motor recovery

Question 1

mm synergies

Answer 1

firing of several mm groups simultaneously

Question 2

normally we move in numerous __ movement patterns

Answer 2

variable

Question 3

after stroke we move in __ ways

Answer 3

stereotypical

Question 4

stereotypical snergies

Answer 4

initial: flaccid
followed by: spasticity, hyperreflexia , stereotypical movements
-inflexible, invarient

Question 5

UE flexor synergy pattern 
scapula
shoulder
elbow
wrist
flexrors thumb

Answer 5

elevates/retracts
abd/ER
Flex/sup
flex
flex/add
flex/add

Question 6

LE extensor synergy

Hip
knee
ankle
great toes

Answer 6

adducts/ IR
extends
PF/Inversin
extend

Question 7

strong components of flexor synergy

Answer 7

elbow flexion

hip flexion

Question 8

strong components of extensor synergy

Answer 8

shoulder adducts/ IR

knee extends

Question 9

Brunnstrom stages of motor recovery

Answer 9

1-6

flaccid to spastic to normal

Question 10

chedoke stroke assesemtn

Answer 10

1-7

flaccid to spastic to normal

Question 11

brunstrom stages with no voluntary movement

Answer 11

stage 1 /2

Question 12

brunstrom spastic movement levels

Answer 12

3-6

Question 13

Motor recovery stage 1

UE

Answer 13

flaccid
hyporeflexic
no active reflex / mm

Question 14

motor recovery 2

UE

Answer 14

spasticity
reflex response to facilaition
no voluntary mm

Question 15

motor recovery stage 3 UE

Answer 15

spasticity marked
synergistic movement can be elicited volunitariy
pattern of movement within limited range

Question 16

motor recovery stage 4 UE

Answer 16

spasticity decrease
less resistance to passive
synergy pattern can be reversed
movement possible within greater range

Question 17

motor recovery stage 5

Answer 17

spasticity wanes but evident w rapid movement
able to reverse patterns
isolated movement possible
specific movements

Question 18

motor recovery stage 6

Answer 18

no resistance to passive movemnt
controlled isolated movement
lacks normal speed

Question 19

chedoke stage 7

Answer 19

normal movement, normal speed

no evidence of functional impairment

Question 20

which one has stage 7 chedoke or fugl

Answer 20

chedoke

Question 21

3 purposes of chedoke

Answer 21

stage the recovery
predict outcome
measure clinical important change

Question 22

chedoke 2 inventories

Answer 22

physical (shoulder posture arm, hand leg foot)

and activity (gross and walking)

Question 23

associated reactions

Answer 23

unintentional involuntary movements caused by lack of inhibition from CNS

can become conditioned

can occur with voluntary action of another limb

Question 24

post stroke shoulder pain from

Answer 24

snap malignment
IR humerus
neglect
sensory loss
UE low stage in recover CMSA 123

Question 25

is shoulder sublaxation common? preventable

Answer 25

yes n yes

Question 26

relationship between shoulder subluxation and pain direct or not

Answer 26

not direct

Question 27

can should sublax if increased mm tone

Answer 27

yes

Question 28

how to prevent shoulder sublax

Answer 28

support it education joint approximation maintain ROM (safe below 90)

Question 29

contributing factors to shoulder sublaxation

Answer 29

lack of support in upright / standing pulling on hemiplegic during transfers improper positioning in bed / wc

Question 30

joint approximation

Answer 30

mm stimulation strengthening braces taping

Question 31

complication of spastic UE

Answer 31

``` adhesive capsulitis decrease functional movement loss of scapular mobility loss of humeral alignment contracture/ loss ROM ```

Question 32

best practice for shoulder PROM Arm

Answer 32

do not move shoulder past 90 of shoulder flex / abd UNELSS scapular upwardly rotated and humerus laterally rotated