Brunnstrom Theory Of Neurological Rehabilitation
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Created by:
tobisuekraus on September 14, 2008
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17 terms
Terms | Definitions |
|---|---|
 Movement Therapy in Hemiplegia | Based on the hierarchial model. Initally encourages the use of synergy patterns during rehabilitation. The belief was to immediately practice synergy patterns and subsequently develop combination's of movement patterns outside of the synergy. |
| Associated Reactions | An involuntary and automatic movement of a body part as a result of an intentional active or resistive movement in another body part. |
| Homolateral sykinesis | A flexion pattern of the involved upper extremity facilitates flexion of the involved lower extremity. |
| Limb Synergies | A group of muscles that produe a predictable pattern of movement in flexion or extension patterns. |
| Raimiste's Phenomenon | The involved lower extremity will abduct/adduct with applied resistance to the uninvolved lower extremity in the same direction. |
| Souqe's Phenomenon | Raising the involved upper extremity above 100 degrees with elbow extension will produce extension and abduction of of the fingers. |
| Stages of Recovery | Brunnstrom separates neurological recovery into seven separate stages based on progression through abnormal tone and spasticity. These seven stages of recovery describe tone, reflex activity, and volitional movement. |
| Stage 1 | No volitional movement initiated |
| Stage 2 | The appearance of basic limb synergies. The beginning of spasticity. |
| Stage 3 | The synergies are performed voluntarily; spasticity increases. |
| Stage 4 | Spasticity begins to decrease. Movement patterns are not dictated solely by limb synergies. |
| Stage 5 | A further decrease in spasticity is noted with independence from limb synergy patters. |
| Stage 6 | Isolated joint movements are performed with coordination. |
| Stage 7 | Normal motor function is restored. |
| Intervention | Evaluation of strength focuses on patterns of movement rather than straight plane motion at a joint. Sensory examination is required to assist with treating motor deficits, Initially limb synergies are encouraged as a necessary milestone for recovery. Encourage overflow to recruit active movement of the weak side. |
| Intervention (2) | Use of repetition of task and positive reinforcement. A patient will follow the stages of recovery, but may experiene a plateau at any point so that full recovery is not achieved. Movement combinations that deviate from the basic limb synergies should be introduced in stage 4 of recovery. |
| Brunnstrom Theory of Neurological Rehabilitation | Page 81 |
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