Neuro Ax

Question 1

What are the stages of motor recovery?

Answer 1

1. Flaccid paralysis
2. Involuntary movement or flickers with external stim (tapping, stroking, associated rxn etc.)
3. Able to move voluntarily in synergy, even components.
4. Able to move in synergy and reverse if performed in weaker synergy first. Simple movements can be done out of synergy.
5. Able to move in synergy and reverse regardless of which synergy in performed first. Relative independence from basic synergy.
6. Near normal
7. Normal

Question 2

Describe the flexor and extensor patterns of the UE. Which is stronger?

Answer 2

Flexor pattern dominant in UE.

i) flex: SH retraction/ABD/ER/elevation, Elbow flex/sup, wrist flex, finger flex/ADD
ii) ext: SH Protraction/ADD/ER, elbow ext/pro, wrist ext, finger flex/ADD.

Question 3

Describe the flexor and extensor patterns of the LE. Which is stronger?

Answer 3

Extensor pattern stronger in the LE.

i) ext: hip ext/ADD/IR, knee ext, ankle PF/inv, big toe ext, toes flex
ii) flex: hip flex/ABD/ER, knee flex, ankle DF/Inv, toes flex or ext

Question 4

List ways to facilitate muscle recruitment in pts w/stage 2 motor recovery.

Answer 4

i) stroking/tapping: stretch reflex
ii) associated rxns: ex w/ other mvmt in synergy or yawn or contralateral mvmt
iii) brainstem rxns

Question 5

What stage do you begin at for each body part when assessing CMSA?

Answer 5

Leg - stage 4
Arm, Hand, Foot - Stage 3

Pt may attempt each task TWICE only.
Stage 2 and 3 must be done in order presented.