Flashcards in Rancho, Brunnstrom, Glasgow Deck (21):
Rancho Level 1
No response: deep sleep, unresponsive to any stimuli
Generalized response: inconsistent response to stimuli
Localized response: Pt reacts specifically but inconsistently to stimuli. may follow simple commands such as closing eyes/squeezing hand in an inconsistent/. delayed manner.
Confused-Agitated: heightened state of activity. bizarre and non-purposeful behavior, unable to cooperate with treatment efforts, pt lacks short and long term recall.
Confused-Inappropriate: respond to simple commands fairly consistently. highly distractable,
Confused-Appropriate: Pt shows goal directed behavior. follows simple directions and shows carryover of relearned tasks such as self-care.
Automatic-Appropriate: pt is appropriate and oriented to hospital or home setting. goes through daily routine automatically but robot like, min to no confusion and shallow recall. carryover of new learning, can initiate social activities with structured help. impaired judgment.
Purposeful-Appropriate: recall and integrate past and recent events, still may have impaired judgment, abstract reasoning with emergencies/ unusual circumstances
Glasgow Coma Scale score:
Severe Brain Injury
Glasgow Coma Scale Score:
moderate brain injury
Glasgow Coma scale score
Mild brain injury
GCS: Eye Opening
2= to pain
GCS: Best Motor Response
GCS: Verbal Response
4= confused conversation
2= incomprehensible sounds
No volitional movement
Appearance of basic limb synergies. Beginning of spacticity
The synergies are performed voluntarily; spasticity increases (peak)
Spasticity begins to decrease. movement patterns not dictated solely by limb synergies
further decrease in spasticity with independence from limb synergy patterns
Isolated joint movements are performed with coordination