Proprioceptive Neuromuscular Facilitation

PNF: IMPROVING TRUNK FUNCTION THROUGH DISTAL AND PROXIMAL

INPUT
Presented by Continuing Physical Therapy Education, University of Saskatchewan

Instructor: Mary Massery, PT, DPT

Dr. Massery received her BS in cardiopulmonary patients. In 2009, Dr. Massery

Physical Therapy from
Northwestern University in 1977,
her DPT from the University of
the Pacific in 2004 and she is
currently a Doctorate of Science
Candidate at Rocky Mountain
University in Provo, Utah.
Mary’s extensive training in PNF
forms the basis of her therapeutic
approach to patients with
neuromuscular and pulmonary impairments. Mary taught
PNF at Northwestern University in Chicago in the 1980’s
and has presented PNF continuing education courses for
over 30 years.
Her PNF courses focus on improving functional outcomes
by recognizing and utilizing the link between motor
behaviors and breathing/postural mechanics. Dr. Massery
has been invited to give over 600 professional presentations
in 46 US states, 7 Canadian provinces, and 9 countries
worldwide on topics related to these topics.
Mary received the American Physical Therapy
Association’s (APTA) highest clinical award: The
Florence Kendall Practice Award in 2002 for her
"outstanding and enduring contributions to the practice of
physical therapy". Mary was the keynote speaker for the
Australian and New Zealand Annual Spinal Cord
Injury Conference in Brisbane, Australia in 2005 and a
keynote speaker at the annual meeting of the Irish
Society of Chartered Physiotherapists in Galway, Ireland
in 2007 where she presented novel PNF ideas for
presented the APTA’s honorary Linda Crane Memorial
Lecture. She continues to maintain a private practice in
Chicago specializing in ventilation and postural
dysfunction.
COURSE DESCRIPTION:
The purpose of this seminar is to apply the philosophy and
treatment concepts of the Proprioceptive Neuromuscular
Facilitation (PNF) approach to the neuromuscular and
musculoskeletal patient in both pediatric and adult
populations. The emphasis of the course will be on refining
the participant's handling and problem solving skills
through lectures, extensive laboratory sessions, application
of PNF to clinical problems, and an on-site patient
demonstration.
TARGET AUDIENCE: Physical Therapists,
Occupational Therapists
COURSE OBJECTIVES: At the conclusion of the
course, participants should be able to:
1. Describe the philosophy and historical development of
PNF.
2. Demonstrate refinement in their PNF therapeutic
handling skills.
3. Expand their treatment planning ideas for patients with
neuromuscular and/or musculoskeletal impairments
through the use of on-going problem solving in class.
4. Design a PNF based intervention strategy in small
groups for improved trunk function for a specific patient
using the concepts presented throughout the course and
present the case back to the class.

COURSE INFORMATION:
Date and Time: Friday, Saturday & Sunday, June 3, 4, & 5, 2011
8:00a.m – 5:30 p.m. (tentative timeframe)
Location: Room 329, School of Physical Therapy, St. Andrew’s College,
University of Saskatchewan, 1121 College Drive, Saskatoon
Registration Fee: $900 & GST/early (before Aug 27, 2010)
$1125 & GST/late (after Aug 27, 2010)
Registration fee includes course syllabus, lunch and refreshment breaks.
Early Registration Deadline: Friday, August 27, 2010 EXTENDED BY SPECIAL ARRANGEMENT WITH MARY
MASSERY TO NOVEMBER 30, 2010.
On this date, a decision will be made whether there is sufficient registration to run the course. Pre-registration is required. Space is
limited to 32 applicants so please apply early. Applications will be considered after the registration deadline until the course fills or until a
week before the course, whichever comes first.

CPTE provides courses for educational purposes, but in so doing, it does not imply endorsement of those courses or course
content. Registrants are urged to be critical thinkers and active learners in all educational sessions.
PNF. What is it? TENTATIVE PNF Course Schedule: Friday,
Some of you may have had a very brief introduction to June 3rd - Sunday, June 5th, 2011
the philosophy and handling skills involved with (20.5 Contact Hours)
Proprioceptive Neuromuscular Facilitation (PNF) in
PT school. Some may only recall it only as “some Friday (7.5 Contact Hours)
type of diagonal patterns”. PNF is so much more.
This course is intended to introduce PTs to the broad
8:00 - 8:30 Registration
based application of PNF to patients with any kind of 8:30 - 9:30 Lecture: Introduction PNF philosophy
motor impairment; regardless of whether the initial and historical development
pathology started with an orthopedic, neurologic, 9:30 - 10:15 Lecture/Demonstration: Activities,
cardiopulmonary or medical pathology. The purpose Techniques, & Elements (ATE)
of the PNF approach and its specific handling skills is 10:15 - 10:30 Break
to provide the central nervous system with specific 10:30 - 11:15 Continued: Activities, Techniques, &
sensory information such as visual, verbal, and Elements (ATE’s)
manual input, in order to increase the likelihood that 11:15 - 12:15 Lab 1: UE patterns and selected ATE’s
the patient will produce the desired motor output. 12:15 - 1:15 Lunch
1:15 - 2:45 Lab 1: Continued
2:45 - 3:00 Break
During this course the instructor will focus on 3:00 - 5:30 Lab 2: LE patterns and selected ATE’s
demonstrating how to use this approach to improve
mobility and function of the trunk and limbs by
improving core dynamic stabilization. The therapists
Saturday (7.5 Contact Hours)
will learn, and get detailed feedback on, very specific 8:30 - 10:00 Lab 3: UE and LE Patterns: More
manual skills for a variety of patient problems and techniques and elements
will be continually asked to apply the concepts to real 10:00 - 10:15 Break
clinical problems. 10:15 - 12:15 Lab 4: Trunk facilitation through
bilateral limb patterns
Suggested pre-readings for the course: 12:15 - 1:15 Lunch
1:15 - 2:30 Lab 5: Developmental Activities: supine
Participants who are not familiar with PNF may find it 2:30 - 2:45 Break
helpful to do some pre-readings. The following are 2:45 - 4:30 Lab 6: Developmental Activities: prone
suggested authors on the topic, but the participants can 4:30 - 5:30 Patient Demonstration
choose their own books or articles as well.
o Sullivan, P. E. and P. D. Markos (1996). Clinical Sunday (5.5 Contact Hours)
Procedures in Therapeutic Exercise. Stamford, CT,
Simon and Schuster Co. 8:30 - 10:15 Review, refine and combine handling
o Sullivan, P. E. and P. D. Markos (2000). "Applying skills
the framework of clinical practice to a patient with 10:15 - 10:30 Break
multiple sclerosis." Neurology Report 24(1): 10-6. 10:30 - 12:15 Lab 7: Developmental Activities: upright
o Sullivan, P. E., P. D. Markos, et al. (1982). An 12:15 - 1:00 Lunch
Integrated Approach to Therapeutic Exercise: Theory 1:00 - 2:00 Problem solving small group session:
and Clinical Application. Reston, VA, Reston Designing PNF strategies for real patient
Publishing Co. cases submitted by the participants
o Voss, D. E., M. Ionta, et al. (1985). Proprioceptive 2:00 - 3:00 Presentation of cases
Neuromuscular Facilitation: Patterns and
Techniques, Lippincott, Williams, & Wilkins.
o Adler, S., D. Beckers, et al. (2008). PNF in Practice:
An Illustrated Guide. Germany, Springer Medizin
Verlag.
o Morris, S. L. and M. H. Sharpe (1993). "PNF
revisted." Physiotherapy Theory & Practice 9(1): 43-
51.
REGISTRATION FORM: PNF: IMPROVING TRUNK FUNCTION THROUGH PROXIMAL & DISTAL INPUT
June 3, 4 & 5, 2011 Saskatoon, SK

Registration Deadline: Friday, Aug 27, 2010 EXTENDED to Nov 30, 2010 by special arrangement with Mary
Massery. On this date, a decision will be made whether there is sufficient registration to run the course. Pre-registration is required. Space
is limited so please apply early. Applications will be considered after the registration deadline until the course fills or until a week before the
course, whichever comes first.

Registrant’s Name ________________________________________ Professional Designation:_________________________

Address _____________________________________________________________________________________________
(Street) (City)
__________________________________________ Email: (required)______________________________________________
(Province) (Postal Code)
Telephone (Res.) __________________________ (Bus)_________________________ (Fax) _________________________
The above information is required so that CPTE can contact you with additional course information, confirmation and any announcements related to this course.
CPTE will also include your name, mailing address, email address and business phone number on a list that will be provided to the course instructor. This will be
the sole use of the information that you provide.

Registration Fee: $900 & $45 GST = $945/early (before Nov 30, 2010)
$1125 & 56.25 GST = $1181.25/late (after Nov 30, 2010)
Method of Payment: Select One: ____ Company Cheque ___ Personal Cheque ___ Credit Card
(Cheque made payable to University of Saskatchewan - CPTE. Cheque may be post-dated to Nov 30, 2010.)
Payments will be processed on or after Aug 27, 2010 November 30, 2010.

For credit card payment: ___Visa ___Mastercard Card No: _______________________________ Expiry date: __________

Name on card: __________________________ Authorizing signature: ___________________________________________

Courses are subject to cancellation if minimum number of applicants are not received by Nov 30, 2010. In this case, a full
refund will be provided. Refund for withdrawal from the course shall be subject to date of notification of withdrawal. If
notification of withdrawal is received by the CPTE Program Coordinator prior to 1:00 pm on Nov 30, 2010, a handling fee of
$50.00 will be withheld on all refunds. If notification of withdrawal is received after that time, the participant will not be
refunded unless the position can be filled. Even if the course has been confirmed, CPTE is not responsible for
travel/accommodation costs booked in advance, in the event of sudden unavoidable cancellation of the course (ie. instructor
illness, Acts of God). If maximum number of applicants is received, names will be put on a waiting list in case of applicant
withdrawal.
____________________________________________________________________________________________________
CONSENT AND WAIVER FORM: (This waiver MUST be signed and enclosed with registration form and fee.)
This course may contain lectures, discussion, demonstrations and practical sessions where you could be asked to act as a model
for the instructor, assistant or for fellow participants during the course. The instructor, assistant or fellow participant may or may
not be licensed. Acting as a model could involve following instructions, undergoing assessment or evaluation procedures,
and/or undergoing treatment procedures. If, at any time, you feel uncomfortable or wish to refuse to participate, you must do so
by telling the instructor prior to, or during the session. Signing below indicates that you have given consent to full participation
in the course, including acting as a model for demonstrations and practical sessions, unless you express your refusal to the course
instructor before or during participation in the course.

I accept all physical and legal risks in participating in this course. I hereby waive and release Continuing Physical Therapy
Education, the University of Saskatchewan, the Saskatchewan Physiotherapy Association Inc., and the premises owner/occupier,
as well as all employees, instructor(s) and assistant(s) from all of the above from any claims of loss, damage or injury which in
any way results directly or indirectly from this course.

I have read and understand the waiver of liability appearing above and I INDICATE MY ACCEPTANCE OF THE SAID
WAIVER BY SIGNING BELOW.

__________________________________________________ _________________________________________
(Participant’s Signature) (Date)

Return completed registration form, waiver and cheque so that they are received by Friday, NOVEMBER 30, 2010.
Mail to: Continuing Physical Therapy Education
Room 116 - 1121 College Drive, Saskatoon, SK S7N 0W3
For more information, contact: Pat Tremaine Ph: (306) 966-2043 Fax: (306) 966-1986 Email: pat.tremaine@usask.ca