Introduction
PNF History and PNF Philosophy
The participants have knowledge of:
- the historical background in respect of neurophysiology and the roots of PNF
- the evolution of PNF to a wholistic concept for the treatment of a wide range of 
  functional limitations of different diagnostic groups
- the development of the concept during the last decades
- relevant PNF literature, PNF relevant studies, books and videos

The participants are able to explain
- the PNF-philosophy as important underlying way of thinking 

2. Neuro-anatomy and Neurophysiology:
Bases of motor control and motor control systems: receptor systems, postural control system, equilibrium system, locomotor system, spinal subsystems and reflexes, bases of motor learning, muscle physiology

The participants 
- are able to name the stimuli which are used in PNF in order to facilitate motor control
- are able to describe the different motor (sub-)systems which are contributing to motor control
- are able to describe reflexes which are contributing to a physiologic motor control
- are able to describe the receptor systems which are contributing to motor control
- are able to describe motor development, postural reflexes and reactions and  equilibrium reactions
- have knowledge of principles of motor learning and how they can be used within the PNF concept
- are able to describe different kind of muscle function (concentric, eccentric and static)
- are able to integrate this knowledge in their practical skills

3. Basic procedures:  Means of stimulus summation
Exteroceptive stimuli:
Tactile stimulation
Visual stimulation
Verbal/auditive stimulation
Proprioceptive stimuli
Resistance
Approximation
Traction
Elongation and stretch-reflex-stimulus
Basic Principles:
Irradiation
Reinforcement
Timing
Body positioning and body mechanics

The participants are able
- to name and apply the extero- and proprioceptive stimuli which are used in PNF
- to describe effects of each stimulus for motor learning and motor control
- to explain irradiation, its importance in relation to motor control and its purpose of use in the therapy

4. PNF-Patterns
Introduction into PNF Patterns: their characteristics (diagonal, three dimensional, moving in all joint components), components, purpose and timing
Scapula and Pelvis Patterns including their different combinations in side lying
All Arm Patterns (except Thrust and Withdrawal) in supine,
All leg patterns in supine,
Chopping/Lifting in supine and sitting
Lower trunk in supine
Trunk and neck patterns in sitting
Bilateral Patterns
Introduction to application of pattern in other positions
All patterns are analyzed in respect of (ADL)-function, their potential irradiation and their specific use in the therapy.  
 
The participants are able
- to name all joint components of the patterns
- to explain the “groove” and the correct timing of the pattern
- to perform the patterns as therapists , stabilisation, mobilisationrent positions an the mats for facilitation of  weight bearing , balance in the above mentioned position using
- a correct grip,
- a correct starting position and elongation
- an adequate and correct timing
- correct resistance
- ergonomic body mechanics
- to name for each pattern  a functional activity where a similar muscular activation or motion occurs
- to plan, analyze and describe the irradiation which a pattern may create
- to name and demonstrate examples of their use in a treatment on structural level
- to plan and choose the possible use of each pattern in the therapy.

5. Techniques
Their definition, procedure, objectives       
5.1. Rhythmic Initiation
5.2. Agonististic Reversal
5.3. Repeated Initial Stretch, Stretch from the beginning of range
5.4. Repeated Stretch through Range (Repeated Contractions)
5.5. Replication
5.6. Contract - Relax
5.7. Hold - Relax
5.8. Dynamic Reversal
5.9. Stabilizing Reversal
5.10. Rhythmic Stabilization

Timing for emphasis with different techniques
The participants are able:
- to name the objectives of each technique
- to describe the procedure of each technique
- to demonstrate correctness in the practical performance of each technique with different patterns in different positions

6. Mat and functional activities
Normal motor development as basis of the mat activities
Rolling from supine to side lying to prone and vice versa with trunk flexor or extensor activity using scapular pelvic and/or extremity patterns
Prone activities: transitions from prone to stand and vice versa
Supine activities: bridging, sitting up from supine into long sitting
Sit to stand and vice versa
 
The participants are able
- to recognize dysfunctions and their underlying impairments
- to demonstrate the use of all basic procedures and techniques in all mat activities
- to name and perform different ways to facilitate rolling from supine to side lying and prone and vice versa using PNF patterns
- to name and perform ways to facilitate a person to get up from the floor and vice versa
- to demonstrate use of different positions on the mats to facilitate weight bearing activities, postural/balance control, stabilization of trunk and the major joints,mobilization of trunk and major joints, stimulation of selected muscular activities
- to facilitate a person from sit to stand and vice versa
- to perform a basic mat progression adapted to the patients functional level

7. Gait
Gait Analysis
Normal gait cycle and its gait phases: senso-motoric requirements for gait, joint motions, muscular activities, assessment of gait and its deviations
Facilitation of gait: Stance, weight shifting, stepping forward, forward gait, one leg standing, stairs, backwards, sideward, braiding
 
The participants are able
- to name and describe the gait phases according to J. Perry, also in respect of the
  main joint positions/motions and main muscular activities
- name criteria of the assessment of gait
- to facilitate weight shifting in standing, one leg standing, taking a step, forward, backwards and sidewards walking  
- to recognize major gait deviations and their underlying impairments
- to plan an adequate gait training

8. Vital functions
Assessment and treatment of facial dysfunctions
Assessment and treatment of dysfunctions of the jaw, tongue and swallowing
Stimulation of breathing

The participants are able
- to recognize facial and vital dysfunctions and their underlying impairments
- to facilitate facial functions using PNF-Techniques
- to facilitate function of tongue and jaw motion including swallowing using PNF-techniques
- to facilitate breathing in a direct and indirect way in different positions
 
9. Patient treatment
Demonstration by the instructor and supervised patient treatment by the participants
 
The participant are able
- to analyze and assess functional limitations of patients, in order to set a basic PNF treatment plan
- to describe the difference between Functional Limitation and Causal Impairment
- to use basic treatment goal oriented PNF (Basic principles, Pattern, Techniques) in direct and indirect approach on a patient
- to integrate test and re-tests during the treatment as a circular process.
- to work within the PNF Philosophy
- to integrate the ICF-system


Contents and Objectives PNF 3

This course consists of 37 hours (60 minutes) of instruction including 3 hours of patient demonstration and 4 hours of supervised patient treatment.

The content of this level is problem solving by task orientated teaching methods.

Participants learn to analyze the information from their assessment using the ICF/ICIDH classification. This analysis will facilitate clinical reasoning and allow for a more specific PNF treatment plan.

Upon completion of the PNF 3 course, the participant will be able to make a correct choice out of the PNF arsenal for an appropriate treatment and treatment progression. Problem solving is based on the level of the functional limitation as well as the causal impairment. Test, re-test and the PNF philosophy are an integrated part of their treatment.

Course members will be required to prove their skills through a written and practical test.

1. Advanced PNF-skills

PNF 3 is an advance course. This includes repetition of the contents of level 1 & 2 on a higher level as well as advanced variations of PNF skills:

- Adequate combination of all basic procedures

- Adequate selection and combinations of techniques

- Variations and combinations of different patterns in more difficult positions as in prone, side lying, sitting, standing etc.

- Arm pattern variations, including all bilaterals and thrust variations

- Leg pattern variations.  All bilateral leg variations.

- Neck patterns with different positions and techniques

- Trunk in different variations, including combinations of upper and lower extremities.

- Advanced mat activities in closed and open chain, also with mobile base of support, with all techniques. Integration of motor learning principles.

- Advanced gait training with different gait disorders and spasticity.

- Advanced facilitation of vital functions

- PNF with functional and goal orientated tasks, adapted to real life situations, including demonstrations of dual task .

- Stimulation of more task orientated thinking and planning

2. Problem solving

Treatment of different common functional limitations of trunk, upper and lower extremities as case studies and patient treatment.

The causal impairments include weakness, limited range of movement, reduced stability, tone problems like spasticity, rigor or flaccidity, pain, co-ordination problems, balance problems, motor planning problems, decreased perception and cognition.           

The underlying diagnosises are from neurology, orthopaedics and traumatology

 Problem solving and treatment planning: course members are able to

- assess adequately and set a treatment planning in a timely manner

- distinguish with assistance, relevant major and minor problems or goals

- explain clinical reasoning from assessment to the treatment plan

- select appropriate starting positions, patterns and techniques

- demonstrate the  positive approach during treatment, based on patients goals and wishes

- start with a simple PNF treatment demonstration of one main problem

- incorporate test and retest on functional and impairment level (ICF/ICIDH)


  IPNFA Education Committee: Dominiek Beckers, Marcel Grzebellus, Kathy Guarneri-Lam, Marianne Heidmann, Louise Rutz-LaPitz, Tim Josten