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9 Cards in this Set
- Front
- Back
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Brunnstrum Approach:
What is the premise of this approach? |
To evaluate at what stage the pt is in and start there and progress to next stage, but have pt successful in current stage.
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Why does Brunnstrum believe hemi pt's have stages to go through in order to elicit normal ms movement again
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Because the trauma to the CNS has had an "evolution in reverse" that the patterns have regressed to primitive patterns.
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What are the regressed patterns the hemi pt regresses to?
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synergies and reflexes
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what are synergies?
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gross ms group movements that whether reflexively or voluntary move bound (together).
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The Brunnstrum Motor Recovery Stages of Hemiplegia
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*
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What type of techniques should be used in stages 1-2?
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Facilitory: to elicit synergy (tone) thru reflexes, BUT IMMEDIATELY followed by faciliation of the externsors
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What type of techniques should be used in stages 2...going to 3-4?
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Inhibitory: to break away from synergy mvmts (pt can do voluntary mvmt). Promote mvmt that use flexor and extensor synergy COMBO's.
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What type of techniques should be used in stages 4...going to 5-6?
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to gain voluntary control of ISOLATED mvmnt. Start enabling skilled tech: buttoning, zippers, fasterners, shoelace tie, writing
In 6 start to increase speed. |
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In theory, when can strengthening begin
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stage 5
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