Rancho, Brunnstrom, Glasgow Flashcards Preview

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Flashcards in Rancho, Brunnstrom, Glasgow Deck (21):
1

Rancho Level 1

No response: deep sleep, unresponsive to any stimuli

2

Rancho 2

Generalized response: inconsistent response to stimuli

3

Rancho 3

Localized response: Pt reacts specifically but inconsistently to stimuli. may follow simple commands such as closing eyes/squeezing hand in an inconsistent/. delayed manner.

4

Rancho 4

Confused-Agitated: heightened state of activity. bizarre and non-purposeful behavior, unable to cooperate with treatment efforts, pt lacks short and long term recall.

5

rancho 5

Confused-Inappropriate: respond to simple commands fairly consistently. highly distractable,

6

Rancho 6

Confused-Appropriate: Pt shows goal directed behavior. follows simple directions and shows carryover of relearned tasks such as self-care.

7

Rancho 7

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.

8

Rancho 8

Purposeful-Appropriate: recall and integrate past and recent events, still may have impaired judgment, abstract reasoning with emergencies/ unusual circumstances

9

Glasgow Coma Scale score:
<8

Severe Brain Injury

10

Glasgow Coma Scale Score:
9-12

moderate brain injury

11

Glasgow Coma scale score
12-15

Mild brain injury

12

GCS: Eye Opening

4=Spontaneous
3=to speech
2= to pain
1= Nil

13

GCS: Best Motor Response

6=obeys commands
5=localizes pain
4=withdraws
3=abnormal flexion
2=extensor response
1=Nil

14

GCS: Verbal Response

5= oriented
4= confused conversation
3=inappropriate
2= incomprehensible sounds
1= Nil

15

Brunnstrom 1

No volitional movement

16

Brunnstrom 2

Appearance of basic limb synergies. Beginning of spacticity

17

Brunnstrom 3

The synergies are performed voluntarily; spasticity increases (peak)

18

Brunnstrom 4

Spasticity begins to decrease. movement patterns not dictated solely by limb synergies

19

Brunnstrom 5

further decrease in spasticity with independence from limb synergy patterns

20

Brunnstrom 6

Isolated joint movements are performed with coordination

21

Brunnstrom 7

Normal function is restored