brunnstrom recovery 1/8 Flashcards
What is associated reaction
Involuntary automatic movement of body part as a result of intentional active or assistive movement and another body part
eg. primitive reflex ATNR, Raimiste’s phenom, souques’ phenom
Homolateral synkinesis
Flexion pattern of involved upper extremity facilitates flexion of involved lower extremity
Limb synergies
Group of muscles that produce predictable pattern of movement in flexion or extension patterns
UE Flexor synergy
Scapula- retracted, elevated Shoulder- abducted, externally rotated Forearm – supinated Wrist-flexed Thumb- flexed, adducted Fingers- flex, adducted
UE extensor synergy
Scapula - protracted, depressed Shoulder – adducted, internally rotated Forearm – pronated Wrist-extended thumb - flexed, adducted fingers- flexed, adducted
LE Flexor synergy
Hip-flex, abducted, externally rotated Knee -flexed Ankle- dorsiflexion, inversion Toes- extended Great toe extension
LE Extensor synergy
Hip-adducted, internally rotated
Knee- extended
Ankle- plantarflexion, inversion
Toes - flexed, adducted
Raimiste’s phenomenon
involved LE will abduct/adduct same direction as
noninvolved L when resistance applied
Souques’ phenomenon
raise involved UE >100deg flexion with elbow extension
fingers extend and abduct
How many Brunnstrom stages of recovery
7
Describe tone, reflex activity, volitional movement
what stage? No volitional love
1
what stage? Appearance of basic Limb synergies, beginning of spasticity
2
what stage? Synergy is performed voluntarily, spasticity increases
3
what stage? Beginning of spasticity
2
what stage? Spasticity begins to decrease, movement patterns are not dictated solely by Limb synergies synergy
4
