Motor Control Flashcards

1
Q

Flexion Synergy

A
  • Scapula retraction and elevation
  • Shoulder abduction and ER
  • Elbow flexion
  • Forearm supination
  • Wrist & finger flexion
  • Hip flexion
  • Hip abduction, ER
  • Knee flexion
  • Ankle dorsiflexion & inversion
  • Toe flexion
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2
Q

Extension Synergy

A
  • Scapular protraction
  • Shoulder horizontal adduction and IR
  • Elbow extension
  • Forearm pronation
  • Wrist and finger flexion
  • Hip extension, adduction, IR
  • Knee extension
  • Ankle plantar flexion & inversion
  • Toe extension
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3
Q

Brunnstrom Stage of Motor Recovery Stage 1

A

Flaccidity, no movement present

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4
Q

Brunnstrom Stage of Motor Recovery Stage 2

A

Weak associated reactions appear or minimal voluntary movement responses are present in limb synergies. Spasticity begins to develop

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5
Q

Brunnstrom Stage of Motor Recovery Stage 3

A

All movements are in synergy although synergies may not be through full ROM. Spasticity peaks

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6
Q

Brunnstrom Stage of Motor Recovery Stage 4

A

Some movement combinations out of synergy are possible and mastered with difficulty. Spasticity is decreasing

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7
Q

Brunnstrom Stage of Motor Recovery Stage 5

A

Synergies lose their dominance; more difficult movement combinations can be mastered. Spasticity further decreases

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8
Q

Brunnstrom Stage of Motor Recovery Stage 6

A

No synergies; full isolated joint movements are possible but decreased coordination is present. Spasticity presents only during active rapid movements

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9
Q

Brunnstrom Stage of Motor Recovery Stage 7

A

Normal movements performed; normal muscle tone

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10
Q

Fugl Meyer Assessment Tool

A
  • Solely for cortical stroke patients
  • Based on Brunnstrom’s stages of motor recovery
  • Includes tests of joint ROM, pain, sensation, tone, motor function, and balance
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11
Q

Fugl Meyer Assessment Tool Scoring

A
  • Score - 3 point scale (0 = cannot be performed, 1 = partially performed, 2 = performed)
  • <50 - severe motor impairment
    50-84 = marked motor impairment
    85-95 = moderate motor impairment
    96-99 = slight motor impairment
  • Higher score, less impairment
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12
Q

Motor Function

A
  • Divides into motor control and motor learning

- Motor control divides into coordination, isolated movements (MMT), and synergistic movements (AROM)

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