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OT-TFO 100 > BRUNNSTROM APPROACH > Flashcards

BRUNNSTROM APPROACH Flashcards

1
Q

Proponent of Brunnstrom Approach

A

Signe Brunnstrom

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2
Q

a first systematic approach to treatment of motor dysfunction cerebrovascular stroke

A

“movement therapy”

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3
Q

Premise

A

“evolution in reverse”

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4
Q

Intrinsic – Stretch & Resistance

A

Proprioceptive

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5
Q

Extrinsic – Vibration, Heat, Cold.

A

Exteroceptive

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6
Q

Movements on the affected side in response to voluntary forceful movements in other parts of the body.

A

Associated Reactions

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7
Q

Triggered by effortful voluntary movement.

A

Associated Reactions

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8
Q

Mostly, associated reaction for upper extremity would elicit same direction
of movement and opposite direction would be elicited in the lower extremity.

A

Associated Reactions

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9
Q

Elicited by application of distally moving deep pressure over certain areas of palmar surface of the hand and digits

A

Grasp Reflex

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10
Q

Voluntary motion on the unaffected extremity will evoke a similar motion to the affected extremity.

A

Mirror/Imitation Synkineses

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11
Q

Active/Passive elevation of hemiplegic upper extremity above horizontal evokes reflexive finger extension of that extremity.

A

Souques’ Finger Phenomenon

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12
Q

Similar motion occurs in the limb on the same side of the body.

A

Homolateral Limb Synkineses

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13
Q

Resistance applied to abduction/adduction of non – affected lower extremity evokes a similar reaction in the affected extremity.

A

Raimiste’s Phenomenon

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14
Q

May occur reflexively or as early stages of voluntary control when spasticity is present.

A

Basic Limb Synergies

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15
Q

They act as a bound unit in a primitive and stereotypical manner.

A

Basic Limb Synergies

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16
Q

No isolated movements are present.

A

Basic Limb Synergies

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17
Q

Scapular Adduction and Elevation

A

Flexor Synergy

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18
Q

Shoulder Abduction & External Rotation

A

Flexor Synergy

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19
Q

Elbow Flexion

A

Flexor Synergy

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20
Q

Forearm Supination

A

Flexor Synergy

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21
Q

Wrist Flexion

A

Flexor Synergy

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22
Q

Finger Flexion

A

Flexor Synergy

23
Q

Hip Flexion, Abduction & External Rotation

A

Flexor Synergy

24
Q

Knee Flexion

A

Flexor Synergy

25
Q

Ankle Dorsiflexion & Inversion

A

Flexor Synergy

26
Q

Toe Extension

A

Flexor Synergy

27
Q

Shoulder Adduction & Internal Rotation

A

Extension Synergy

27
Q

Scapular Abduction & Depression

A

Extension Synergy

28
Q

Elbow Extension

A

Extension Synergy

29
Q

Forearm Pronation

A

Extension Synergy

30
Q

Wrist Flexion/Extension

A

Extension Synergy

31
Q

Hip Adduction, Extension & Internal Rotation

A

Extension Synergy

32
Q

Finger Flexion/Extension

A

Extension Synergy

33
Q

Knee Extension

A

Extension Synergy

34
Q

Ankle Plantarflexion & Inversion

A

Extension Synergy

35
Q

Toe Flexion

A

Extension Synergy

36
Q

Represents that most hypertonic components of both synergy patterns.

A

Resting Posture

37
Q

Shoulder Adduction, Elbow Flexion, Forearm Pronation, Wrist and Finger Flexion

A

Resting Posture

38
Q

Typical posture of a post – stroke patient.

A

Resting Posture

39
Q

Spontaneous motor recovery follows an ontogenetic process, usually proximodistal

A

Motor Recovery Process

40
Q

Arm function would usually have

A

rapid progress

41
Q

Hand function would usually be

A

slow or non – progressive

42
Q

Stage 1: Flaccidity

A

No Function

42
Q

Stage 2: Spasticity develops

A

Associated Reactions

43
Q

Stage 2: Spasticity develops

A

Emergence of Gross Grasp

43
Q

Stage 3: Spasticity Peaks

A

Gross Grasp; No Release

44
Q

Stage 3: Spasticity Peaks

A

Voluntary Synergistic Patterns

45
Q

Stage 4: Limb synergies

A

Minimal Voluntary Movement Patterns deviating from Synergies

46
Q

Stage 4: Limb synergies

A

Gross Grasp; Minimal Finger Movements; Some Thumb Movements

47
Q

Stage 5: Decline of Spasticity

A

Synergies are no longer dominant; Increase in voluntary movement patterns

48
Q

Stage 5: Decline of Spasticity

A

Increase of prehension patterns

49
Q

Stage 6: Improvement of willed movements

A

Isolated join movements

50
Q

Stage 6: Improvement of willed movements

A

All types of prehension and full range of voluntary extensions

OT-TFO 100 (9 decks)

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