PNF GAIT PROGRAM
1. Sitting
a) Balance
b) Stabilization
2. Wheelchair management
a) Brakes
b) Foot pedals
c) Rolling the wheelchair
3. Pre-stand
a) Scoot forward
b) Reach to parallel bars
c) Holding parallel bars
d) Trunk forward and back
4. Sit to stand
a) Pelvis rocking
b) Facilitation to standing
c) Approximation, stabilization and balance
** Technique = Approximation
5. Standing
a) Stabilization, balance
6. Pre-gait
a) Pelvic shift
b) Weight shift
c) Weight shift with pelvic rotation
** Technique = Quick stretch
7. Resisted gait
8. One leg stance
9. Backward gait
10. Sideways gait
11. Varied surfaces
12. Practical assistive devices
PNF HEMIPLEGIC GAIT PROGRAM
1. Lock and unlock wheelchair
2. Manage foot rests
3. Grip parallel bars
4. Trunk stability - forward and back
5. Scooting
6. Rocking pelvis
7. Sit to stand with approximation
8. Stabilization in standing (shoulder and pelvis)
9. Weight shift on good side
10. Stretch pelvis to bring hip forward
11. Stepping with resistance
12. One leg standing balance, weight shift, and pelvic rotation
13. Exaggerated gait
14. Sideway / backwards gait
15. Use of crutches / cane in parallel bars
16. Review all stabilization exercise with crutch / cane
17. Ambulation with crutch / cane in parallel bars
18. Stabilization with crutch / cane outside of parallel bars
19. Ambulation with crutch / cane outside of parallel bars
20. Stairs, ramp, rough surfaces
21. Floor to standing transfer
PNF PARAPLEGIC GAIT PROGRAM
Training is initited with instructing and assisting in putting the KAFO/AFOs in until this is done independently.
1. Sit to stand
a) With assistance initially
b) Independently
2. Approximation and resistance in standing
3. Stabilization exercise in standing
4. Hip hiking
5. Push-ups
6. Pushing in and out of "C" position
a) Into extension
b) Into flexion
7. Turning
8. Standing balance without support
9. Extremes of position out of "C" position
10. Ambulation in parallel bars
11. Axillary crutches in parallel bars
12. Loftstrand crutches in parallel bars
13. Stabilization outside of parallel bars
14. Ambulation with crutches outside of parallel bars
15. Stairs
16. Sit to stand from wheelchair
17. Falling
18. Floor to standing transfer