Brunnstrom: Movement Therapy in Hemiplegia

Question 1

What is Brunnstrom

Answer 1

Based on the hierachial model by Hughlings Jackson.

• defined the term synergy and intially encouraged the use of synergy patterns during rehab.
• synergies: considered to be primitive patterns that occur at the spinal cord level as a result of the hierarchial model organization of the CNS.

(now reinforcing synergy patterns is not indicated as per research)

Question 2

Associated Reaction

Answer 2

involuntary and automatic movement of a body part as a result of an intentional active or resistive movement in another body part.

Question 3

Homolateral Synkinesis

Answer 3

A flexion pattern of the involved upper extremity facilitates flexion of the involved lower extremity

Question 4

Limb Synergies

Answer 4

A group of muscles that produce a predictable pattern of movement in flexion or extension patterns

Question 5

Raimiste’s Phenomenon

Answer 5

The involved lower extremit will abduct or adduct with applied resistance ot the uninvolved lower extremity in the same direction

Question 6

Souques’ Phenomenon

Answer 6

Raising the involved upper extremity above 100 degrees with elobw extremity will produce extension and abduction of the fingers

Question 7

Stages of Recovery

Answer 7

Stages of recovery brocken into seven separate stages based on progression through abnormal tone and spasticity.