Tools for Assessment and Intervention

Question 1

Brunnstrom’s Stages of Recovery
1
2
3
4
5
6
7

Answer 1

1. no volitional movement initiated
2. basic limb synergies. Beginning of spasticity
3. synergies are performed voluntarily; spasticity increases.
4. spasticity decreases and movement patterns are not dictated solely by limb synergies.
5. Further decrease in spasticity and independence from synergies.
6. Isolated joint movements with coordination.
7. normal motor function

Question 2

Controlled Mobility

Answer 2

ability to move within WB or rotate.
prone on elbows and or weight shifting in quadruped are examples.

Question 3

Skill examples

Answer 3

ADLs
community locomotion

Question 4

Sensory stimulation techniques: Facilitation

Answer 4

approximation
joint compression
icing
light touch
quick stretch
resistance
tapping
traction

Question 5

Approximation

Answer 5

joint is pressed together usually in WB
classic example is hip approximation in standing

Question 6

Sensory stimulation techniques: Inhibition

Answer 6

deep pressure
prolonged stretch
warmth
prolonged cold

Question 7

PNF- UE
D1 Flexion

Answer 7

close hand and pull up across the body
start in ext, abd, IR
end in flex, add, ER

Question 8

PNF-UE
D1 Extension

Answer 8

open hand and push down and away from body
start in flex, add, ER
end in ext, abd, IR

Question 9

PNF-UE
D2 Flexion

Answer 9

open hand and pull up and away from body
Start across the body in adduction, IR
end in abd, ER

Question 10

PNF-UE
D2 extension

Answer 10

close hand and pulldown and across the body

Question 11

PNF- LE
D1 flexion

Answer 11

bring toes up and pull leg up and in
start in extension, abd, IR
end in flex, add, ER

Question 12

PNF-LE
D1 extension

Answer 12

point toes down and push leg down and out
start flex, add, ER
end ext, abd, IR

Question 13

PNF-LE
D2 flexion

Answer 13

bring toes up and lift leg up and out
start ext, add, ER
end flex, abd, IR

Question 14

PNF-LE
D2 extension

Answer 14

point toes down and push leg down and in
start flex, abd, IR
end ext, add, ER

Question 15

Agonistic Reversals are part of what developmental sequence?
What are they?

Answer 15

controlled mobility and skill
alternating concentric and eccentric contractions with resistance. slow and sequential

Question 16

Alternating Isometrics are part of what developmental sequence?
What are they?

Answer 16

stability and strength
isometric contractions alternating from muscles on one side of the joint to the other side without rest. Emphasizes endurance and strength.

Question 17

Contract-Relax is part of what developmental sequence?
What is it?

Answer 17

mobility
contracting antagonist while moving

Question 18

Hold-Relax is part of what developmental sequence?
What is it?

Answer 18

mobility
holding antagonist without moving

Question 19

Hold-Relax Active Movement is part of what developmental sequence?
What is it?

Answer 19

mobility
isometric contractions in shortened range where overflow and facilitation can be used and then it is moved into a lengthened position when relaxed then a regular contraction is done

Question 20

Rhythmic Initiation is a part of what developmental sequence?
What is it?

Answer 20

mobility
used when hypertonia exists.
Movement progresses from passive>active assist>slightly resistive

Question 21

Slow reversal is a part of what developmental sequence?
What is it?

Answer 21

stability, controlled mobility, skill
slow and resisted concentric contractions of agonists and antagonists around joint without rest between.

Question 21

Slow reversal hold is part of what developmental sequence?
What is it?

Answer 21

stability, controlled mobility, skill
slow reversal with the addition of an isometric contraction at the end of each movement to gain stability