Adult Neuro: Brunnstrom’s Stages of Recovery

Question 1

Brunnstrom

Flaccid Stage. No voluntary or reflexive movement
can be elicited in either involved limb

Answer 1

stage 1

Question 2

Brunnstrom

Spasticity is developing but is minimal. Some components of the basic limb synergies may be noted BUT ONLY reflexively, on an attempt to move, or as an associated reaction. NO volitional movement present:

Answer 2

Stage 2

Question 3

Brunnstrom’s Stages of Recovery

The movement may begin to deviate from basic limb synergy - some joint isolation possible. ONE JOINT isolation only. Decreased spasticity

Answer 3

Stage 4

Question 4

Brunnstrom’s Stages of Recovery

Spasticity is at the highest point – may be severe. NO isolation of movement is present. Basic limb synergies noted on command for active movement

Answer 4

Stage 3

Question 5

Brunnstrom’s Stages of Recovery

TWO JOINT isolation is possible. Spasticity continues to decrease

Answer 5

Stage 5

Question 6

Brunnstrom’s Stages of Recovery

THREE JOINT isolation possible. Spasticity is absent, but timing & coordination not quite right yet

Answer 6

Stage 6

Question 7

Brunnstrom’s Stages of Recovery

Restoration of normal motor function is complete including timing, sequence, and coordination

Answer 7

Stage 7

Question 8

Brunnstrom’s Stages of Recovery

In what stage spasticity is absent?

Answer 8

stage 6