問題一覧
1
Same with palmar grasp
instinctive grasp reaction
2
Brunnstrom associated reactions
UE: movements employed elicited the same reactions in the affected limb, LE: movements employed elicited opposite reactions in the affected limb
3
Tonic labyrinthine reflex stimulus
supine, prone
4
Treatment progress ________, so facilitate the patient’s progress throught the recovery stages
developmentally
5
Symmetric tonic neck reflex response: NECK FLEXION
UE: flexion, LE: extension
6
Correct movement is repeated
true
7
Asymmetric tonic neck reflex stimulus
neck lateral rotation
8
Facilitation is reduced or dropped out as quickly as the patient shows ______
voluntary control
9
Building blocks to complex motor behavior and movements
reflex
10
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
11
Symmetric tonic neck reflex response: JAW SIDE
UE: extension, LE: extension
12
Evoke sudden muscular contractions of short duration
coughing and sneezing
13
No primitive reflexes, including associated reactions are used beyond
stage 3
14
Flexor energy is elicited
yawning
15
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
16
STAGE 7
normal motor function restored
17
EXTENSOR SYNERGY UE
scapular protraction/depression, shoulder add, IR, elbow extension, forearm pronation, wrist extension, finger flexion
18
LOWER LIMB MIXED SYNERGY
pelvic posterior tilt, hip add, IR, knee extension, ankle and toe pf
19
Brainstem & spinal cord
primitive reflexes, reflexive movements
20
When voluntary effort appears:
isometric, eccentric, concentric, agonist antagonist reversal movement
21
Afferent sensory inputs are necessary prerequisites for efferent motor outputs
reflex control theory
22
Midbrain
righting reactions, less complex movements
23
STAGE 5
arm raising to side horizontal position, alternative pronation-supination with elbow extended, bring hand over head
24
FLEXOR SYNERGY LE
pelvic anterior tilt, hip flexion, abd, ER, knee flexion, ankle df, toe extension
25
STAGE 2
development of limb strategies, no voluntary movement, spasticity appears
26
Elevation of the affected UE beyond the horizontal plane results to finger extension and abduction
souques finger phenomenon
27
Practice in the form of ADL
true
28
Tonic labyrinthine reflex response: PRONE
limbs move into flexion
29
Response of one extremity will elicit the same reaction in its ipsilateral extremity
homolateral limb synkinesis
30
Development of basic limb synergies, associated reactions and tonic reflexes
brunnstrom technique
31
Tonic lumbar reflex stimulus
R trunk rot, L trunk rot
32
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
33
STAGE 6
isolated jt movements, coordination reaching normally, no spasticity
34
Responses of the patient from facilitation combine with the patient’s voluntary effort to produce
semi voluntary movement
35
STAGE 3
basic limb strategies develop voluntarily and is marked, spasticity is marked
36
Position of the head has marked influence on the outcome of the associated reactions
simons, 1923
37
Swedish physical therapist who made Brunnstrom
Anna Signe Sofia Brunnstrom
38
UPPER LIMB MIXED SYNERGY
scapula retraction, shoulder add, IR, elbow flexion, forearm pronation, wrist and finger flexion
39
STAGE 4
spasticity begins to decrease, movement combinationd deviated from bls and become available
40
Stage 5
relative independence of bls, spasticity is waning
41
Purposeful movements with maximum precision, but with minimum waste of energy
normal synergistic movements
42
STAGE 1
pt in completely flaccid, pt is bed bound, no voluntary movement
43
Asymmetric tonic neck reflex response: SKULL SIDE
UE: flexion, LE: flexion
44
Sensory examination
kinesthesia, tactile localization, pressure
45
Pt is completely flaccid, no voluntary movement and pt is bed bound
stage 1
46
Facititate and use reflexes to regain motor control in hemiplegic patients
reflex control theory
47
Resisted abduction or adduction of the good limb evokes similar reaction in the bad limb
ramiste’s phenomenon
48
Tonic labyrinthine response: SUPINE
limbs move into extension
49
When was Brunnstrom made
1960
50
Stationary contact with the palm of the hand results to closure of the hand
instinctive grasp reaction
51
Do not permit different combination muscles
basic limb synergies
52
Consists of cerebral cortex, midbrain and brainstem & spinal cord
hierarchical control theory
53
Cerebral cortex
equilibrium reactions, complex motor movements
54
Voluntary forceful movement in other parts of body readily elicit reflex tensing of muscles
associated reflexes
55
Tonic lumbar reflex response: L trunk rot
increase flexor tone in LUE and RLE, increase extension tone in RUE and LLE
56
FLEXOR SYNERGY UE
scapular retraction/elevation, shoulder abd, ER, elbow flexion, forearm supination, wrist flexion, finger flexion
57
Tonic lumbar reflex response: R trunk rot
increase flexor tone in RUE and LLE, increase extensor tone in LUE and RLE
58
Stimuli that assists in eliciting the synergies
proprioceptive, exteroceptive
59
CNS injury =
evolution in reverse
60
Stage 4
placing hand behind body, alternative pronation-supination with 90 deg elbow flexion, elevation of arm to a forward horizontal position
61
Early spastic period of recovery
basic limb synergies
62
Organized in a hierarchical level to control motor functions in the body
CNS
63
Symmetric tonic neck reflex stimulus
neck flexion, neck extension
64
Classifications of BLS
flexor, extensor, mixed
65
EXTENSORY SYNERGY LE
pelvic posterior tilt, hip extension, add, IR, knee extension, ankle pf, toe flexion