Brunnstrom Approach Flashcards
a sweden physical therapist who developed the treatment approach called “movement therapy”
Signe Brunnstrom
The first systematic treatment approach to facilitate motor dysfunction after Cerebrovascular stroke.
Movement Therapy
What does an individual go through after incurring injury in the central nervous system after a stroke.
Evolution in Reverse
ASSUMPTIONS: used to elicit movements
Reflexes
ASSUMPTIONS: used therapeutically to evoke desired motion or tonal changes.
Proprioceptive and exteroceptive
PRINCIPLE OF APPROACH
Reflex responses → Voluntary control → Automatic functional behavior.
PROGRESSION
PRINCIPLE APPROACH
Use reflexes, associated reactions, proprioceptive, and exteroceptive methods to prepare FOR VOLUNTARY MOVEMENTS
FACILITATION
PRINCIPLE APPROACH
Combine reflexes and voluntary effort FOR SEMI-VOLUNTARY MOVEMENTS.
ELICITATION
PRINCIPLE APPROACH
Use goal-oriented, familiar movements for better success.
Familiarity
PRINCIPLE APPROACH
Repeat correct movements to reinforce learning.
REPETITION
COMMON ASSOCIATED REACTIONS
triggered by applying deep pressure that moves towards the fingertips on specific areas of the palm and fingers.
Grasp reflex
COMMON ASSOCIATED REACTIONS
Moving the unaffected limb will cause a similar movement in the affected limb.
Mirror/Imitation Synkineses
COMMON ASSOCIATED REACTIONS
Similar motion occurs in the limb on the same side of the body.
Homolateral Limb Synkineses
no isolated movement are present. may occur reflexively or as early stages of voluntary control.
Basic Limb synergies
muscles aren’t able to move. = feel limp or floppy
flaccidity
