SCOM

Question 1

reasons for hemiplegia

Answer 1

• immediate weakness from stroke
• loss of innervation to reflexes
• disuse atrophy and hypertonicity
• lesson/ damage to motor cortex
• decreased force production
• lack of accurate measurement of muscle strength

Question 2

brunnstrom stages of recovery

Answer 2

1. flaccidity
2. synergies elicited reflexively
3. start of voluntary movement (increased spasticity)
4. movements deviate from synergy
5. independence from synergies
6. isolated joint movements

Question 3

SCOM dysfunction results

Answer 3

• inaccurate limb control
• risk of falling
• contractures and deformities
• decreased endurance
• decreased visual feedback
• poor environmental interaction
  poor swallowing ability

Question 4

priority SCOM to treat

Answer 4

SCOM of the trunk
need proximal before distal mobility