GENERAL PNF - Patient was progressed through PROM via PNF D1 flex/ext to B hips, knees, and ankles and static stretching to B ankles in order to improve joint health and B ankle DF ROM for improved functional mobility. Effective handling techniques were monitored for the development of RNP and contracture management program. Patient responded well to sustained pressure over antagonist musculature and maximal contact to plantar surface with slow progression in ROM in order to decrease tone and not exacerbate hyperreflexia and spasticity.
MOD LEVEL PNF - Patient was lead through ther ex to strengthen BLE anti-gravity musculature and trunk via bridging, lower trunk rotation via dynamic reversals PNF technique, resisted LAQs, and resisted heel-raises in sitting for improved trunk stabilization and tolerance to functional upright activities. Patient required maximal verbal cueing and moderate tactile facilitation for enhanced muscular contractions and correct performance of exercises.