Brunnstrom Stages of Recovery:

Question 1

Stage 1

Answer 1

Flaccidity: No voluntary movement Pt is confined to bed

Question 2

Stage 2:

Answer 2

Spasticity begins to develop (in synergy patterns) in extremities as well as trunk, shoulder and pelvic girdles: still no voluntary movements

Question 3

Stage 3:

Answer 3

Spasticity increases and reaches its peak.

Pt gains voluntary control of synergies but not necessarily full ROM with movements

Question 4

Stage 4:

Answer 4

Spasticity begins to decline
Pt begins movement out of synergy
Can place hand behind body, alternate pronation/supination with the elbow at 90 degrees flexion and elevation of arm to forward horizontal position

Question 5

Stage 5

Answer 5

Spasticity cont. to decrease

Increased muscular control out of synergy: arms raised to a side horizontal position, can bring hand over head.

Question 6

Stage 6:

Answer 6

Spasticity disappears, coordination approaches normal all isolated joint movements available.