I actually did all of this in my first clinic rotation recently and the patient outcomes were great. The confidence in patient education is really important though because there were very confused at first lol.
Hey there! Thanks for the video. Just wanted to let you know that the Kisner and Colby text calls the second technique "contract-relax agonist-contract". The muscle being stretched during PNF is generally called the antagonist muscle, while the opposing muscle group is the agonist. Thanks again!
Haven't done this in years... thanks for the reminder. ❤ I used to do this when I worked at an injury clinic. It was part of treatment for some clients. This and NMR (I think that's it) Neuromuscular Re-education... 🤔
Thank you for sharing your knowledge with us, Craig. *If you don't mind*, I would love your insight regarding a couple points in the video. --------1). You mentioned that the 'hold-relax' technique is also referred to as the 'contract-relax' technique. During the PNF hamstring stretch, I understand that both techniques can achieve autogenic inhibition of the antagonist, the muscle being stretched (hamstrings). *What are your thoughts* about the approach that separates the hold (isometric) technique from the contract (concentric) technique (please see below)? Hold-Relax: prestretch (10s) --> "Hold and don't let me move the leg." (6s) --> passive stretch (30s) Contract-Relax: prestretch (10s) --> Full ROM hip extension against resistance (no hold) --> passive stretch (30s) --------2). Since your instructional videos are helpful, if you happen to update this one, would you mind including an example of the 'hold-relax with agonist contraction' technique (as demonstrated at 9:15 but with a partner)? That way we could see how the final PNF hamstring stretch may be greater as a result of reciprocal inhibition (activation of the hip flexors) and autogenic inhibition (activation of the hamstrings). Thank you for your time! :-)
What's wrong with ramping down the nervous system within 90 minutes of a workout or game? That actually sounds ideal to create balance. It almost sounds like advice saying" do not stretch post workout.
Can you talk about muscle atrophy?, I have an atrophy at my right leg (from knee to the ankle) due to surgery, so my right leg's calf appear too small compared to the left's one, i am having hard time standing in my right leg toe's so i can't do calf exercises.
Hello there! You might benefit from exercises such as seated calf raises. It can build up some strength so that you progress to standing calf raises. To build bulk back you need to exercise with much intensity as often as possible. I'm a Physiotherapy student so please consider this as more of a tip than medical advice
@@antoniaabraham1346 Thanks, but doesn't seated calf raises strengthen and focus on soleus muscle not gastrocnemius?, Sadly seated calf raises does not make enough tense on my leg as normal calf rises did as the latter makes my leg carry whole body weight which), and thus, i have to do a lot of reps to feel my calf burned and tense. Is it better if i do bilateral calf raises ( i can do that) as i strengthen both legs till i have the ability to train my atrophied leg alone?
@@me.know-it-all I do agree that it strengths the soleus but I believe that exercises affect muscle groups rather than one all muscle and in this case the entire calf muscles will be worked on. The ide is to build a larger muscle mass in a atrophied muscle so I do believe that the reps done should be progressed. In terms of how much weight, I think you can increase the reps by 10 daily so that it gradually builds muscle strength. However, more focus should be on the atrophied muscle group meaning that you can do seated calf raises on both legs but just with a little less focus on the other leg
@@me.know-it-allin addition bilateral standing calf raises are great as well as long as there's gradual progression to single calf raises. Especially since seated calf raises don't do that much. So yeah👍
@@antoniaabraham1346 God bless you, i am so grateful that you answered. But as i know, i had this issue long time ago (for 10y or even more, as i was kid), does that effect the process and duration of treatment?, as some physicians told me that my issue is permenant as my issue progressed to be chronic atrophy,i don't trust them as i noticed they are so careless to my issue as it does not disable me from my daily activity, i know asking someone in youtube's comment is awkward but it is better than google it.
![[P]rehab](http://yt3.ggpht.com/rNFhu1MoXqWvaHoQS6ldmnsshadIomVYLd4rJ9rGpKkMHpE2bM9PCBVnViiN11kvULbhURKQ_Gs=s48-c-k-c0x00ffffff-no-rj)
Great instruction and recap. Enjoyed the short tutorial on how pts can incorporate in a HEP.
I actually did all of this in my first clinic rotation recently and the patient outcomes were great. The confidence in patient education is really important though because there were very confused at first lol.
Education is always so important! Glad you had such success with it, Jonathan! Keep after it!
As a physiotherapist this video is so helpful, amazing way to teach the PNF technique 💜💜💜💜
Glad you enjoyed and found it helpful!
Hey there! Thanks for the video. Just wanted to let you know that the Kisner and Colby text calls the second technique "contract-relax agonist-contract". The muscle being stretched during PNF is generally called the antagonist muscle, while the opposing muscle group is the agonist. Thanks again!
Love the content guys. Keep up the amazing work! Great for the average pt/client, even better for us in practice!!
Richard so appreciate the kind words! We love what we do and love even more that you all benefit from it! That's what it's all about!
Excellent.... I have multiple sclerosis but am still trying to do some exercises, things like are a great help!
Love it! Keep after it!
this was so helpful, thank you!
Haven't done this in years... thanks for the reminder. ❤ I used to do this when I worked at an injury clinic. It was part of treatment for some clients. This and NMR (I think that's it) Neuromuscular Re-education... 🤔
thanks ! very good exercises !
Thank you for sharing your knowledge with us, Craig. *If you don't mind*, I would love your insight regarding a couple points in the video.
--------1). You mentioned that the 'hold-relax' technique is also referred to as the 'contract-relax' technique. During the PNF hamstring stretch, I understand that both techniques can achieve autogenic inhibition of the antagonist, the muscle being stretched (hamstrings). *What are your thoughts* about the approach that separates the hold (isometric) technique from the contract (concentric) technique (please see below)?
Hold-Relax: prestretch (10s) --> "Hold and don't let me move the leg." (6s) --> passive stretch (30s)
Contract-Relax: prestretch (10s) --> Full ROM hip extension against resistance (no hold) --> passive stretch (30s)
--------2). Since your instructional videos are helpful, if you happen to update this one, would you mind including an example of the 'hold-relax with agonist contraction' technique (as demonstrated at 9:15 but with a partner)? That way we could see how the final PNF hamstring stretch may be greater as a result of reciprocal inhibition (activation of the hip flexors) and autogenic inhibition (activation of the hamstrings).
Thank you for your time! :-)
Perfect as always 👍
Thanks for the kind words, Ivona!
Very nice guys!!
What's wrong with ramping down the nervous system within 90 minutes of a workout or game? That actually sounds ideal to create balance. It almost sounds like advice saying" do not stretch post workout.
Thank you for these good informations waiting for more videos♡
Glad you are enjoying them! Good stuff dropping soon!
Great video, thank you :-)
I have pec strain, can i do pnf stretchs after strength training?
You certainly can as long as it feels comfortable and does not aggravate symptoms! Have you checked out our CZcams video on pec strains??
Great vid!
A question .Are the hold relax and contract relax differentiated by isometric vs isotonic?
Or are they just the same like you mentioned.
If applying a force and not moving the limb through a range of motion that is an isometric exercise! Hope that helps!
Can you talk about muscle atrophy?, I have an atrophy at my right leg (from knee to the ankle) due to surgery, so my right leg's calf appear too small compared to the left's one, i am having hard time standing in my right leg toe's so i can't do calf exercises.
Hello there! You might benefit from exercises such as seated calf raises. It can build up some strength so that you progress to standing calf raises. To build bulk back you need to exercise with much intensity as often as possible. I'm a Physiotherapy student so please consider this as more of a tip than medical advice
@@antoniaabraham1346 Thanks, but doesn't seated calf raises strengthen and focus on soleus muscle not gastrocnemius?, Sadly seated calf raises does not make enough tense on my leg as normal calf rises did as the latter makes my leg carry whole body weight which), and thus, i have to do a lot of reps to feel my calf burned and tense.
Is it better if i do bilateral calf raises ( i can do that) as i strengthen both legs till i have the ability to train my atrophied leg alone?
@@me.know-it-all I do agree that it strengths the soleus but I believe that exercises affect muscle groups rather than one all muscle and in this case the entire calf muscles will be worked on. The ide is to build a larger muscle mass in a atrophied muscle so I do believe that the reps done should be progressed. In terms of how much weight, I think you can increase the reps by 10 daily so that it gradually builds muscle strength. However, more focus should be on the atrophied muscle group meaning that you can do seated calf raises on both legs but just with a little less focus on the other leg
@@me.know-it-allin addition bilateral standing calf raises are great as well as long as there's gradual progression to single calf raises. Especially since seated calf raises don't do that much. So yeah👍
@@antoniaabraham1346 God bless you, i am so grateful that you answered.
But as i know, i had this issue long time ago (for 10y or even more, as i was kid), does that effect the process and duration of treatment?, as some physicians told me that my issue is permenant as my issue progressed to be chronic atrophy,i don't trust them as i noticed they are so careless to my issue as it does not disable me from my daily activity, i know asking someone in youtube's comment is awkward but it is better than google it.
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