PNF FOR LOWER EXTREMITY

D1Flexion
• Starting Position (Fig. 6.37A)
• Position the lower extremity in hip extension, abduction, and
internal rotation; knee extension; plantar flexion and eversion
of the ankle; and toe flexion
• Hand Placement: Place your (R) hand on the
dorsal and medial surface of the foot and toes
and your (L) hand on the anteromedialaspect
of the thigh just proximal to the knee.
• Verbal Commands: As you apply a quick stretch
to the ankle dorsiflexors and invertors and toe
extensors, tell the patient, “Foot and toes up
and in; bend your knee; pull your leg over and
across.”
• Ending Position (Fig. 6.37B)
• Complete the pattern in hip flexion,
adduction, and external rotation; knee flexion
(or extension); ankle dorsiflexion and
inversion; toe extension. The hip should be
adducted across the midline, creating lower
trunk rotation to the patient’s (L) side.
 D1Extension
• Starting Position (Fig. 6.38A)
• Begin as
• described for completion of D1 Flexion
• Hand Placement: Place your (R) hand on the
plantar and lateral surface of the foot at the
base of the toes. Place your (L) hand (palm up)
at the posterior aspect of the knee at the
popliteal fossa.
• Verbal Commands: As you apply a quick stretch
to the plantarflexors of the ankle and toes, tell
the patient, “Curl (point) your toes; push down
and out.”
• Ending Position (Fig. 6.38B)
• Finish the pattern in hip extension, abduction,
and internal rotation; knee extension or
flexion; ankle plantarflexion and eversion; and
toe flexion.
 D2Flexion
• Starting Position (Fig. 6.39A)
• Place the lower extremity in hip extension,
adduction, and external rotation; knee
extension; ankle plantarflexion and inversion;
and toe flexion.
• Hand Placement: Place your (R) hand along the dorsal and
lateral surfaces of the foot and your (L) hand on the
anterolateral aspect of the thigh just proximal to the knee. The
fingers of your (L) hand should point distally.
• Verbal Commands: As you apply a quick stretch to the ankle
dorsiflexors and evertors and toe extensors, tell the patient,
“Foot and toes up and out; lift your leg up and out.”
• Ending Position (Fig. 6.39B)
• Complete the pattern in hip flexion, abduction, and internal
• rotation; knee flexion (or extension); ankle dorsiflexion
• and eversion; and toe extension.
 D2Extension
• Starting Position (Fig. 6.40A)
• Begin as described for the completion of D2 Flexion
• Hand Placement: Place your (R) hand on the plantar and medial
surface of the foot at the base of the toes and your (L) hand at
the posteromedial aspect of the thigh, just proximal to the knee.
• Verbal Commands: As you apply a quick stretch to the
plantarflexors and invertors of the ankle and toe flexors, tell the
patient, “Curl (point) your toes down and in; push your leg down
and in.”
• Ending Position (Fig. 6.40B)
• Complete the pattern in hip extension, adduction, and external
rotation; knee extension; ankle plantarflexion and inversion; and
toe flexion.