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BRUNNSTROM
65問 • 1年前
  • Kyla Rafols
    • 通報

    問題一覧

  • 1

    Swedish physical therapist who made Brunnstrom

    Anna Signe Sofia Brunnstrom

  • 2

    When was Brunnstrom made

    1960

  • 3

    Afferent sensory inputs are necessary prerequisites for efferent motor outputs

    reflex control theory

  • 4

    Facititate and use reflexes to regain motor control in hemiplegic patients

    reflex control theory

  • 5

    Building blocks to complex motor behavior and movements

    reflex

  • 6

    Organized in a hierarchical level to control motor functions in the body

    CNS

  • 7

    Consists of cerebral cortex, midbrain and brainstem & spinal cord

    hierarchical control theory

  • 8

    Cerebral cortex

    equilibrium reactions, complex motor movements

  • 9

    Midbrain

    righting reactions, less complex movements

  • 10

    Brainstem & spinal cord

    primitive reflexes, reflexive movements

  • 11

    CNS injury =

    evolution in reverse

  • 12

    Development of basic limb synergies, associated reactions and tonic reflexes

    brunnstrom technique

  • 13

    Purposeful movements with maximum precision, but with minimum waste of energy

    normal synergistic movements

  • 14

    Do not permit different combination muscles

    basic limb synergies

  • 15

    Early spastic period of recovery

    basic limb synergies

  • 16

    Classifications of BLS

    flexor, extensor, mixed

  • 17

    Voluntary forceful movement in other parts of body readily elicit reflex tensing of muscles

    associated reflexes

  • 18

    Position of the head has marked influence on the outcome of the associated reactions

    simons, 1923

  • 19

    Response of one extremity will elicit the same reaction in its ipsilateral extremity

    homolateral limb synkinesis

  • 20

    Resisted abduction or adduction of the good limb evokes similar reaction in the bad limb

    ramiste’s phenomenon

  • 21

    Flexor energy is elicited

    yawning

  • 22

    Evoke sudden muscular contractions of short duration

    coughing and sneezing

  • 23

    Brunnstrom associated reactions

    UE: movements employed elicited the same reactions in the affected limb, LE: movements employed elicited opposite reactions in the affected limb

  • 24

    Stationary contact with the palm of the hand results to closure of the hand

    instinctive grasp reaction

  • 25

    Same with palmar grasp

    instinctive grasp reaction

  • 26

    With the arm elevated in a forward-upward direction, the fingers and thumb hyperexted stroking the palm in a distal direction exaggerates the posture

    instinctive avoiding reaction

  • 27

    Elevation of the affected UE beyond the horizontal plane results to finger extension and abduction

    souques finger phenomenon

  • 28

    Symmetric tonic neck reflex stimulus

    neck flexion, neck extension

  • 29

    Asymmetric tonic neck reflex stimulus

    neck lateral rotation

  • 30

    Tonic labyrinthine reflex stimulus

    supine, prone

  • 31

    Tonic lumbar reflex stimulus

    R trunk rot, L trunk rot

  • 32

    Symmetric tonic neck reflex response: NECK FLEXION

    UE: flexion, LE: extension

  • 33

    Symmetric tonic neck reflex response: JAW SIDE

    UE: extension, LE: extension

  • 34

    Asymmetric tonic neck reflex response: SKULL SIDE

    UE: flexion, LE: flexion

  • 35

    Tonic labyrinthine response: SUPINE

    limbs move into extension

  • 36

    Tonic labyrinthine reflex response: PRONE

    limbs move into flexion

  • 37

    Tonic lumbar reflex response: R trunk rot

    increase flexor tone in RUE and LLE, increase extensor tone in LUE and RLE

  • 38

    Tonic lumbar reflex response: L trunk rot

    increase flexor tone in LUE and RLE, increase extension tone in RUE and LLE

  • 39

    Stages in Brunstrom stages of motor recovery can be skipped depending on the severity of the insukt and degree of the sensory motor involvement

    false

  • 40

    Pt is completely flaccid, no voluntary movement and pt is bed bound

    stage 1

  • 41

    STAGE 1

    pt in completely flaccid, pt is bed bound, no voluntary movement

  • 42

    STAGE 2

    development of limb strategies, no voluntary movement, spasticity appears

  • 43

    STAGE 3

    basic limb strategies develop voluntarily and is marked, spasticity is marked

  • 44

    STAGE 4

    spasticity begins to decrease, movement combinationd deviated from bls and become available

  • 45

    Stage 5

    relative independence of bls, spasticity is waning

  • 46

    STAGE 6

    isolated jt movements, coordination reaching normally, no spasticity

  • 47

    STAGE 7

    normal motor function restored

  • 48

    Stage 4

    placing hand behind body, alternative pronation-supination with 90 deg elbow flexion, elevation of arm to a forward horizontal position

  • 49

    STAGE 5

    arm raising to side horizontal position, alternative pronation-supination with elbow extended, bring hand over head

  • 50

    Sensory examination

    kinesthesia, tactile localization, pressure

  • 51

    Treatment progress ________, so facilitate the patient’s progress throught the recovery stages

    developmentally

  • 52

    When no motion exists, movement is facilitated using reflexes, associated reactions, proprioceptive facilitation and/or interoceptive facilitation to develop muscle tension in preparation for voluntary movement

    false

  • 53

    Responses of the patient from facilitation combine with the patient’s voluntary effort to produce

    semi voluntary movement

  • 54

    Stimuli that assists in eliciting the synergies

    proprioceptive, exteroceptive

  • 55

    When voluntary effort appears:

    isometric, eccentric, concentric, agonist antagonist reversal movement

  • 56

    Facilitation is reduced or dropped out as quickly as the patient shows ______

    voluntary control

  • 57

    No primitive reflexes, including associated reactions are used beyond

    stage 3

  • 58

    Correct movement is repeated

    true

  • 59

    Practice in the form of ADL

    true

  • 60

    FLEXOR SYNERGY UE

    scapular retraction/elevation, shoulder abd, ER, elbow flexion, forearm supination, wrist flexion, finger flexion

  • 61

    EXTENSOR SYNERGY UE

    scapular protraction/depression, shoulder add, IR, elbow extension, forearm pronation, wrist extension, finger flexion

  • 62

    FLEXOR SYNERGY LE

    pelvic anterior tilt, hip flexion, abd, ER, knee flexion, ankle df, toe extension

  • 63

    EXTENSORY SYNERGY LE

    pelvic posterior tilt, hip extension, add, IR, knee extension, ankle pf, toe flexion

  • 64

    UPPER LIMB MIXED SYNERGY

    scapula retraction, shoulder add, IR, elbow flexion, forearm pronation, wrist and finger flexion

  • 65

    LOWER LIMB MIXED SYNERGY

    pelvic posterior tilt, hip add, IR, knee extension, ankle and toe pf

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    問題一覧

  • 1

    Swedish physical therapist who made Brunnstrom

    Anna Signe Sofia Brunnstrom

  • 2

    When was Brunnstrom made

    1960

  • 3

    Afferent sensory inputs are necessary prerequisites for efferent motor outputs

    reflex control theory

  • 4

    Facititate and use reflexes to regain motor control in hemiplegic patients

    reflex control theory

  • 5

    Building blocks to complex motor behavior and movements

    reflex

  • 6

    Organized in a hierarchical level to control motor functions in the body

    CNS

  • 7

    Consists of cerebral cortex, midbrain and brainstem & spinal cord

    hierarchical control theory

  • 8

    Cerebral cortex

    equilibrium reactions, complex motor movements

  • 9

    Midbrain

    righting reactions, less complex movements

  • 10

    Brainstem & spinal cord

    primitive reflexes, reflexive movements

  • 11

    CNS injury =

    evolution in reverse

  • 12

    Development of basic limb synergies, associated reactions and tonic reflexes

    brunnstrom technique

  • 13

    Purposeful movements with maximum precision, but with minimum waste of energy

    normal synergistic movements

  • 14

    Do not permit different combination muscles

    basic limb synergies

  • 15

    Early spastic period of recovery

    basic limb synergies

  • 16

    Classifications of BLS

    flexor, extensor, mixed

  • 17

    Voluntary forceful movement in other parts of body readily elicit reflex tensing of muscles

    associated reflexes

  • 18

    Position of the head has marked influence on the outcome of the associated reactions

    simons, 1923

  • 19

    Response of one extremity will elicit the same reaction in its ipsilateral extremity

    homolateral limb synkinesis

  • 20

    Resisted abduction or adduction of the good limb evokes similar reaction in the bad limb

    ramiste’s phenomenon

  • 21

    Flexor energy is elicited

    yawning

  • 22

    Evoke sudden muscular contractions of short duration

    coughing and sneezing

  • 23

    Brunnstrom associated reactions

    UE: movements employed elicited the same reactions in the affected limb, LE: movements employed elicited opposite reactions in the affected limb

  • 24

    Stationary contact with the palm of the hand results to closure of the hand

    instinctive grasp reaction

  • 25

    Same with palmar grasp

    instinctive grasp reaction

  • 26

    With the arm elevated in a forward-upward direction, the fingers and thumb hyperexted stroking the palm in a distal direction exaggerates the posture

    instinctive avoiding reaction

  • 27

    Elevation of the affected UE beyond the horizontal plane results to finger extension and abduction

    souques finger phenomenon

  • 28

    Symmetric tonic neck reflex stimulus

    neck flexion, neck extension

  • 29

    Asymmetric tonic neck reflex stimulus

    neck lateral rotation

  • 30

    Tonic labyrinthine reflex stimulus

    supine, prone

  • 31

    Tonic lumbar reflex stimulus

    R trunk rot, L trunk rot

  • 32

    Symmetric tonic neck reflex response: NECK FLEXION

    UE: flexion, LE: extension

  • 33

    Symmetric tonic neck reflex response: JAW SIDE

    UE: extension, LE: extension

  • 34

    Asymmetric tonic neck reflex response: SKULL SIDE

    UE: flexion, LE: flexion

  • 35

    Tonic labyrinthine response: SUPINE

    limbs move into extension

  • 36

    Tonic labyrinthine reflex response: PRONE

    limbs move into flexion

  • 37

    Tonic lumbar reflex response: R trunk rot

    increase flexor tone in RUE and LLE, increase extensor tone in LUE and RLE

  • 38

    Tonic lumbar reflex response: L trunk rot

    increase flexor tone in LUE and RLE, increase extension tone in RUE and LLE

  • 39

    Stages in Brunstrom stages of motor recovery can be skipped depending on the severity of the insukt and degree of the sensory motor involvement

    false

  • 40

    Pt is completely flaccid, no voluntary movement and pt is bed bound

    stage 1

  • 41

    STAGE 1

    pt in completely flaccid, pt is bed bound, no voluntary movement

  • 42

    STAGE 2

    development of limb strategies, no voluntary movement, spasticity appears

  • 43

    STAGE 3

    basic limb strategies develop voluntarily and is marked, spasticity is marked

  • 44

    STAGE 4

    spasticity begins to decrease, movement combinationd deviated from bls and become available

  • 45

    Stage 5

    relative independence of bls, spasticity is waning

  • 46

    STAGE 6

    isolated jt movements, coordination reaching normally, no spasticity

  • 47

    STAGE 7

    normal motor function restored

  • 48

    Stage 4

    placing hand behind body, alternative pronation-supination with 90 deg elbow flexion, elevation of arm to a forward horizontal position

  • 49

    STAGE 5

    arm raising to side horizontal position, alternative pronation-supination with elbow extended, bring hand over head

  • 50

    Sensory examination

    kinesthesia, tactile localization, pressure

  • 51

    Treatment progress ________, so facilitate the patient’s progress throught the recovery stages

    developmentally

  • 52

    When no motion exists, movement is facilitated using reflexes, associated reactions, proprioceptive facilitation and/or interoceptive facilitation to develop muscle tension in preparation for voluntary movement

    false

  • 53

    Responses of the patient from facilitation combine with the patient’s voluntary effort to produce

    semi voluntary movement

  • 54

    Stimuli that assists in eliciting the synergies

    proprioceptive, exteroceptive

  • 55

    When voluntary effort appears:

    isometric, eccentric, concentric, agonist antagonist reversal movement

  • 56

    Facilitation is reduced or dropped out as quickly as the patient shows ______

    voluntary control

  • 57

    No primitive reflexes, including associated reactions are used beyond

    stage 3

  • 58

    Correct movement is repeated

    true

  • 59

    Practice in the form of ADL

    true

  • 60

    FLEXOR SYNERGY UE

    scapular retraction/elevation, shoulder abd, ER, elbow flexion, forearm supination, wrist flexion, finger flexion

  • 61

    EXTENSOR SYNERGY UE

    scapular protraction/depression, shoulder add, IR, elbow extension, forearm pronation, wrist extension, finger flexion

  • 62

    FLEXOR SYNERGY LE

    pelvic anterior tilt, hip flexion, abd, ER, knee flexion, ankle df, toe extension

  • 63

    EXTENSORY SYNERGY LE

    pelvic posterior tilt, hip extension, add, IR, knee extension, ankle pf, toe flexion

  • 64

    UPPER LIMB MIXED SYNERGY

    scapula retraction, shoulder add, IR, elbow flexion, forearm pronation, wrist and finger flexion

  • 65

    LOWER LIMB MIXED SYNERGY

    pelvic posterior tilt, hip add, IR, knee extension, ankle and toe pf