Brunnstrom treatment approach
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| Treatment approach called movement therapy that is most often used in the treatment of hemiplegia | show 🗑
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| scapular adduction and elevation, shoulder abduction and external rotation, elbow flexion, forearm supination, wrist flexion and finger flexion | show 🗑
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| scapular abduction and depression, shoulder adduction and internal rotation, elbow extension, forearm pronation and wrist and finger flexion or extension | show 🗑
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| hip flexion, abduction and external rotation; knee flexion; ankle dorsiflexion and inversion; and toe extension | show 🗑
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| movements seen on the hemiplegia side in response to forceful movements on the normal side, can be used to elicit synergies by giving resistance to the contralateral (opposite-side) muscle group on the unaffected side | show 🗑
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| show | Associated reactions
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| Excessive facilitation of associated reactions should be | show 🗑
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| show | Facilitation of a Synergy pattern
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| Synergistic movement may be reinforced by the patient’s voluntary efforts through | show 🗑
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| Proper bed positioning begins immediately when the patient is in the | show 🗑
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| show | Contractures and deformity
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| show | The LE’s flexor synergy
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| If the LE’s posture is characterized by extension and adduction at the hip, knee extension and ankle plantar flexion | show 🗑
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| show | Slight hip and knee flexion maintained by a small pillow under the knee
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| To position the affected UE, the practioner supports the arm on a pillow in a postion comfortable for the patient. Abduction of the UE should be avoided because this position can contribute to | show 🗑
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| The patient is instructed to use the _________________to support the affected arm when moving in bed | show 🗑
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| show | Guided trunk motion without forceful stretching
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| To accomplish this motion, the patient sits erect, cradling the affected arm. The clinician supports the arm under the elbows | show 🗑
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| During this recovery stage, the aim of treatment is to elicit muscle tone and the synergy patterns on a reflex basis | show 🗑
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| show | Brunnstrom Treatment during stages 2 and 3
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| The treatment aim during these stages is to move away from the synergies by mixing components from both synergies to perform new and complex patterns of movement | show 🗑
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| The treatment goal during this stage is to achieve ease in performance of movement. Activities that encourage varying motions and increasing speed of performance can be introduced during this stage | show 🗑
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| show | The focus of OT using the Brunnstrom technique
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| The extensor synergy can be used to stabilize an object on a table while the unaffected arm is performing a task | show 🗑
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| show | During stage 4
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| show | If the patient moves beyond stage 4
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| The involvement of the affected limbs in sweeping, dusting and washing dishes, are a few of the activities that may enlist the affected arm purposefully if | show 🗑
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