Rancho, Brunnstrom, Glasgow

Question 1

Rancho Level 1

Answer 1

No response: deep sleep, unresponsive to any stimuli

Question 2

Rancho 2

Answer 2

Generalized response: inconsistent response to stimuli

Question 3

Rancho 3

Answer 3

Localized response: Pt reacts specifically but inconsistently to stimuli. may follow simple commands such as closing eyes/squeezing hand in an inconsistent/. delayed manner.

Question 4

Rancho 4

Answer 4

Confused-Agitated: heightened state of activity. bizarre and non-purposeful behavior, unable to cooperate with treatment efforts, pt lacks short and long term recall.

Question 5

rancho 5

Answer 5

Confused-Inappropriate: respond to simple commands fairly consistently. highly distractable,

Question 6

Rancho 6

Answer 6

Confused-Appropriate: Pt shows goal directed behavior. follows simple directions and shows carryover of relearned tasks such as self-care.

Question 7

Rancho 7

Answer 7

Automatic-Appropriate: pt is appropriate and oriented to hospital or home setting. goes through daily routine automatically but robot like, min to no confusion and shallow recall. carryover of new learning, can initiate social activities with structured help. impaired judgment.

Question 8

Rancho 8

Answer 8

Purposeful-Appropriate: recall and integrate past and recent events, still may have impaired judgment, abstract reasoning with emergencies/ unusual circumstances

Question 9

Glasgow Coma Scale score:

<8

Answer 9

Severe Brain Injury

Question 10

Glasgow Coma Scale Score:

9-12

Answer 10

moderate brain injury

Question 11

Glasgow Coma scale score

12-15

Answer 11

Mild brain injury

Question 12

GCS: Eye Opening

Answer 12

4=Spontaneous
3=to speech
2= to pain
1= Nil

Question 13

GCS: Best Motor Response

Answer 13

6=obeys commands
5=localizes pain
4=withdraws
3=abnormal flexion
2=extensor response
1=Nil

Question 14

GCS: Verbal Response

Answer 14

5= oriented
4= confused conversation
3=inappropriate
2= incomprehensible sounds
1= Nil

Question 15

Brunnstrom 1

Answer 15

No volitional movement

Question 16

Brunnstrom 2

Answer 16

Appearance of basic limb synergies. Beginning of spacticity

Question 17

Brunnstrom 3

Answer 17

The synergies are performed voluntarily; spasticity increases (peak)

Question 18

Brunnstrom 4

Answer 18

Spasticity begins to decrease. movement patterns not dictated solely by limb synergies

Question 19

Brunnstrom 5

Answer 19

further decrease in spasticity with independence from limb synergy patterns

Question 20

Brunnstrom 6

Answer 20

Isolated joint movements are performed with coordination

Question 21

Brunnstrom 7

Answer 21

Normal function is restored