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Proprioceptive Neuromuscular Facilitation (PNF) Several Types: Hold Relax, Agonist Contract (HRAC): Isometric contraction of stretching muscle followed by a static stretch with simultaneous isotonic contraction of antagonist muscle Hold Relax (HR): Isometric contraction of stretching muscle followed by static stretch Contract Relax (CR): Isotonic contraction of stretching muscle followed by static stretch Hold Relax, Agonist Contract (HRAC): Isometric contraction of stretching muscle followed by a static stretch with simultaneous isotonic contraction of antagonist muscle. Hamstrings Patient supine. Knees in extension. Heels on table. Doctor on side of table. Doctor grips patient’s distal lower leg. Doctor places one hand on patient’s distal anterior thigh. Instruct patient to inform you when a mild stretch is felt. Ask patient to exhale. Slowly passively raise entire leg into hip flexion. Achieve a mild comfortable stretch. Doctor may place shoulder under patient’s posterior lower leg and both hands on anterior distal thigh. Ask patient to inhale and hold breath. Instruct patient to push against shoulder or hands with a contraction force of seventy-five percent to one hundred percent of the hamstrings’ maximum. Hold isometric contraction for ten seconds. Immediately after contraction, lightly increase stretch while patient exhales. Instruct patient to perform a concentric contraction of hip flexors during stretch of ten seconds. Repeat three to five reps. Proprioceptive Neuromuscular Facilitation (PNF) is one of the most widely used stretching techniques and most common type of pre-contraction stretch. Very popular among clinicians and researchers. Considered to be more effective than static stretching in increasing ROM due to neurophysiological mechanisms mediated by Golgi Tendon Organ and Muscle Spindle. Considered one of the most effective stretching techniques used to improve ROM particularly in respect to short-term changes in ROM. Combination of isometric contraction and passive lengthening of target muscle or group of muscles. PNF involves contraction of muscle being stretched or its antagonist before stretching. Generally performed by having patient contract muscle being used during the technique at 75-100% of maximal contraction, holding for 10 seconds and then relaxing. Resistance can be provided by a partner or with an elastic band or strap. Stimulation of nervous and muscular system with the aim of achieving the highest possible functional level. Utilized to improve muscle elasticity. Known to be more effective than other stretching techniques4 in that it increases both passive and active flexibility and improves short term range of motion. Positive effect on active and passive range of motions. Range of Motion (ROM) increases are seen bilaterally, supporting a possible neurologic phenomenon. When performed consistently and post exercise, PNF increases athletic performance and range of motion. In addition to the characteristics of PNF stretching, the general features of static stretching are also involved in PNF stretching. Two other types of pre-contraction stretching. Post-Isometric Relaxation (PIR) Post-Facilitation Stretch (PFS) ***Disclaimer: Viewing this video does not take the place of receiving proper training in medical profession or proper stretching technique. Viewing this video does not take the place of seeing a medical professional, working with a nutritional professional, working with a fitness professional and receiving proper training in the medical profession. Please visit a medical professional for evaluation, diagnosis and treatment. Please work with a nutritional profession to develop individualized nutrition strategies. Please work with a fitness professional to learn proper exercise technique and to develop a proper training program. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute. Always perform all exercises through a symptom free range of motion. Begin your training at your current health, fitness and strength levels. Increase intensity in small gradual calculated increments. Please use nutritional strategies that are designed to work for your individual needs. Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV Web Site: http://www.championshipchiropractic.com/ Blog: https://www.championshipchiropractic.... Twitter: / drdozellodc Facebook: / championship-chiropractic-280141628688300 LinkedIn: / dr-donald-a-ozello-dc-716b3233 YouTube: / drdozellodc "Running: Maximize Performance & Minimize Injuries" https://www.amazon.com/Running-Perfor...