Brunnstrom tx approach - 1 Flashcards
what is true after a CVA
limited option for movement
flexion usually returns first in the UE
extension usually returns first in the LE
synergy
general working together
normal synergy is
purposeful
efficient
precise
makes sense
unlimited combinations of movement
abnormal synergy
movements that is bound together
abnormal synergy is
stereotyped
primitive
reflexive
automatic
limited combinations of movements
muscles are bound together
shoulder girdle flexion synergy
elevation and retraction
should flexion synergy
ABD to 90
ER
elbow flexion synergy
flexion
forearm flexion synergy
supination
wrist flexion synergy
flexion
fingers flexion synergy
flexion
shoulder girdle extension synergy
depression and protraction
shoulder extension synergy
adduction and IR
elbow extension synergy
extension
forearm extension synergy
pronation
wrist extension synergy
extension
finger extension synergy
flexion
typical hemi arm posture is the
combination of flexion and extension arm patterns
hemi arm posture
shoulder adduction (extension pattern)
elbow flexion (flexion pattern)
forearm pronation (extension pattern)
wrist flexion (flexion pattern)
hip extensor synergy
extension
adduction
IR
knee extensor synergy
extension
foot/ankle extensor synergy
PF and inversion
hip flexor synergy
flexion
ABD
ER
knee flexor synergy
flexion to 90
foot/ankle flexor synergy
DF and Inversion
what is typical hemi leg posture
combination of flexion and extension patterns
hemi leg posture
hip flexion and ADD
knee extension
ankle PF
abnormal postural reflex activity includes
associated reactions
abnormal postural reflexes
associated reactions are a
type of abnormal synergy
reflex contraction of a muscle
what may associated reactions include
involuntary limb movement
when are associated reactions commonly associated
when spasticity is present
when are associated reactions more pronounced
when moving against resistance
what may be needed to evoke a response –> associated response
repeated stimuli
when may associated reactions be present
years after onset of hemiplegia
when may associated reactions occur
variety of conditions
presence of spasticity
when pt has certain degree of control of limb movements
key concept of associated reactions
does not show you pt’s ability to voluntarily move
shows you that there is a way to initiate movement
