Brunnstrom tx approach - 1 Flashcards

1
Q

what is true after a CVA

A

limited option for movement

flexion usually returns first in the UE

extension usually returns first in the LE

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2
Q

synergy

A

general working together

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3
Q

normal synergy is

A

purposeful

efficient

precise

makes sense

unlimited combinations of movement

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4
Q

abnormal synergy

A

movements that is bound together

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5
Q

abnormal synergy is

A

stereotyped

primitive

reflexive

automatic

limited combinations of movements

muscles are bound together

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6
Q

shoulder girdle flexion synergy

A

elevation and retraction

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7
Q

should flexion synergy

A

ABD to 90

ER

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8
Q

elbow flexion synergy

A

flexion

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9
Q

forearm flexion synergy

A

supination

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10
Q

wrist flexion synergy

A

flexion

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11
Q

fingers flexion synergy

A

flexion

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12
Q

shoulder girdle extension synergy

A

depression and protraction

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13
Q

shoulder extension synergy

A

adduction and IR

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14
Q

elbow extension synergy

A

extension

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15
Q

forearm extension synergy

A

pronation

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16
Q

wrist extension synergy

17
Q

finger extension synergy

18
Q

typical hemi arm posture is the

A

combination of flexion and extension arm patterns

19
Q

hemi arm posture

A

shoulder adduction (extension pattern)

elbow flexion (flexion pattern)

forearm pronation (extension pattern)

wrist flexion (flexion pattern)

20
Q

hip extensor synergy

A

extension

adduction

IR

21
Q

knee extensor synergy

22
Q

foot/ankle extensor synergy

A

PF and inversion

23
Q

hip flexor synergy

A

flexion

ABD

ER

24
Q

knee flexor synergy

A

flexion to 90

25
foot/ankle flexor synergy
DF and Inversion
26
what is typical hemi leg posture
combination of flexion and extension patterns
27
hemi leg posture
hip flexion and ADD knee extension ankle PF
28
abnormal postural reflex activity includes
associated reactions abnormal postural reflexes
29
associated reactions are a
type of abnormal synergy reflex contraction of a muscle
30
what may associated reactions include
involuntary limb movement
31
when are associated reactions commonly associated
when spasticity is present
32
when are associated reactions more pronounced
when moving against resistance
33
what may be needed to evoke a response --> associated response
repeated stimuli
34
when may associated reactions be present
years after onset of hemiplegia
35
when may associated reactions occur
variety of conditions presence of spasticity when pt has certain degree of control of limb movements
36
key concept of associated reactions
does not show you pt's ability to voluntarily move shows you that there is a way to initiate movement