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PT 10117 - Neuro Eval and Interv > Brunnstrom > Flashcards

Brunnstrom Flashcards

1
Q

brunnstrom technique is aka

A

movement therapy

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2
Q

what makes brunsstrom technique different from bobath

A

use of motor patterns at any point

better to move than none

synergies and reflexes are considered normal parts of recovery

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3
Q

UE flexor synergy

A

elbow flexion - strongest

shoulder retraction, elevation, ER and abd 90°

forearm supination

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4
Q

UE extensor synergy

A

forearm pronation, shoulder add and IR - strongest component

elbow extension

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5
Q

LE flexor synergy

A

hip flexion - strongest

hip ER and abd

ankle DF and inversion

toes DF

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6
Q

LE extensor synergy

A

knee ext - most common

hip ext, IR and add

ankle PF and inversion

toes PF

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7
Q

what are the tonic neck and labyrinthine reflexes

A

STNR

ATNR

TLR

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8
Q

tonic neck and labyrinthine reflexes are aka

A

magnus’s or de kleijin’s reflexes

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9
Q

discuss STNR

A

neck flexion: UE flexion and LE ext

neck extension: UE extension and LE flexion

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10
Q

discuss TLR

A

tonic labyrinthine

SEX: supine inc ext tone

prone inc flexor tone

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10
Q

discuss ATNR

A

bow and arrow head or fencer

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

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11
Q

discuss tonic lumbar reflex

A

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

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12
Q

discuss mirror synkinesis

A

resisted flexion of normal UE = flexion of affected UE

resisted flexion of normal LE = extension of affected LE

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13
Q

discuss homolateral synkinesis

A

done on affected side

R LE resisted flexion = R UE flexion

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14
Q

discuss raimiste’s phenomenon

A

Le only

abd phenomenon and adduction phenomenon

like mirror synkenisis

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15
Q

discuss soque’s phenomenon

A

UE only

passive shoulder flexion = extension of fingers

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16
Q

discuss marie-foix phenomenon

A

aka betcherev’s reflex

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

hip and knee flexion and ankle DF

17
Q

brunnstrom stages of recovery

A

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

18
Q

stage 1: flaccidity

A

no movement either reflex or voluntary

no activation

19
Q

stage 2: spasticity begins to develop

A

basic limb synergies or some of their components

minimal voluntary movement

20
Q

stage 3: spasticity peaks

A

semi voluntary

able to initiate but unable to control

naka synergies na

21
Q

stage 4: spasticity begins to decline

A

some normal movements that do not follow the synergies are mastered

mga easy muna

22
Q

stage 5: spasticity continues to decline

A

more difficult normal movements are mastered

synergies lose their dominance

23
Q

stage 6: spasticity disappears

A

normal and coordinated na lahat

24
Q

stage 1 shoulder and elbow

A

flaccid

25
Q

stage 2 shoulder and elbow

A

basic limb synergies start

elbow flexion spasticity

26
Q

stage 3 shoulder and elbow

A

sure limb synergies

obvious elbow flexion synergy

27
Q

stage 4 shoulder and elbow

A

hand behind shoulder

shoulder flexion to 90°

able to pronate supinate FA c elbow at 90° flexion at side

open doors

28
Q

stage 5 shoulder and elbow

A

arm abd, forward and overhead

pronate supinate c ext elbow

for reaching overhead

29
Q

stage 6 shoulder and elbow

A

normal na

30
Q

stage 1 hand

A

flaccidity

31
Q

stage 2 hand

A

little or no active finger flexion

32
Q

stage 3 hand

A

mass and hook grasp d/t spasticity

reflex finger ext via soque’s

33
Q

stage 4 hand

A

lateral prehension

release via thumb movement

semi voluntary small range finger ext

34
Q

stage 5 hand

A

palmar prehension of thumb

cylindrical and spherical grip

voluntary mass extension of digits

35
Q

stage 6 hand

A

all are normal

36
Q

stage 1 trunk and lower limb

A

flaccid

37
Q

stage 2 trunk and lower limb

A

minimal voluntary movements

38
Q

stage 3 trunk and lower limb

A

hip-ankle-knee flexion in sittng

39
Q

stage 4 trunk and lower limb

A

knee flex > 90° and voluntary ankle DF

foot sliding on floor while sitting

40
Q

stage 5 trunk and lower limb

A

swing and initial contact

41
Q

stage 6 trunk and lower limb

A

all normal

hip abd, ER and IR

ankle inv and eversion

PT 10117 - Neuro Eval and Interv (8 decks)

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