Brunnstrom

Question 1

brunnstrom technique is aka

Answer 1

movement therapy

Question 2

what makes brunsstrom technique different from bobath

Answer 2

use of motor patterns at any point

better to move than none

synergies and reflexes are considered normal parts of recovery

Question 3

UE flexor synergy

Answer 3

elbow flexion - strongest

shoulder retraction, elevation, ER and abd 90°

forearm supination

Question 4

UE extensor synergy

Answer 4

forearm pronation, shoulder add and IR - strongest component

elbow extension

Question 5

LE flexor synergy

Answer 5

hip flexion - strongest

hip ER and abd

ankle DF and inversion

toes DF

Question 6

LE extensor synergy

Answer 6

knee ext - most common

hip ext, IR and add

ankle PF and inversion

toes PF

Question 7

what are the tonic neck and labyrinthine reflexes

Answer 7

STNR

ATNR

TLR

Question 8

tonic neck and labyrinthine reflexes are aka

Answer 8

magnus’s or de kleijin’s reflexes

Question 9

discuss STNR

Answer 9

neck flexion: UE flexion and LE ext

neck extension: UE extension and LE flexion

Question 10

discuss TLR

Answer 10

tonic labyrinthine

SEX: supine inc ext tone

prone inc flexor tone

Question 10

discuss ATNR

Answer 10

bow and arrow head or fencer

turn head: face side UE and LE ext while occ side UE and LE flex

Question 11

discuss tonic lumbar reflex

Answer 11

trunk rot: face side inc ext tone while occ inc flexor tone

Question 12

discuss mirror synkinesis

Answer 12

resisted flexion of normal UE = flexion of affected UE

resisted flexion of normal LE = extension of affected LE

Question 13

discuss homolateral synkinesis

Answer 13

done on affected side

R LE resisted flexion = R UE flexion

Question 14

discuss raimiste’s phenomenon

Answer 14

Le only

abd phenomenon and adduction phenomenon

like mirror synkenisis

Question 15

discuss soque’s phenomenon

Answer 15

UE only

passive shoulder flexion = extension of fingers

Question 16

discuss marie-foix phenomenon

Answer 16

aka betcherev’s reflex

passive PF of toe and ankle: mass flexor response on LE

hip and knee flexion and ankle DF

Question 17

brunnstrom stages of recovery

Answer 17

stage 1: flaccidity

stage 2: spasticity begins to develop

stage 3: spasticity peaks

stage 4: spasticity begins to decline

stage 5: spasticity continues to decline

stage 6: spasticity disappears

Question 18

stage 1: flaccidity

Answer 18

no movement either reflex or voluntary

no activation

Question 19

stage 2: spasticity begins to develop

Answer 19

basic limb synergies or some of their components

minimal voluntary movement

Question 20

stage 3: spasticity peaks

Answer 20

semi voluntary

able to initiate but unable to control

naka synergies na

Question 21

stage 4: spasticity begins to decline

Answer 21

some normal movements that do not follow the synergies are mastered

mga easy muna

Question 22

stage 5: spasticity continues to decline

Answer 22

more difficult normal movements are mastered

synergies lose their dominance

Question 23

stage 6: spasticity disappears

Answer 23

normal and coordinated na lahat

Question 24

stage 1 shoulder and elbow

Answer 24

flaccid

Question 25

stage 2 shoulder and elbow

Answer 25

basic limb synergies start elbow flexion spasticity

Question 26

stage 3 shoulder and elbow

Answer 26

sure limb synergies obvious elbow flexion synergy

Question 27

stage 4 shoulder and elbow

Answer 27

hand behind shoulder shoulder flexion to 90° able to pronate supinate FA c elbow at 90° flexion at side open doors

Question 28

stage 5 shoulder and elbow

Answer 28

arm abd, forward and overhead pronate supinate c ext elbow for reaching overhead

Question 29

stage 6 shoulder and elbow

Answer 29

normal na

Question 30

stage 1 hand

Answer 30

flaccidity

Question 31

stage 2 hand

Answer 31

little or no active finger flexion

Question 32

stage 3 hand

Answer 32

mass and hook grasp d/t spasticity reflex finger ext via soque's

Question 33

stage 4 hand

Answer 33

lateral prehension release via thumb movement semi voluntary small range finger ext

Question 34

stage 5 hand

Answer 34

palmar prehension of thumb cylindrical and spherical grip voluntary mass extension of digits

Question 35

stage 6 hand

Answer 35

all are normal

Question 36

stage 1 trunk and lower limb

Answer 36

flaccid

Question 37

stage 2 trunk and lower limb

Answer 37

minimal voluntary movements

Question 38

stage 3 trunk and lower limb

Answer 38

hip-ankle-knee flexion in sittng

Question 39

stage 4 trunk and lower limb

Answer 39

knee flex > 90° and voluntary ankle DF foot sliding on floor while sitting

Question 40

stage 5 trunk and lower limb

Answer 40

swing and initial contact

Question 41

stage 6 trunk and lower limb

Answer 41

all normal hip abd, ER and IR ankle inv and eversion