no movement initiated or elicited, flaccidity
Spasticity develops; minimal voluntary movements, limb synergies begin to appear
spasticity increasing; synergy patterns or some of their components can be perform voluntarily
spasticity declining; movements combinations deviating from synergies are now possible
synergies are not longer dominant; more movement combinations deviating from synergies performed with greater ease.
spasticity absent except when performing rapid movements; isolated joint movements performed with ease.
Brunnstrom UE flexion synergy
- Scapula: elevation and retraction
- Humerus: abd., ER or hyperext.
- Elbow: flexion
- Forearm: supination
- Wrist/hand/fingers: flexed
(looks like: punching self in head from side)
Brunnstrom UE extension synergy
- Scapula: protraction
- Humerus: horizontal add., IR
- Elbow: extension
- Forearm: pronation
- Wrist: extension
- Hand/fingers: flexion
(looks like: bringing extended arm to opposite knee)