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Proprioceptive Neuromuscular Facilitation

11 Proprioceptive Neuromuscular Facilitation VICKY L. SALIBA, GREGORY S. JOHNSON, and CHERYL WARDLAW Proprioceptive Neuromuscular Facilitation (PNF) is a dynamic approach to the evaluation and treatment of neuromusculoskeletal dys-function with particular emphasis on the trunk. Over the past couple of decades sub-stantial progress has been made in the con-servative care of spinal The shift towards evaluating and treating them from a functional or Neuromuscular perspective en-hances and complements the symptomatic and structural A functional or Neuromuscular approach looks beyond the classical diagnosis, identifying their habitual patterns of posture and movement; their dy-namic strength, flexibility, and coordination; and the specific muscle recruitment and motor control of the symptomatic region, as well as contributing factors in the patients' environment.

The psychological effect of manual contact is well known.15•28•29 The comment "You are the first one to really touch me where it hurts" is frequently made after the initial evaluation by a manual medicine or therapy practitioner. The inherent responsibility of a manual ther­ apist is to maximize the psychological benefit

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