Term
| what are brunnstrom stages? |
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Definition
| staging system to categorize patients' movement problems, implying a set pattern of recovery after stroke |
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Term
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Definition
| stereotypical movement, emerging early in recovery as reflex or voluntarily |
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Term
| what does stroke cause increased muscle tone |
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Definition
| overactive muscle activity in affected side |
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Term
| on what population of strokes are Brunnstrom stages most applicable |
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Definition
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Term
| what are the components of flexor synergy in UE |
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Definition
| retration/elevation of shoulder girdle; external rotation; abduction to 90 deg; elbow flexion; wrist supination; |
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Term
| what is the strongest movment in flexor synergy in UE |
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Definition
| flexion of the elbow to an acute angle |
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Term
| what are the components of extensor synergy in UE |
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Definition
| protraction of the shoulder girdle; internal rotation; adduction; elbow extension; pronation; maybe wrist extension with fist closure |
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Term
| what is the strongest movement of extensor synergy in UE |
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Definition
| internal rotation, adduction |
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Term
| what upper limb movement isn't included in either synergy? |
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Definition
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Term
| what are the components of flexor synergy in LE |
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Definition
| hip flexion, abduction, external rotation, knee flexion to 90, dorsiflexion/inversion of ankle, toe dorsiflexion |
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Term
| what are the main components of LE flexor synergies |
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Definition
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Term
| what are the components of LE extensor synergy? |
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Definition
| hip extension, adduction and IR, knee extension, plantarflexion and ankle inversion, toe planatarflexion |
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Term
| what are the main components of LE extensor synergies |
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Definition
| adduction/IR of hip, extension of kne |
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Term
| what LE movement isn't included in either synergy |
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Definition
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Term
| how does spasticity related to movement control |
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Definition
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Term
| describe brunnstrom stage 1 |
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Definition
| flacid: no movement of affected limb (not reflexively or voluntarily) |
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Term
| describe brunnstrom stage 2 |
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Definition
| recovery begins: synergies or components appear as associated reactions. Minimal voluntary movement. Spasticity in muscles that dominate synergy. |
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Term
| what is an associated reaction |
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Definition
| involuntary movement that occurs along with something more effortful |
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Term
| describe brunnstrom stage 3 |
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Definition
| voluntary control of synergy: movement in synergy but not out of synergy |
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Term
| describe brunstromm stage 4 |
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Definition
| some movement out of synergy. |
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Term
| describe brunnstrom stage 5 |
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Definition
| more movement out of synergy with less difficulty. Synergies lose dominance over movements |
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Term
| describe brunnstrom stage 6 |
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Definition
| individual joint motions possible. Movement may be slower or less fluid but approaches normalcy |
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Term
| what are some typical UE stage 4 movements |
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Definition
| hand behind sacrum. Shoulder flexion with elbow extension. Pronation/supination with elbow flexed to 90 |
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Term
| what stage is someone in if they can do only one of the stage 4 movements? |
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Definition
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Term
| what are some typical UE stage 5 movements |
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Definition
| shoulder abduction with elbow extension; shoulder flexion greater than 90 with elbow extended. Pronation/supinatino with elbow extended |
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Term
| what UE movement is unique to stage 6 |
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Definition
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Term
| what LE movement is unique to stage 6 |
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Definition
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Term
| what are stage 4 movements of LE |
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Definition
| in a sitting position able to flex knee beyond 90 without ER and abduction; dorsiflexion with foot on floor (without other synergy movements of flexion). Initiation of bridging: hip extension with knee flexion |
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Term
| what are some stage 5 LE movements |
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Definition
| knee flexion with hip extended. Hip abduction with knee extended. Ankle dorsiflexion with knee and hip extended. |
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Term
| what is hand like in stage 1 |
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Definition
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Term
| what is hand like in stage 2 |
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Definition
| little or no active finger flexion |
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Term
| what is hand like in stage 3 |
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Definition
| mass grasp; hook grasp without release; no extension |
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Term
| what is hand like in stage 4 |
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Definition
| lateral prehension; release of thumb; semi-voluntary finger extension |
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Term
| what is hand like in stage 5 |
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Definition
| palmar prehension. Cylindrical and spherical grasp. Mass extension of all digits |
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Term
| what is hand doing in stage 6 |
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Definition
| all prehensile movements controlled. Full-range extension of digits. Isolated finger control but less accurate than other side. |
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Term
| what are 2 objective measures of synergies |
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Definition
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Term
| describe fugl-meyer assessment |
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Definition
| incorporates Brunnstrom staging. Makes UE and LE motor scores. Assesses synergy. |
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Term
| what does STREAM stand for |
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Definition
| stroke rehabilitation assessment of movement measure |
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Term
| how many movement items are in supine in STREAM |
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Definition
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Term
| which voluntary movement items of STREAM are sitting |
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Definition
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Term
| which voluntary movement items of STREAM are standing |
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Definition
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Term
| once you know the stage of limb impairment, then what? |
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Definition
| you know how to advance them. Figure out where they are and look at what's coming up in the next stage |
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