Midterm

Question 1

Brunnstrom stage 1

Answer 1

No voluntary movement

Flaccid UE & LE & hand

Question 2

Brunnstrom stage 2

Answer 2

Beginning movement in synergy

UE: Resist opp side flex/ext (same side response)

LE: resist opp side ext/flex (opp side response)

Question 3

Brunnstrom stage 3

Answer 3

Movement in synergy

UE: reach down from behind ear to opp knee (shoulder add, IR, elbow ext, pronation)
Scratch behind ear (shoulder abd, elbow flex, ER, supination)

LE: hip abd & flex, knee and ankle flexion in supine
Push down, back and in (sidelying)

Hand: fisted

Question 4

Brunnstrom stage 4

Answer 4

Movement deviating from synergy

UE:
Pronation/supination w/ elbows at 90*
Shoulder flexion to 90*
Reach behind back to sacrum

LE:
Hip flexion beyond 90*
Flex knee in sitting beyond 90*, heel on ground
Dorsiflex ankle, heel on ground

Hand:
Lateral prehension
Partial finger extension

Question 5

Brunnstrom stage 5

Answer 5

Movement independent of synergy

UE:
Arm overhead 180*
Abduct shoulder to 90*
Pronation/supination, elbows ext

LE:
Flex knee in standing to 90*
Dorsiflex ankle in standing (hip and knee extended)

Hand:
Palmar prehension
Cylindrical prehension
Spherical

Question 6

Brunnstrom stage 6

Answer 6

Normal

MMT, speed tests, coordination tests (finger to nose, heel to shin, rapid opposition)

Question 7

Executive-motor dysfunction basic test

Answer 7

Organize pieces, problem solve where they go

Question 8

Perception/ Hemi-neglect

Answer 8

Pt only attentive to half the picture, only draw half the clock

Question 9

Attention deficits

Answer 9

Cannot focus on instructions

Question 10

Ideational apraxia

Answer 10

Difficulty with multilevel/multi-step tasks - unsure of sequence

Question 11

Ideomotor apraxia

Answer 11

Difficulty with single-step tasks, can conceptualize task, but cannot execute motor pattern or mirror someone effectively - often phrasing is important to communicate with such a pt (ex. “Your hair is a mess” instead of “comb your hair”)

Question 12

Pusher syndrome treatment (4)

Answer 12

Mirror
Surface/reaching
Poles
Full side-to-side arch in sitting

Question 13

Ideomotor treatment progression

Answer 13

Complex to simple - breaking down task overtime

Part practice w/ functional/task oriented stim
- take away task oriented stim
- work on concept and sequencing

Question 14

Ideational treatment progression

Answer 14

Simple to complex - building the task overtime

Demo - part practice
Understanding is lacking -> REPS, REPS, REPS

Question 15

Brain area typically damaged in Ideomotor apraxia

Answer 15

Left parietal lobe

Question 16

Brain area typically damaged in IDEAtional apraxia

Answer 16

Left parietal AND frontal lobes

Question 17

Spatial neglect (3)

Answer 17

Poor working memory AND awareness of sensory info on one side

Lack of orientation on one side

Question 18

Berg discharge score out of 56

Answer 18

41/56

Question 19

TUG score for discharge

Answer 19

<12 s