Brunnstrom treatment approach

Question 1

according to brunnstrom

Answer 1

 The improvement of motor function in hemiplegia constitutes a near-standard improvement.
 Regardless of how severe the picture is, the patient will definitely undergo certain recovery stages

Question 2

Brunnstrom 6 stages of recovery

Answer 2

1] Flaccidity= neither reflex nor voluntary movements are present
2] spasticity appears
3] Spasticity is prominent, the patient voluntary moves limb
4] Spasticity begins to decline
5] Spasticity continues to decrease
6] Spasticity disappears

Question 3

factors that plays role in recovery

Answer 3

age
physical condition
rehabilitation staff
if the patient wants to heal/psychology

Question 4

flexor synergy

Answer 4

shortening synkinesis

Question 5

extensor synergy

Answer 5

lengthening synkinesis

Question 6

is spasticity pattern the same as synergy

Answer 6

no

Question 7

principle of motor function test

Answer 7

The motor progression tests performed in hemiplegic patients should reflect the situation of the central nervous system.
This type of test is completely different from a muscle test.

Question 8

The ability of contraction that any muscle group can create in
hemiplegic patients depend on:

Answer 8

*Position of the patient
*Position of the head relative to the body
*Position of extremities relative to other extremities
*Successive contraction of the muscle

Question 9

Gross test for sensory evaluation

Answer 9

*Passive motion test
*Touch sensation
*Sole sensation
they cannot replace neurological tests.

Question 10

Stage 1

Answer 10

 Period of flaccidity
 Neither reflex nor voluntary movements are present
 Passive movements are present

Question 11

Stage 2

Answer 11

 Spasticity develops
 A tendency for the fingers to flex when the palm is stimulated (Instinctive Grasp Reaction)
 Basic limb synergies appear
 You should observe the reflexes.

Question 12

Symmetric Tonic Neck Reflex (STNR)

Answer 12

 Flexion of the neck results in flexion of the arms
and extension of the legs

Question 13

Asymmetric Tonic Neck Reflex (ATNR)

Answer 13

Head rotation to the left causes extension of left arm
and flexion of right arm

Question 14

Tonic Labyrinthine Reflex (TLR)

Answer 14

 Prone lying position facilitates flexion
 Supine lying position facilitates extension

Question 15

Tonic Lumbar Reflex

Answer 15

This is initiated by a change in the position of the upper trunk
with respect to the pelvis.
Rotation of the trunk to the right results in flexion of the right
upper extremity and extension of the right lower extremity

Question 16

Associated reactions

Answer 16

Automatic responses of the involved limb resulting from action occurring on the same part of the body

Question 17

imitation synkinesis

Answer 17

motion of unaffected upper extremity against resistance will evoke the same motion of the HP upper extremity flex

Question 18

reciprocal inhibition/innervation

Answer 18

motion of unaffected lower extremity will evoke the opposite motion of HP lower extremity flex

Question 19

The response of one extremity to stimulis will elicit the same response in its ipsilateral response

Answer 19

Homolateral limb synkinesis

Question 20

Strümpell’s Sign

Answer 20

It is a clinical sign in which patients attempt to flex lower extremity against resistance elicit an extensor plantar reflex

Question 21

Raimiste’s Phenomenon

Answer 21

Resisted abduction or adduction of the unaffected limb evokes a
similar response in the affected limb

Question 22

Souques’ Phenomenon

Answer 22

Elevation of the affected arm above the horizontal evokes an extension and abduction response of the fingers.

Question 23

Listing Phenomenon

Answer 23

Loss of lateral balance towards hemiparetic side