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S P =

Recovery of movement starts as groups of muscles working together. Pt may have little or NO voluntary control over movement initally and can only move within a Synergy Pattern

Flexion Synergy UE =

Scapular Retraction & Elevation, Shld. Abduction & ER/ Elbow Flexion/ Forearm Supination/ Wrist & finger flexion

Flexion Synergy LE =

Hip Flexion/ Knee Flexion/ Ankle DF & Inversion/ Toe DF

Extention Synergy UE =

Scapular Protraction (pec minor)/ Shld. ADDuction & IR (Subscapularis)/ Elbow Extention/ Forearm Pronation/ Wrist & finger Flexion/

Extention Synergy LE =

HIp Extention & ADDuction/ Knee Extention/ Ankle PF & Inversion/ Toe PF

Muscles NOT involved in either synergy can be difficult to active. Thry include -

Lats, Teres Major, Ankle evertors, Serattus Anterior, Finger extensors.

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