Brunnstrom tx approach - 1 Flashcards

1
Q

what is true after a CVA

A

limited option for movement

flexion usually returns first in the UE

extension usually returns first in the LE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

synergy

A

general working together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

normal synergy is

A

purposeful

efficient

precise

makes sense

unlimited combinations of movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

abnormal synergy

A

movements that is bound together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

abnormal synergy is

A

stereotyped

primitive

reflexive

automatic

limited combinations of movements

muscles are bound together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

shoulder girdle flexion synergy

A

elevation and retraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

should flexion synergy

A

ABD to 90

ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

elbow flexion synergy

A

flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

forearm flexion synergy

A

supination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

wrist flexion synergy

A

flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

fingers flexion synergy

A

flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

shoulder girdle extension synergy

A

depression and protraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

shoulder extension synergy

A

adduction and IR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

elbow extension synergy

A

extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

forearm extension synergy

A

pronation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

wrist extension synergy

A

extension

17
Q

finger extension synergy

A

flexion

18
Q

typical hemi arm posture is the

A

combination of flexion and extension arm patterns

19
Q

hemi arm posture

A

shoulder adduction (extension pattern)

elbow flexion (flexion pattern)

forearm pronation (extension pattern)

wrist flexion (flexion pattern)

20
Q

hip extensor synergy

A

extension

adduction

IR

21
Q

knee extensor synergy

A

extension

22
Q

foot/ankle extensor synergy

A

PF and inversion

23
Q

hip flexor synergy

A

flexion

ABD

ER

24
Q

knee flexor synergy

A

flexion to 90

25
Q

foot/ankle flexor synergy

A

DF and Inversion

26
Q

what is typical hemi leg posture

A

combination of flexion and extension patterns

27
Q

hemi leg posture

A

hip flexion and ADD

knee extension

ankle PF

28
Q

abnormal postural reflex activity includes

A

associated reactions

abnormal postural reflexes

29
Q

associated reactions are a

A

type of abnormal synergy

reflex contraction of a muscle

30
Q

what may associated reactions include

A

involuntary limb movement

31
Q

when are associated reactions commonly associated

A

when spasticity is present

32
Q

when are associated reactions more pronounced

A

when moving against resistance

33
Q

what may be needed to evoke a response –> associated response

A

repeated stimuli

34
Q

when may associated reactions be present

A

years after onset of hemiplegia

35
Q

when may associated reactions occur

A

variety of conditions

presence of spasticity

when pt has certain degree of control of limb movements

36
Q

key concept of associated reactions

A

does not show you pt’s ability to voluntarily move

shows you that there is a way to initiate movement