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9 Cards in this Set

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